Faculty Collaboration Database

Pediatric Oncology Nurses' Experiences With Prognosis-Related Communication. Oncol Nurs Forum 2018 May 01;45(3):327-337

Date

04/24/2018

Pubmed ID

29683123

DOI

10.1188/18.ONF.327-337

Scopus ID

2-s2.0-85046247274 (requires institutional sign-in at Scopus site)   9 Citations

Abstract

OBJECTIVES: To examine nurses' experiences of prognosis-related communication (PRC) with parents of children with cancer.

SAMPLE & SETTING: Cross-sectional, correlational study in the pediatric oncology setting involving 316 members of the Association of Pediatric Hematology/Oncology Nurses.

METHODS & VARIABLES: Online survey regarding individual nurse factors, PRC, interprofessional collaboration, moral distress, and perceived quality of care.

RESULTS: Nurses strongly agreed that prognostic disclosure is critical for decision making, but they are challenged in determining their role. Nurses with more years of experience and training in PRC, those working in an outpatient setting, and those with higher levels of nurse-physician collaboration reported more positive experiences with PRC. Positive experiences with PRC and collaboration were significantly associated with higher nurse-perceived quality of care and reduced nurse moral distress.

IMPLICATIONS FOR NURSING: Nurses should work to be active participants in the process of PRC by collaborating with physician colleagues. When nurses sense that prognostic discussions have been absent or unclear, they should feel confident in approaching physician colleagues to ensure parent understanding and satisfaction with communication.

Author List

Newman AR, Callahan MF, Lerret SM, Oswald DL, Weiss ME

Authors

Stacee Lerret PhD Professor Hybrid in the Pediatrics department at Medical College of Wisconsin
Amy R. Newman PhD, RN, CPNP-PC, CPHON Assistant Professor in the Marquette University College of Nursing department at Marquette University
Amy R. Newman NP APP Hybrid in the Pediatrics department at Medical College of Wisconsin
Marianne Weiss DNSc Associate Professor in the College of Nursing department at Marquette University

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Attitude of Health Personnel
Child
Child, Preschool
Communication
Cross-Sectional Studies
Female
Humans
Infant
Male
Middle Aged
Neoplasms
Nurse's Role
Nurses, Pediatric
Oncology Nursing
Parents
Prognosis
Surveys and Questionnaires