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Tsimicalis A, Rennick J, Le May S, Stinson J, Sarkis B, Séguin K, Siedlikowski M, Choquette A, Louli J. “Tell it as it is”: How Sisom prompts children and parents to discuss their cancer experience. Cancer Rep (Hoboken) 2019. [DOI: 10.1002/cnr2.1173] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Argerie Tsimicalis
- Ingram School of Nursing, Faculty of MedicineMcGill University Montreal Quebec Canada
- Shriners Hospitals for Children®‐Canada Montreal Quebec Canada
| | - Janet Rennick
- Ingram School of Nursing, Faculty of MedicineMcGill University Montreal Quebec Canada
- Montreal Children's HospitalMcGill University Health Centre Montreal Quebec Canada
| | - Sylvie Le May
- UHC Sainte‐Justine Montreal Quebec Canada
- University of Montreal Montreal Quebec Canada
| | - Jennifer Stinson
- The Hospital for Sick Children Toronto Ontario Canada
- Lawrence S Bloomberg Faculty of NursingUniversity of Toronto Toronto Ontario Canada
| | - Bianca Sarkis
- Faculty of MedicineMcGill University Montreal Quebec Canada
| | - Karine Séguin
- Faculty of ScienceMcGill University Montreal Quebec Canada
| | - Maia Siedlikowski
- Ingram School of Nursing, Faculty of MedicineMcGill University Montreal Quebec Canada
- Shriners Hospitals for Children®‐Canada Montreal Quebec Canada
| | - Anne Choquette
- Montreal Children's HospitalMcGill University Health Centre Montreal Quebec Canada
| | - Julie Louli
- Ingram School of Nursing, Faculty of MedicineMcGill University Montreal Quebec Canada
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Tsimicalis A, Rennick J, Stinson J, May SL, Louli J, Choquette A, Treherne S, Berube S, Yoon S, Ruland C. Usability Testing of an Interactive Communication Tool to Help Children Express Their Cancer Symptoms. J Pediatr Oncol Nurs 2018; 35:320-331. [PMID: 29848164 DOI: 10.1177/1043454218777728] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE Sisom is an interactive computer software program that allows children to rate the severity of their cancer symptoms. The study objectives were to describe the usability of Sisom in terms of ease of use, usefulness, and aesthetics and to offer suggestions for improvement. METHOD A multisite, descriptive study was conducted to describe the usability of Sisom. A purposive sample of children, ages 6 to 12 years, being treated for cancer was recruited. English- and French-speaking children completed the eight tasks in Sisom recorded using Morae software and provided input via an audiotaped interview. Data were downloaded, transcribed verbatim, and analyzed descriptively. RESULTS Thirty-four children with varying cancers participated. The majority of children liked Sisom and found Sisom easy to use, found it to be helpful in expressing their symptoms, and were satisfied with the aesthetics. Some children provided suggestions for improvement to optimize Sisom use in Canada. CONCLUSIONS Children's positive responses and desire to use Sisom again suggest that future research should be directed toward implementing and evaluating its effectiveness in a variety of settings.
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Affiliation(s)
- Argerie Tsimicalis
- 1 McGill University, Montreal, Quebec, Canada.,2 Shriners Hospitals for Children®-Canada, Montreal, Quebec, Canada
| | - Janet Rennick
- 1 McGill University, Montreal, Quebec, Canada.,3 Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada
| | - Jennifer Stinson
- 4 The Hospital for Sick Children, Toronto, Ontario, Canada.,5 University of Toronto, Toronto, Ontario, Canada
| | - Sylvie Le May
- 6 UHC Sainte-Justine, Montreal, Quebec, Canada.,7 University of Montreal, Montreal, Quebec, Canada
| | - Julie Louli
- 1 McGill University, Montreal, Quebec, Canada
| | - Anne Choquette
- 3 Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada
| | | | - Sarah Berube
- 6 UHC Sainte-Justine, Montreal, Quebec, Canada.,7 University of Montreal, Montreal, Quebec, Canada
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Weinstein AG, Henrich CC. Psychological interventions helping pediatric oncology patients cope with medical procedures: a nurse-centered approach. Eur J Oncol Nurs 2013; 17:726-31. [PMID: 23725658 DOI: 10.1016/j.ejon.2013.04.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Revised: 02/08/2013] [Accepted: 04/05/2013] [Indexed: 11/29/2022]
Abstract
PURPOSE OF THE RESEARCH This study explored whether psychological interventions are currently used by pediatric oncology nurses to help children cope with their treatment and, if so, which interventions were considered by oncology nurses to be the most effective. METHODS AND SAMPLE A web-based survey was developed to assess pediatric oncology nurses' impressions of psychological care for pediatric patients during their medical treatment. A sample of 88 pediatric oncologic nurses from twelve leading pediatric oncology departments in the US participated in the survey. The closed questions were analyzed through quantitative methods with statistics. The open questions were examined through qualitative methods with report narratives and discourse analysis. KEY RESULTS Pediatric oncology nurses identified three psychological interventions to reduce suffering: educating children by explaining the procedure; providing emotional support to children by listening, answering children's worries, or holding their hands; and distracting children through passive and active forms. The survey further showed that nurses spent on average 3 h per day providing emotional support, would be willing to be trained in additional interventions (93%), and could devote at least 10 min per treatment to provide support (77%). CONCLUSIONS This work demonstrates the central role nurses play as emotional support caregivers. Since nurses would be willing to provide emotional support during treatments, training may be an approach to incorporate the use of psychological interventions.
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Affiliation(s)
- Aurélie G Weinstein
- Georgia State University, Department of Psychology, P.O. Box 5010, Atlanta, GA 30302-5010, USA.
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Po' C, Benini F, Sainati L, Farina MI, Cesaro S, Agosto C. Procedural pain management in Italy: learning from a nationwide survery involving centers of the Italian Association of Pediatric Hematology-Oncology. Pediatr Rep 2011; 3:e34. [PMID: 22355519 PMCID: PMC3283202 DOI: 10.4081/pr.2011.e34] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2011] [Accepted: 10/24/2011] [Indexed: 12/01/2022] Open
Abstract
Procedural pain is an important aspect of care in pediatrics, and particularly in pediatric oncology where children often consider this to be the most painful experience during their illness. Best recommended practice to control procedural pain includes both sedative-analgesic administration and non-pharmacological treatments, practiced in an adequate and pleasant setting by skilled staff. A nationwide survey has been conducted among the Italian Centers of Pediatric Hematology-Oncology to register operators' awareness on procedural pain, state of the art procedural pain management, operators' opinions about pain control in their center, and possible barriers impeding sedation-analgesia administration. Based on indications in the literature, we discuss the results of the survey to highlight critical issues and suggest future directions for improvement. Future objectives will be to overcome differences depending on size, improve operators' beliefs about the complexity of pain experience, and promote a global approach to procedural pain.
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Affiliation(s)
- Chiara Po'
- Pediatric Pain and Palliative Care Service, Department of Pediatrics, University of Padua
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Po' C, Benini F, Sainati L, Frigo AC, Cesaro S, Farina MI, Agosto C. The opinion of clinical staff regarding painfulness of procedures in pediatric hematology-oncology: an Italian survey. Ital J Pediatr 2011; 37:27. [PMID: 21663631 PMCID: PMC3127832 DOI: 10.1186/1824-7288-37-27] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2011] [Accepted: 06/10/2011] [Indexed: 01/15/2023] Open
Abstract
Background Beliefs of caregivers about patient's pain have been shown to influence assessment and treatment of children's pain, now considered an essential part of cancer treatment. Painful procedures in hematology-oncology are frequently referred by children as the most painful experiences during illness. Aim of this study was to evaluate professionals' beliefs about painfulness of invasive procedures repeatedly performed in Pediatric Hemato-Oncology Units. Methods Physicians, nurses, psychologists and directors working in Hemato-Oncology Units of the Italian Association of Pediatric Hematology-Oncology (AIEOP) were involved in a wide-nation survey. The survey was based on an anonymous questionnaire investigating beliefs of operators about painfulness of invasive procedures (lumbar puncture, bone marrow aspirate and bone marrow biopsy) and level of pain management. Results Twenty-four directors, 120 physicians, 248 nurses and 22 psychologists responded to the questionnaire. The score assigned to the procedural pain on a 0-10 scale was higher than 5 in 77% of the operators for lumbar puncture, 97.5% for bone marrow aspiration, and 99.5% for bone marrow biopsy. The scores assigned by nurses differed statistically from those of the physicians and directors for the pain caused by lumbar puncture and bone marrow aspiration. Measures adopted for procedural pain control were generally considered good. Conclusions Invasive diagnostic-therapeutic procedures performed in Italian Pediatric Hemato-Oncology Units are considered painful by all the caregivers involved. Pain management is generally considered good. Aprioristically opinions about pain depend on invasiveness of the procedure and on the professional role.
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Affiliation(s)
- Chiara Po'
- Pediatric Pain and Palliative Care Service, Department of Pediatrics, University of Padua, Italy
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Gallagher R, Gormley DK. Perceptions of Stress, Burnout, and Support Systems in Pediatric Bone Marrow Transplantation Nursing. Clin J Oncol Nurs 2009; 13:681-5. [DOI: 10.1188/09.cjon.681-685] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Rheingans JI. Pediatric Oncology Nurses' Management of Patients' Symptoms. J Pediatr Oncol Nurs 2008; 25:303-11. [DOI: 10.1177/1043454208323294] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The purpose of this article is to describe the results of a national descriptive survey of 509 pediatric oncology nurses' interventions for managing patients'symptoms. The Nurses' Distress and Interventions for Symptoms Survey (NDISS) is used to assess nurses' management of patients' 7 most distressing symptoms. The average number of symptoms reported as being present is 6.0 (SD 1.3; range, 0-7). Pain is the most commonly reported symptom; trouble sleeping is the least common. The mean score for nurses' distress is 2.9 (SD 0.8; range, 0-4); nurses' distress is greatest with trouble sleeping and lowest with hair loss. Nurses use an average of 12.7 interventions to treat each symptom; pain has the greatest number of interventions to treat and hair loss the least. The average perceived effectiveness of interventions across symptoms is 2.5 (SD 0.5; range, 0-4). Pain is perceived as the most effectively treated symptom; fatigue is the least.
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Affiliation(s)
- Jennifer I. Rheingans
- Department of Education, Clinical Practice, and Research, Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239,
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