Creating a shielding place for children with leukaemia during sedation for intrathecal chemotherapy: A grounded theory study

Sjöberg, Carina; Carlsson, Ing‐Marie; Källstrand, Jeanette; Svedberg, Petra; Nygren, Jens M.

doi:10.1016/j.ejon.2019.101711

Cited by 6 publications

(7 citation statements)

References 24 publications

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“…The results highlight that shorter time usage during intrathecal chemotherapy treatment can help to generate a child-centered approach that can contribute to more supportive care. The study objectively confirms experience-based tacit knowledge within a multiprofessional team performing this treatment, studied in a previous project [15].…”

Section: Discussionsupporting

confidence: 77%

“…This shorter time usage can be of major importance for how the children experience the procedure as such, but also for their whole care situation [15,18]. The hospital environment, having to wait for procedures, and being separated from their parents are the major causes of anxiety and fear among children treated for cancer [4,8,19].…”

Section: Discussionmentioning

confidence: 99%

“…These circumstances are affected by where the procedure for chemotherapy is to be performed. In addition to being an inconvenience for the child, transportation to the operating theatre also entails that the child is exposed to other care environments, which can generate a major risk for these seriously ill children [15,20]. Optimizing the selection of setting for the procedure thus becomes a tangible way of working towards reducing the anxiety and fears of the children and making it possible to reduce the negative effects from the procedure as a whole.…”

Section: Discussionmentioning

confidence: 99%

“…Another example is working in multiprofessional teams to change the location for sedation with Propofol for intrathecal chemotherapy from the operation theatre to the children's ward. This way of working originated from the team's perception that the setting and circumstances in the operation theatre were unnecessarily harsh for the children [15]. A qualitative study investigating this quality improvement work showed that the treatment situation became less extensive and more manageable for the children when the location for sedation for intrathecal chemotherapy was moved from the operation theatre to the children's ward [15].…”

Section: Introductionmentioning

confidence: 99%

“…This latter example of quality improvement work is used as a case for this study. The participants in the multiprofessional team hypothesized that the time for the procedure was shorter when performed in a more peaceful and undisturbed setting at the children's ward [15]. Our intention with this case study is to quantify and verify if the hypothesized reduction in time used when the procedure is performed at the children's ward is correct and, if so, if it is significant.…”

Section: Introductionmentioning

confidence: 99%

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The Importance of the Setting during Sedation for Intrathecal Chemotherapy in Pediatric Oncology Care: A Case Study

et al. 2020

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Increasing survival rates for childhood cancer have brought attention to the high level of burden of cancer and its treatment. Improving supportive care for children throughout their cancer trajectory is thus important and could reduce the difficulties related to treatment, including time-consuming treatments and the waiting time associated with treatment procedures. The aim of this study is to describe time intervals and the Propofol dose used during sedation for intrathecal chemotherapy in three different settings. The study is based on retrospective data from repeated treatment sessions recorded in operation planning programs and hospital records in the period 2011–2018 (n = 164). Children, 1–12 years old (n = 22), undergoing a varying number of treatments, were included in the study. The most crucial finding in this study is that the time from the child’s first meeting with the nurse anesthetist to the induction of sedation is significantly reduced if the procedure is performed in the children’s ward. The study highlights the importance of the setting for sedation for intrathecal chemotherapy when implementing a child-centered approach in pediatric oncology care.

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Section: Discussionsupporting

confidence: 77%