“…One study found an association between more than 10 hospital days during the last month of life and lower quality of care ratings by physician (Mack et al., ). Against the background of relationship between longer hospitalisations and quality of care, the highly interrupted daily life (Bjork et al., ; Di Battista et al., ), difficulties to maintain social relationships and accompanying isolation (Enskar et al., ; Gibson et al., ; Hokkanen et al., ), and affected familial relations (Hokkanen et al., ; Patterson et al., ) especially apply to leukaemia patients. Spending more time in the hospital not only decreases the odds of benefitting from protective factors, it also magnifies children's major stressors, for example, those associated with treatment procedures, loss of control and the hospital environment (McCaffrey, ).…”