Physician and Nurse Beliefs of Phase 1 Trials in Pediatric Oncology

Barnes, Margaux; Pressey, Joseph G.; Adams, Julia; Hensler, Molly A.; Madan‐Swain, Avi

doi:10.1097/ncc.0000000000000099

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…This study was in an agreement with the study done by Barnes, et al who studied physician and nurse beliefs of phase 1 trials in pediatric oncology and found that the majority of the studied sample were had a bachelor degree [10].…”

Section: Discussionsupporting

confidence: 82%

Oncology Critical Care Nurse's Knowledge about Insertion, Care and Complications of Venous Port Catheters in Egypt

Ns¹,

Youssef²,

Moustafa³

2017

Adv Practice Nurs

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Implantable port catheter devices are frequently used to manage patients undergoing long term administration of chemotherapy. Though it has many advantages, they are not free from complications. Nurse's who are knowledgeable and competent in the basic aspects of port-a-cath care able to ensure specific child needs are met and prevent further complications. Aim: was to assess Oncology Critical Care Nurse's Knowledge about insertion, Care and Complications of Venous Port Catheters in Egypt. Research Design: A descriptive design was utilized. Setting: was conducted at critical care units at 57357 hospitals in Egypt. Subject: A convenient sample of 100 oncology nurses who cared for patients undergoing port-a-cath insertion were enrolled in this study. Tools: nurse's background and implantable port catheter care knowledge questionnaire were utilized. Results: In this study, 62% of oncology nurses received in-service training courses about the implantable port catheter. Also, it revealed two thirds of the studied subjects (69%) have got satisfactory knowledge level with the average mean 40.31+2.12 out of 50. Moreover, it showed high significant differences among the oncology nurses level of knowledge by their age and educational qualifications and total knowledge scores (X 2 =13.17, p=0.001 and X 2 =7.79, p=0.02 respectively), nurses' years of experience in nursing profession, experience in handling port-a-cath, attending training courses about port-a-cath (X 2 =23.48, p=0.0001; X 2 =20.89, p=0.0001 and X 2 =55.47, p=0.0001 respectively. Conclusion: The majority of the oncology nurses had got satisfactory level and there was significant correlation between the nurses' knowledge level and their demographic characteristics except their gender. Recommendations: periodic consideration of in-service training programs regarding port-a-cath implantation care according to the updated standards and guidelines.

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Section: Discussionsupporting

confidence: 82%

Oncology Critical Care Nurse's Knowledge about Insertion, Care and Complications of Venous Port Catheters in Egypt

Ns¹,

Youssef²,

Moustafa³

2017

Adv Practice Nurs

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“…quiet locales and open areas. 41,[66][67][68][69][70][71][72][73][74][75][76] A majority of qualitative studies fail to account for potential bias from researchers. Only three qualitative studies validated the findings, using focus group interviews 41,71 or documentary analysis for triangulation.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…23,39,40,48,76,112,113,119 Young people, health professionals, and families express the need for children to experience fun, humour, laughter, recreation, and leisure alongside treatment. 23,27,68,76,104,112,113 Family relation concerns have been highlighted in 20 studies. 19,[39][40][41][42]47,48,54,59,63,74,86,88,108,[120][121][122][123][124][125][126] Young people value support from their families as it is a structure that helps them feel comfortable and secure.…”

Section: Psychological (N=65 Studies 80%)mentioning

confidence: 99%

Symptoms and Concerns Among Children and Young People with Life-Limiting and Life-Threatening Conditions: A Systematic Review Highlighting Meaningful Health Outcomes

Namisango

Bristowe

Allsop

et al. 2018

Patient

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Background: The design and provision of quality paediatric palliative care should prioritize issues that matter to children and their families, for optimal outcomes. Aim: This review aims to identify symptoms concerns and outcomes, that matter to children and young development of a relevant framework of health outcomes. Study Design: This is a systematic literature review across multiple databases for identification of eligible primary evidence. Data sources: Data sources such as PsychINFO, Medline, EMBASE, CINAHL, OpenGrey, and Science Direct Journals have been searched from 1 August 2016 to 30th July 2017. The study also incorporates consultations with experts in the field, citation searchers via Scopus, and a hand search for reference lists of included studies. Results: Out of the 13,567 articles that have been evaluated, 81 studies were included. Of these, (n=68) are from high-income countries and (n=58) are cancer patients studies. A total of 3,236 young people, 2,103 family carers, 108 families, and 901 healthcare providers are included in the studies. Young people have not contributed to data in 30% of studies. Themes on priority concerns are presented by domain and health outcome; for example, 1) Physical (n=62 studies); e.g. physical symptoms, 2) psychological (n=65); e.g. worry 3) psycho-social (n=31); e.g. relationships, 4) existential Conclusion: Burdensome symptoms and concerns affect young people with malignant and nonmalignant conditions and occur across the disease trajectory, so paediatric palliative care should not be limited to the end of life phase. A child-family centred framework of health outcomes, spanning the patient, family, and quality of service levels is proposed to inform service development. Future

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“…5 The nurse practitioner presents innumerable responsibilities related to the care of pediatric oncology patients, considering the periods of intense interactions, which impacts the team, patient and family decision processes. 6 In this sense, seeking to know the role of nurses in the management of childhood cancer within primary care, it was decided to investigate, as the object of study, the nurse practitioner's role in this context. This study is justified by the exponential growth of cancer cases in the world population, including children, and by the scarcity of studies related to the subject, mainly at the national level.…”

Section: Integrative Review Articlementioning

confidence: 99%

Detecção precoce e abordagem do câncer infantil na atenção primária

Paixão

Farias

Coropes

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: identificar as produções científicas que abordam a participação do enfermeiro, que atua na Atenção Primária, na detecção precoce e no manejo dos casos de câncer na infância. Método: estudo bibliográfico, descritivo, tipo revisão integrativa, com busca na Biblioteca Virtual em Saúde, no recorte temporal em abril de 2017. Os dados foram analisados com a modalidade Temática da proposta da Análise de Conteúdo. Resultados: são fatores limitantes à abordagem do câncer a falha na comunicação entre os profissionais generalistas e especialistas; a fragmentação do cuidado; a falta de preparo e treinamento de profissionais generalistas e a ausência de procura por diretrizes, resumos de tratamento e planos de cuidados por parte dos profissionais. Conclusão: o enfermeiro tem participação importante nos diagnósticos das oncologias pediátricas, por meio da detecção de alterações fisiológicas, estabelecendo relação de ajuda com paciente e família, por meio da comunicação efetiva, medidas para alívio do sofrimento e apoio aos familiares. Tais práticas, porém, não têm sido foco de estudos científicos tornando-se necessário maior produção de conhecimento na área que permitirá uma prática mais embasada, concreta e segura. Descritores: Atenção Primária à Saúde; Neoplasias; Criança; Enfermeiros; Oncologia; Cuidado da Criança.ABSTRACT Objective: to identify the scientific productions that address the participation of nurses, who work in primary care, early detection and management of cases of childhood cancer. Method: a descriptive, descriptive, integrative review type, with a search in the Virtual Health Library, in the temporal cut-off in April 2017. The data were analyzed using the Thematic modality of the Content Analysis proposal. Results: limiting the approach to cancer is the lack of communication between general practitioners and specialists; the fragmentation of care; the lack of preparation and training of general practitioners and the lack of demand for guidelines, summaries of treatment and plans of care by professionals. Conclusion: the nurse has an important participation in the diagnoses of pediatric oncologies, through the detection of physiological changes, establishing a relationship of help with patient and family, through effective communication, measures to alleviate suffering and support to family members. These practices, however, have not been the focus of scientific studies making it necessary to increase knowledge production in the area that will allow a more solid, concrete and safe practice. Descriptors: Primary Health Care; Neoplasms; Child; Nurses; Medical Oncology; Child Care.RESUMENObjetivo: identificar las producciones científicas que abordan la participación del enfermero, que actúa en la Atención Primaria, en la detección precoz y en el manejo de los casos de cáncer en la infancia. Método: estudio bibliográfico, descriptivo, tipo revisión integrativa, con búsqueda en la Biblioteca Virtual en Salud, en el recorte temporal en abril de 2017. Los datos fueron analizados con la modalidad Temática de la propuesta del Análisis de Contenido. Resultados: son factores limitantes al abordaje del cáncer, tenemos: la falla en la comunicación entre los profesionales generalistas y especialistas; la fragmentación del cuidado; la falta de preparación y entrenamiento de profesionales generalistas, y la ausencia de búsqueda por directrices, resúmenes de tratamiento y planes de cuidados por parte de los profesionales. Conclusión: el enfermero tiene una participación importante en los diagnósticos de las oncologías pediátricas, por medio de la detección de alteraciones fisiológicas, estableciendo relación de ayuda con paciente y familia, por medio de la comunicación efectiva, medidas para el alivio del sufrimiento y apoyo a los familiares. Tales prácticas, sin embargo, no han sido enfoque de estudios científicos, tornándose necesaria una mayor producción de conocimiento en el área que permitirá una práctica más fundamentada, concreta y segura. Descriptores: Atención Primaria a la Salud; Neoplasias; Niños; Enfermeros; Oncología Medica; Cuidado del Niño.

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Physician and Nurse Beliefs of Phase 1 Trials in Pediatric Oncology

Cited by 8 publications

References 7 publications

Oncology Critical Care Nurse's Knowledge about Insertion, Care and Complications of Venous Port Catheters in Egypt

Oncology Critical Care Nurse's Knowledge about Insertion, Care and Complications of Venous Port Catheters in Egypt

Symptoms and Concerns Among Children and Young People with Life-Limiting and Life-Threatening Conditions: A Systematic Review Highlighting Meaningful Health Outcomes

Detecção precoce e abordagem do câncer infantil na atenção primária

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