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Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Childrens Oncology Group
Although traditional recommendations for mononephric childhood cancer survivors are to avoid contact sports in order to protect the remaining kidney, review of available evidence suggests that the majority of renal loss is caused by accidents not involving sports. An interdisciplinary team performed a review of the English literature published from 1999 to 2012 within the PubMed, Cochrane, Google Scholar, and National Guidelines Clearinghouse databases. The level of evidence and proposed recommendations were graded according to an established rubric and GRADE criteria. Our review found that kidney loss is most commonly cau...
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Okada, M., Hockenberry, M. J., Koh, C. J., Meeske, K. A., Rangan, K. E., Rodgers, C., Rosenthal, Y., Ruccione, K. S., Freyer, D. R. Tags: Review Source Type: research

Bereaved Siblings Advice to Health Care Professionals Working With Children With Cancer and Their Families
Conclusion: Information, communication, and involvement should be emphasized by HCPs to support siblings’ psychosocial needs in both the health care setting and within the family. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Lövgren, M., Bylund-Grenklo, T., Jalmsell, L., Wallin, A. E., Kreicbergs, U. Tags: Articles Source Type: research

Animal-Assisted Activities: Results From a Survey of Top-Ranked Pediatric Oncology Hospitals
Animal-assisted activities (AAA) are increasingly common, yet little is known about practices in pediatric oncology. To address this gap, we surveyed the top 20 pediatric oncology hospitals in the United States in May and June of 2014. Questionnaires were sent via e-mail and generally returned by e-mail or postal mail. Among the 19 responding hospitals, the 18 that offered AAA to pediatric patients formed the basis of our analysis. All sites had written AAA policies. Most programs were restricted to dogs. At 11 hospitals, children with cancer could participate in AAA activities. Outpatient waiting rooms and individual inpa...
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Chubak, J., Hawkes, R. Tags: Articles Source Type: research

Telehealth Videoconferencing for Children With Hemophilia and Their Families: A Clinical Project
Telehealth is the use of electronic information and telecommunications technologies to support long-distance health care. It supports quality health care that is accessible, and time- and cost-effective. Telehealth videoconferencing may enhance the care for hemophilia patients who are experiencing a bleed by supporting real-time detailed assessment including appearance, range of motion, and ambulation in addition to the traditional phone methods of verbal description of appearance, pain, and function. The aim of this clinical project was to evaluate the feasibility of using telehealth videoconferencing in children with sev...
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Jacobson, K., Hooke, M. C. Tags: Research Source Type: research

Effect of Intravenous (IV) Assistive Device (VeinViewer) on IV Access Attempts, Procedural Time, and Patient and Nurse Satisfaction
This study evaluated the effectiveness of VeinViewer for peripheral vascular accessing a pediatric hematology oncology clinic. After obtaining consent, 53 patients were randomly assigned to either the VeinViewer group (n = 27) or standard methods group (n = 26). Data on number of attempts, procedural time, access complications, and patient and nurse satisfaction were collected. Patients randomized to the VeinViewer group required significantly less time to access a vein as compared with the standard methods group (P ≤ .05). Additionally, these patients rated nurses as having significantly more skill than nurses who did ...
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Ramer, L., Hunt, P., Ortega, E., Knowlton, J., Briggs, R., Hirokawa, S. Tags: Research Source Type: research

Health Care Providers Perceptions of Nutrition Support in Pediatric Oncology and Hematopoietic Stem Cell Transplant Patients
One of the most common side effects of medical treatment for patients with an oncologic diagnosis is malnutrition. There is limited research that broadly assesses the perceptions of health care providers (HCPs) regarding nutrition support in the pediatric population. The purpose of this study was to describe the perceptions of nutrition support among pediatric oncology and hematopoietic stem cell transplant HCPs. The study used a cross-sectional descriptive design using a 31-item survey. Results of the survey indicated that nurses were more likely to initiate conversations about nutrition support during the first month of ...
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Montgomery, K., Belongia, M., Schulta, C., Mulberry, M. H., Nugent, M. L., Simpson, P. M. Tags: Research Source Type: research

Infertility Education: Experiences and Preferences of Childhood Cancer Survivors
The majority of children diagnosed with cancer will become long-term survivors; however, many will suffer late effects of treatment, including infertility. Educating patients about potential risk for infertility is important, yet little is known regarding when patients would like to hear this information. The purpose of this study was to assess young adult survivors’ previous experience in receiving education about their risk for infertility and determine their preferences for infertility education at various time points during and after treatment. Only 36% of survivors report receiving education about risk for infer...
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Cherven, B. O., Mertens, A., Wasilewski-Masker, K., Williamson, R., Meacham, L. R. Tags: Research Source Type: research

Accuracy of Bedside Paediatric Early Warning System (BedsidePEWS) in a Pediatric Stem Cell Transplant Unit
Hospital mortality in children who undergo stem cell transplant (SCT) is high. Early warning scores aim at identifying deteriorating patients and at preventing adverse outcomes. The bedside pediatric early warning system (BedsidePEWS) is a pediatric early warning score based on 7 clinical indicators, ranging from 0 (all indicators within normal ranges for age) to 26. The aim of this case-control study was to assess the performance of BedsidePEWS in identifying clinical deterioration events among children admitted to an SCT unit. Cases were defined as clinical deterioration events; controls were all the other patients hospi...
Source: Journal of Pediatric Oncology Nursing - June 4, 2016 Category: Nursing Authors: Gawronski, O., Ciofi degli Atti, M. L., Di Ciommo, V., Cecchetti, C., Bertaina, A., Tiozzo, E., Raponi, M., Stem Cell Transplant Unit BedsidePEWS Study Group Tags: Research Source Type: research

Factors Affecting Health-Related Quality of Life in Children Undergoing Curative Treatment for Cancer: A Review of the Literature
Conclusion: Our study highlights the need to develop interventions based on diagnosis and treatment regimen to improve the HRQoL in children undergoing curative cancer treatment. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - April 3, 2016 Category: Nursing Authors: Momani, T. G., Hathaway, D. K., Mandrell, B. N. Tags: Reviews Source Type: research

Factors Related to Healthy Siblings Psychosocial Adjustment to Children With Cancer: An Integrative Review
Conclusion: When caring for a child diagnosed with cancer, nurses need to include HSCC in the assessment of a family unit’s adaptation to cancer distress and provide appropriate interventions to promote HSCC’s psychosocial well-being. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - April 3, 2016 Category: Nursing Authors: Zegaczewski, T., Chang, K., Coddington, J., Berg, A. Tags: Reviews Source Type: research

"Its Back! My Remission Is Over": Online Communication of Disease Progression Among Adolescents With Cancer
Cancer in adolescence presents unique challenges to patients and families due to the dramatic physical and psychological vulnerabilities that occur during a time of identity development. Additionally, adolescents who experience progression of their cancer, or failure of first-line therapies, represent an understudied group within pediatric oncology. Illness blogs offer a unique opportunity to understand the experience of a chronic or serious illness through a naturalistic and longitudinal perspective that is inherently patient centered. The purpose of this exploratory qualitative study was to describe the experiences of ad...
Source: Journal of Pediatric Oncology Nursing - April 3, 2016 Category: Nursing Authors: Keim-Malpass, J., Stegenga, K., Loudin, B., Kennedy, C., Kools, S. Tags: Research Source Type: research

Caregiver Sexual and HPV Communication Among Female Survivors of Childhood Cancer
Human papillomavirus (HPV) vaccination is recommended for all female survivors of childhood cancer; yet, it is underused. Parent-child sexual communication and health care provider recommendation for HPV vaccination influence familial vaccination decisions. However, caregivers may be less likely to discuss sexual health issues with survivors as compared to healthy peers. Therefore, this study compared mothers of daughters with/without history of childhood cancer on measures of sexual communication, HPV-specific communication, and health care provider recommendation for HPV vaccination, and examined the effects of sociodemo...
Source: Journal of Pediatric Oncology Nursing - April 3, 2016 Category: Nursing Authors: Peasant, C., Foster, R. H., Russell, K. M., Favaro, B. E., Klosky, J. L. Tags: Articles Source Type: research

The Limited English Proficiency Patient Family Advocate Role: Fostering Respectful and Effective Care Across Language and Culture in a Pediatric Oncology Setting
Patients and families with limited English proficiency (LEP) face a multitude of barriers both inside and outside the hospital walls. These barriers can contribute to difficulty accessing care and understanding/adhering to treatment recommendations, ultimately placing them at higher risk for poorer outcomes than their English-speaking counterparts. The LEP Patient Family Advocate role was created with the aim of improving access, promoting effective communication, and equalizing care for children with cancer from families with LEP. The goal of this mixed methods study was to describe the level of satisfaction and experienc...
Source: Journal of Pediatric Oncology Nursing - April 3, 2016 Category: Nursing Authors: Gil, S., Hooke, M. C., Niess, D. Tags: Articles Source Type: research

Following Young Childrens Health and Functioning in Everyday Life Through Their Cancer Trajectory
Conclusions and Clinical Implications: Health care professionals need to plan for ongoing contact with school services and information and support pathways, beyond the treatment period. A person-centered philosophy of care is required throughout the cancer trajectory. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - April 3, 2016 Category: Nursing Authors: Darcy, L., Björk, M., Knutsson, S., Granlund, M., Enskär, K. Tags: Articles Source Type: research

Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Improvements (2015)
The administration of chemotherapy to children with cancer is a high-risk process that must be performed in a safe and consistent manner with high reliability. Clinical trials play a major role in the treatment of children with cancer; conformance to chemotherapy protocol requirements and accurate documentation in the medical record are critical. Inconsistencies in the administration and documentation of chemotherapy were identified as opportunities for errors to occur. A major process improvement was initiated to establish best practices for nurses who administer chemotherapy to children. An interdisciplinary team was for...
Source: Journal of Pediatric Oncology Nursing - April 3, 2016 Category: Nursing Authors: Looper, K., Winchester, K., Robinson, D., Price, A., Langley, R., Martin, G., Jones, S., Holloway, J., Rosenberg, S., Flake, S. Tags: Articles Source Type: research