51
Discussion _
unifying construct for the identified themes is the human process of adaptation to a threatening Searching for meaning is a way to manage the uncertainty associated with illness and treatment In clinical practice, asking parents what they believe caused their child’s cancer may provide useful assessment information for psychosocial support and education. Further research is needed to document parents’ specific causal attributions about the cancer, the function of these beliefs in their search for meaning, and their possible relationship to parents’ adjustment to childhood cancer. A
event
Pediatric Cancer Nursing Research Priorities: A Delphi Study Pamela Hinds, RN, PhD, Robbie Norville, RN, BSN, Lori Anthony, RN, BSN, Beverly Briscoe, RN, Jami Gattuso, RN, MSN, Alice Quargnenti, RN, BSN, Melinda Riggins, RN, BSN, Lisa Walters, RN, Tori Wentz, RN, BSN, Karen Scarbrough, RN, BSN, and Diane Fairclough, DPH
Second Place Davol Excellence in Research Award The scientific knowledge base underlying pediatric oncology nursing practice is just now developing. That knowledge base is being built upon the findings from diverse and unrelated studies that often do not overlap. Aggregates of studies on the same topic or problem is a logical next step in the continued development of the specialty’s scientific knowledge base. Aggregates can result when priorities for clinical nursing research are determined by clinical nurse experts. The purpose of this study was to enlist pediatric oncology nurses in identifying and rating topic priorities for clinical nursing research in the specialty. A secondary purpose was to determine if nurses in a comprehensive pediatric cancer center identified different priorities than did nurse cohorts in other cancer
settings.
Two groups comprised the study sample: 43 pediatric oncology nurses who attended the 12th Annual APON conference and 44 pediatric oncology nurses from a comprehensive pediatric cancer center. All participants satisfied sample criteria of currently providing direct patient care for a minimum of 20 hours each week and having done so for a minimum of 6 consecutive months, and were willing
participate. decision-making method, the classical Delphi technique, was used in the study. Three rounds of soliciting opinions by questionnaires were completed by 33 nurses (79%) in the APON sample and 40
to
A
From SL Jude Children’s Research
Hospital, Memphis,
TN. Karen
Scarbrough, RN, BSN,
Dallas, TX © 1990 by Association of Pediatric Oncology Nurses.
Downloaded from jpo.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on June 15, 2015
is
from
52
nurses (9I % ) from. the cancer center. Data from each round were reviewed and categorized by a research team of six nurses until group consensus was achieved. More than 150 priorities were identified by the APON sample and more than 160 by the cancer center sample. The majority of priorities identified in each sample were about nursing procedures, the pediatric oncology patient, and the specialty itself. The fewest priorities identified by both samples were in the categories of care delivery systems and families. Cancer survivorship priorities were identified by the APON sample but not by the cancer center sample. The top research priority identified by the cancer center sample was &dquo;develop effective retention strategies for this specialty.&dquo; Other highly rated priorities were related to professional burnout, effects of handling antineoplastic agents, and the nursing role in helping families and patients deal with progressive disease. The top research priority identified by the APON sample was &dquo;develop effective support strategies for parents when their child is dying in the hospital.&dquo; Other highly rated priorities were related to continuity of care, use of sedation, and pain management. One difference between the two sets of priorities is that professional issues dominate the cancer center sample whereas psychosocial issues dominate the APON sample. Study findings are currently being used to determine the research priorities for a developing clinical nursing research program in a comprehensive pediatric cancer center. Findings could also be useful in establishing research priorities for other clinical or academic settings.
Overview of Childhood Cancer: Clinical Trials and Cooperative Groups Tamara J. Aitken, RN, MS, OCN daily care of the child with cancer requires a commitment by the staff to have a thorough understanding of the disease, as well as its treatment, physical, and psychological effects. This position is often overwhelming to the new staff nurses and practitioners in pediatric oncology. The purpose of this presentation was to present a brief overview of the most common pediatric malignancies and highlight the nurse’s role in clinical trials and cooperative groups. The
Incidence and Mortality The incidence rate for childhood cancer is ~-6,550 cases per year in children younger than 15 years old.’ Cancer is the second leading cause of death in children below the age of 15 (10.8% ) and second to death from accidents and trauma (43.7%). The mortality rate for this group of children is ---2,175 deaths per year..
Ethnic Variance and
,
Etiology
Certain ethnic variance patterns have been noted in the epidemiological study of childhood cancer. For instance, the incidence of acute monomyelogenous leukemia is much greater in Ankara, Turkey From the atric
Veterans Administration Medical Center, Fayetteville. AR. © 1990 by Association of Pedi-
Oncology Nurses.
Downloaded from jpo.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on June 15, 2015
Discussion _
unifying construct for the identified themes is the human process of adaptation to a threatening Searching for meaning is a way to manage the uncertainty associated with illness and treatment In clinical practice, asking parents what they believe caused their child’s cancer may provide useful assessment information for psychosocial support and education. Further research is needed to document parents’ specific causal attributions about the cancer, the function of these beliefs in their search for meaning, and their possible relationship to parents’ adjustment to childhood cancer. A
event
Pediatric Cancer Nursing Research Priorities: A Delphi Study Pamela Hinds, RN, PhD, Robbie Norville, RN, BSN, Lori Anthony, RN, BSN, Beverly Briscoe, RN, Jami Gattuso, RN, MSN, Alice Quargnenti, RN, BSN, Melinda Riggins, RN, BSN, Lisa Walters, RN, Tori Wentz, RN, BSN, Karen Scarbrough, RN, BSN, and Diane Fairclough, DPH
Second Place Davol Excellence in Research Award The scientific knowledge base underlying pediatric oncology nursing practice is just now developing. That knowledge base is being built upon the findings from diverse and unrelated studies that often do not overlap. Aggregates of studies on the same topic or problem is a logical next step in the continued development of the specialty’s scientific knowledge base. Aggregates can result when priorities for clinical nursing research are determined by clinical nurse experts. The purpose of this study was to enlist pediatric oncology nurses in identifying and rating topic priorities for clinical nursing research in the specialty. A secondary purpose was to determine if nurses in a comprehensive pediatric cancer center identified different priorities than did nurse cohorts in other cancer
settings.
Two groups comprised the study sample: 43 pediatric oncology nurses who attended the 12th Annual APON conference and 44 pediatric oncology nurses from a comprehensive pediatric cancer center. All participants satisfied sample criteria of currently providing direct patient care for a minimum of 20 hours each week and having done so for a minimum of 6 consecutive months, and were willing
participate. decision-making method, the classical Delphi technique, was used in the study. Three rounds of soliciting opinions by questionnaires were completed by 33 nurses (79%) in the APON sample and 40
to
A
From SL Jude Children’s Research
Hospital, Memphis,
TN. Karen
Scarbrough, RN, BSN,
Dallas, TX © 1990 by Association of Pediatric Oncology Nurses.
Downloaded from jpo.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on June 15, 2015
is
from
52
nurses (9I % ) from. the cancer center. Data from each round were reviewed and categorized by a research team of six nurses until group consensus was achieved. More than 150 priorities were identified by the APON sample and more than 160 by the cancer center sample. The majority of priorities identified in each sample were about nursing procedures, the pediatric oncology patient, and the specialty itself. The fewest priorities identified by both samples were in the categories of care delivery systems and families. Cancer survivorship priorities were identified by the APON sample but not by the cancer center sample. The top research priority identified by the cancer center sample was &dquo;develop effective retention strategies for this specialty.&dquo; Other highly rated priorities were related to professional burnout, effects of handling antineoplastic agents, and the nursing role in helping families and patients deal with progressive disease. The top research priority identified by the APON sample was &dquo;develop effective support strategies for parents when their child is dying in the hospital.&dquo; Other highly rated priorities were related to continuity of care, use of sedation, and pain management. One difference between the two sets of priorities is that professional issues dominate the cancer center sample whereas psychosocial issues dominate the APON sample. Study findings are currently being used to determine the research priorities for a developing clinical nursing research program in a comprehensive pediatric cancer center. Findings could also be useful in establishing research priorities for other clinical or academic settings.
Overview of Childhood Cancer: Clinical Trials and Cooperative Groups Tamara J. Aitken, RN, MS, OCN daily care of the child with cancer requires a commitment by the staff to have a thorough understanding of the disease, as well as its treatment, physical, and psychological effects. This position is often overwhelming to the new staff nurses and practitioners in pediatric oncology. The purpose of this presentation was to present a brief overview of the most common pediatric malignancies and highlight the nurse’s role in clinical trials and cooperative groups. The
Incidence and Mortality The incidence rate for childhood cancer is ~-6,550 cases per year in children younger than 15 years old.’ Cancer is the second leading cause of death in children below the age of 15 (10.8% ) and second to death from accidents and trauma (43.7%). The mortality rate for this group of children is ---2,175 deaths per year..
Ethnic Variance and
,
Etiology
Certain ethnic variance patterns have been noted in the epidemiological study of childhood cancer. For instance, the incidence of acute monomyelogenous leukemia is much greater in Ankara, Turkey From the atric
Veterans Administration Medical Center, Fayetteville. AR. © 1990 by Association of Pedi-
Oncology Nurses.
Downloaded from jpo.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on June 15, 2015
