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Pediatric Education Discharge Support Strategies for Newly Diagnosed Children With Cancer.

Publication ,  Journal Article
Hockenberry, M; Haugen, M; Slaven, A; Skeens, M; Patton, L; Montgomery, K; Trimble, K; Coyne, K; Hancock, D; Ahmad, A; Daut, E; Glover, L ...
Published in: Cancer nursing
November 2021

Discharge education practices vary among institutions and lack a standardized approach for newly diagnosed pediatric oncology patients and their parents.The purpose of this American Nurses Credentialing Center-supported pediatric multisite trial was to determine the feasibility and effectiveness of 2 nurse-led Parent Education Discharge Support Strategies (PEDSS) for families with a child who is newly diagnosed with cancer.A cluster randomized clinical trial design assigned 16 Magnet-designated sites to a symptom management PEDSS intervention or parent support and coping PEDSS intervention. Outcome measures evaluated at baseline, 1, and 2 months after diagnosis include symptom experiences, parent perceptions of care, unplanned service utilization, and parent evaluation of the PEDSS interventions.There were 283 newly diagnosed children and their parent participating in this study. Linear mixed models revealed pain differed over time by the intervention; children in the symptom management group had a greater decrease in pain. Greater nausea and appetite disturbances were experienced by older children in both groups. Fatigue and sleep disturbance showed a significant decrease over time in both groups. The symptom management group reported significantly greater satisfaction with the PEDSS intervention.This study is among the first to examine the effects of 2 different early-discharge planning strategies for families of a newly diagnosed child with cancer. The evidence supports a standardized discharge education strategy that can be successfully implemented across institutions.Nurses play a major role in the educational preparation and discharge of newly diagnosed pediatric cancer patients and their families.

Duke Scholars

Published In

Cancer nursing

DOI

EISSN

1538-9804

ISSN

0162-220X

Publication Date

November 2021

Volume

44

Issue

6

Start / End Page

E520 / E530

Related Subject Headings

  • Patient Discharge
  • Parents
  • Nursing
  • Neoplasms
  • Medical Oncology
  • Humans
  • Child
  • Adolescent
  • Adaptation, Psychological
  • 4205 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hockenberry, M., Haugen, M., Slaven, A., Skeens, M., Patton, L., Montgomery, K., … Arthur, M. (2021). Pediatric Education Discharge Support Strategies for Newly Diagnosed Children With Cancer. Cancer Nursing, 44(6), E520–E530. https://doi.org/10.1097/ncc.0000000000000947
Hockenberry, Marilyn, Maureen Haugen, Abigail Slaven, Micah Skeens, Lindsey Patton, Kathleen Montgomery, Katherine Trimble, et al. “Pediatric Education Discharge Support Strategies for Newly Diagnosed Children With Cancer.Cancer Nursing 44, no. 6 (November 2021): E520–30. https://doi.org/10.1097/ncc.0000000000000947.
Hockenberry M, Haugen M, Slaven A, Skeens M, Patton L, Montgomery K, et al. Pediatric Education Discharge Support Strategies for Newly Diagnosed Children With Cancer. Cancer nursing. 2021 Nov;44(6):E520–30.
Hockenberry, Marilyn, et al. “Pediatric Education Discharge Support Strategies for Newly Diagnosed Children With Cancer.Cancer Nursing, vol. 44, no. 6, Nov. 2021, pp. E520–30. Epmc, doi:10.1097/ncc.0000000000000947.
Hockenberry M, Haugen M, Slaven A, Skeens M, Patton L, Montgomery K, Trimble K, Coyne K, Hancock D, Ahmad A, Daut E, Glover L, Brown L, St Pierre S, Shay A, Maloney J, Burke M, Hatch D, Arthur M. Pediatric Education Discharge Support Strategies for Newly Diagnosed Children With Cancer. Cancer nursing. 2021 Nov;44(6):E520–E530.

Published In

Cancer nursing

DOI

EISSN

1538-9804

ISSN

0162-220X

Publication Date

November 2021

Volume

44

Issue

6

Start / End Page

E520 / E530

Related Subject Headings

  • Patient Discharge
  • Parents
  • Nursing
  • Neoplasms
  • Medical Oncology
  • Humans
  • Child
  • Adolescent
  • Adaptation, Psychological
  • 4205 Nursing