Challenges of the nurses in palliative care in pediatric oncology
DOI:
https://doi.org/10.33448/rsd-v10i15.23136Keywords:
Kid; Nursing care; Nurse-patient relationship.Abstract
Palliative care (CP) is characterized as active care that encompasses the body, mind and spiritual issues. In pediatrics they are often used for patients in severe health and life-limiting conditions such as cancer. Due to the complexity and the long period of treatment, professionals face some barriers to providing quality care, specifically the nurse, as the professional responsible for patient care. The aim of the study is to investigate through scientific evidence the challenges of the role of nurses in the oncopediatric patient undergoing palliative care. The integrative research method was used, where 16 articles available in full from 2015 to 2020, selected from the Virtual Health Library VHL, are part of the analyzed sample. The results showed the main difficulties in the provision of PC, with the majority being questions related to education. It is concluded that there is a great need for investment and updates in the training and clinical practice of nursing professionals.
References
Benthien, K., Diasso, P., von Heymann, A., Nordly, M., Kurita, G., Timm, H., Johansen, C., Kjellberg, J., von der Maase, H., & Sjøgren. (2020). Oncology to specialised palliative home care systematic transition: the Domus randomised trial. BMJ Supportive & Palliative Care, 10(3), 350–357. https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.33151
Brock, K. E., Steineck, A., & Twist, C. J. (2015). Trends in End-of-Life Care in Pediatric Hematology, Oncology, and Stem Cell Transplant Patients. Pediatric Blood & Cancer, 63(3), pp. 516–522. https://onlinelibrary.wiley.com/doi/10.1002/pbc.25822
Brock, K. E., Snaman, J. M., Kaye, E. C., Bower, K. A., Weaver, M. S., Baker, J. N., Wolfe, J., & Ullrich, C. (2019). Models of Pediatric Palliative Oncology Outpatient Care—Benefits, Challenges, and Opportunities. Journal of Oncology Practice, 15(9), 476–487. https://ascopubs.org/doi/10.1200/JOP.19.00100
Cuviello, A., Raisanen, J. C., Donohue, P. K., Wiener, L., & Boss, R. D. (2020). Defining the Boundaries of Palliative Care in Pediatric Oncology. Journal of Pain and Symptom Management, 59(5), 1033–1042.e1. https://www.jpsmjournal.com/article/S0885-3924(19)30677-3/fulltext
Figueirêdo, B. L., Barros, S. M. M. de, & Andrade, M. A. C. (2020). Da Suspeita ao Diagnóstico de Câncer Infantojuvenil: a experiência de familiares em Serviços De Saúde. Nova Perspectiva Sistêmica, 29(67), 98–113. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-78412020000200008&lng=pt&nrm=iso
Guedes, A. K. C., Pedrosa, A. P. A., Osório, M. d. O., & Pedrosa, T. F. (2019). Cuidados paliativos em oncologia pediátrica: perspectivas de profissionais de saúde. Revista da SBPH, 22(2), 128-148. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-08582019000300008&lng=pt&tlng=pt
Hill, D. L., Walter, J. K., Casas, J. A., DiDomenico, C., Szymczak, J. E., & Feudtner, C. (2018). The codesign of an interdisciplinary team-based intervention regarding initiating palliative care in pediatric oncology. Supportive Care in Cancer, 26(9), 3249–3256. https://link.springer.com/article/10.1007%2Fs00520-018-4190-5
Kirch, R., Reaman, G., Feudtner, C., Wiener, L., Schwartz, L. A., Sung, L., & Wolfe, J. (2016). Advancing a comprehensive cancer care agenda for children and their families: Institute of Medicine Workshop highlights and next steps. CA: A Cancer Journal for Clinicians, 66(5), 398–407. https://doi.org/10.3322/caac.21347
Kowalczyk, J. R., Samardakiewicz, M., Pritchard-Jones, K., Ladenstein, R., Essiaf, S., Fitzgerald, E., Petrarulo, G., & Vassal, G. (2016). European Survey on Standards of Care in paediatric oncology centres. European Journal of Cancer, 61, 11–19. https://www.ejcancer.com/article/S0959-8049(16)32035-4/fulltext
Levine, D. R., Mandrell, B. N., Sykes, A., Pritchard, M., Gibson, D., Symons, H. J., Wendler, D., & Baker, J. N. (2017). Patients’ and Parents’ Needs, Attitudes, and Perceptions About Early Palliative Care Integration in Pediatric Oncology. JAMA Oncology, 3(9), 1214. https://doi.org/10.1001/jamaoncol.2017.0368
Lins, F. G., & Souza, S. R. d. (2018). Formação dos enfermeiros para o cuidado em oncologia. Revista de Enfermagem UFPE on line, 12(1), 66. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/22652/25858.
Loeffen, E. A. H., Mulder, R. L., van de Wetering, M. D., Font-Gonzalez, A., Abbink, F. C. H., Ball, L. M., Loeffen, J. L. C. M., Michiels, E. M. C., Segers, H., Kremer, L. C. M., & Tissing, W. J. E. (2015). Current variations in childhood cancer supportive care in the Netherlands. Cancer, 122(4), 642–650. https://doi.org/10.1002/cncr.29799
Martins, G. B., & Da Hora, S. S. (2019). Desafios à Integralidade da Assistência em Cuidados Paliativos na Pediatria Oncológica do Instituto Nacional de Câncer José Alencar Gomes da Silva. Revista Brasileira de Cancerologia, 63(1), 29–37. https://doi.org/10.32635/2176-9745.rbc.2017v63n1.154
Martins, G. B., & Santos da Hora, S. (2016). Família e Cuidados Paliativos em Pediatria: Desafios à Garantia do Cuidado. Revista Brasileira de Cancerologia, 62(3), 259–262. https://doi.org/10.32635/2176-9745.rbc.2016v62n3.339
Mendes, K. D. S., Silveira, R. C. d. C. P., & Galvão, C. M. (2019). Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto & Contexto - Enfermagem, 28. https://doi.org/10.1590/1980-265x-tce-2017-0204
Mendes, K. D. S., Silveira, R. C. d. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758–764. https://doi.org/10.1590/s0104-07072008000400018
Pacheco, C. L., & Goldim, J. R. (2019). Percepções da equipe interdisciplinar sobre cuidados paliativos em oncologia pediátrica. Revista Bioética, 27(1), 67–75. https://doi.org/10.1590/1983-80422019271288
Plessis, J., Stones, D., & Meiring, M. (2019). Family experiences of oncological palliative and supportive care in children: can we do better? International Journal of Palliative Nursing, 25(9), 421–430. https://doi.org/10.12968/ijpn.2019.25.9.421
Reis, J. M., & Multiprofissional, R. (2019). Cuidado Paliativo em Crianças e Adolescentes com Câncer em Países de Alta/Média/Baixa Renda: Uma Revisão Integrativa. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1147786
Rolim, D. S., Arboit, É. L., Kaefer, C. T., Marisco, N. D. S., Ely, G. Z., & Arboit, J. (2019). Produção científica de enfermeiros brasileiros sobre enfermagem e oncologia: revisão narrativa da literatura. Arquivos de Ciências da Saúde da UNIPAR, 23(1). https://doi.org/10.25110/arqsaude.v23i1.2019.6261
Santos, G. d. F. A. T. F dos, Batista, P. S. d. S., Lima, D. R. A. d., Oliveira, A. M. d. M., Dias, K. C. C. D. O., & Costa, B. H. S. (2020). Palliative Care in Oncology: Nurses’ Experience in Caring for Children in The Final Stages of Life. Revista de Pesquisa Cuidado é Fundamental Online, 689–695. https://doi.org/10.9789/2175-5361.rpcfo.v12.9463
Silva, A. F. d., Issi, H. B., Motta, M. d. G. C. d., & Botene, D. Z. d. A. (2015). Palliative care in paediatric oncology: perceptions, expertise and practices from the perspective of the multidisciplinary team. Revista Gaúcha de Enfermagem, 36(2), 56–62. https://doi.org/10.1590/1983-1447.2015.02.46299
Sousa, A. D. R. S. e, Silva, L. F. d., Cavalcanti, A. C. D., Góes, F. G. B., & Moraes, J. R. M. M. (2020). Instrumento assistencial de enfermagem em cuidados paliativos para centro de terapia intensiva pediátrica oncológica. Enfermagem em Foco, 10(7). https://doi.org/10.21675/2357-707x.2019.v10.n7.2436
Spruit, J. L., Bell, C. J., Toly, V. B., & Prince-Paul, M. (2018). Knowledge, Beliefs, and Behaviors Related to Palliative Care Delivery Among Pediatric Oncology Health Care Providers. Journal of Pediatric Oncology Nursing, 35(4), 247–256. https://doi.org/10.1177/1043454218764885
Szymczak, J. E., Schall, T., Hill, D. L., Walter, J. K., Parikh, S., DiDomenico, C., & Feudtner, C. (2018). Pediatric Oncology Providers' Perceptions of a Palliative Care Service: The Influence of Emotional Esteem and Emotional Labor. Journal of Pain and Symptom Management, 55(5), 1260–1268. https://doi.org/10.1016/j.jpainsymman.2018.01.019
Van Loenhout, R. B., van der Geest, I. M. M., Vrakking, A. M., van der Heide, A., Pieters, R., & van den Heuvel-Eibrink, M. M. (2015). End-of-Life Decisions in Pediatric Cancer Patients. Journal of Palliative Medicine, 18(8), 697–702. https://doi.org/10.1089/jpm.2015.29000.rbvl
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Raylanna Karina Lima e Silva; Bruna Leticia de Sousa; Maria do Amparo Veloso Magalhães
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
