Article http://dx.doi.org/10.26855/hpj.2024.12.001

Comprehensive Care for Pediatric Oncology Patients and Their Families from the Perspective of Primary Health Care Nurses: A Scoping Review

TOTAL VIEWS: 291

Pedro Emílio Gomes Prates1,*, Antonio Jorge Silva Correa-Júnior1, Natália Cristina Betoni Vieira2, Pedro Jacinto Ferreira3, Tatiana Mara da Silva Russo1, Camila Maria Silva Paraizo-Horvath1, André Aparecido da Silva Teles1, Helena Megumi Sonobe1
1School of Nursing of Ribeirao Preto, University of Sao Paulo, Sao Paulo 01000-000, Brazil.
2Municipal Health Department, Municipal Government of Ribeirao Preto, Sao Paulo 01000-000, Brazil.
3Economic Development Company of Ribeirao Preto, Sao Paulo 01000-000, Brazil.
*Corresponding author: Pedro Emílio Gomes Prates

Published: September 30,2024

Abstract

Purpose: To analyze scientific evidence on the role of APS nurses in the comprehensive care of pediatric oncology patients and their families, and to understand their practices, challenges, and strategies for promoting quality of life. Design: A scoping review was performed following the Joanna Briggs Institute extension for scoping reviews (PRISMA-ScR) and Arksey and O’Malley’s framework. Methods: Databases LILACS, CINAHL, SCOPUS, Web of Science, and PUBMED were searched for peer-reviewed articles published in English, Spanish, or Portuguese from January 2014 to March 2024. Identified studies were screened, extracted, and analyzed independently by two researchers. Results: Of the 197 studies identified, 16 met the inclusion criteria. The comprehensive care provided by APS nurses to pediatric oncology patients and their families was categorized into: (1) practices, such as health monitoring, home visits, and psychosocial support; (2) challenges, including interprofessional communication barriers, lack of specialized training, and complexities in early diagnosis and referral; and (3) strategies, like educational programs, promotion of self-care, advocacy, and resource access support. Conclusions: This review underscores the crucial role of APS nurses in pediatric oncology care. By analyzing practices, challenges, and strategies, it highlights their efforts in enhancing clinical outcomes and addressing psychosocial needs. Future research should explore innovative approaches to improve holistic care delivery in this critical area. Clinical Evidence: The review highlights the essential role of APS nurses in pediatric oncology. Key practices include health monitoring, home visits, and psychosocial support. Challenges include communication barriers, lack of training, and complexities in early diagnosis. Effective strategies involve educational programs, promoting self-care, and resource advocacy.

References

[1] American Cancer Society. (2024). Cancer in Children. Retrieved from https://www.cancer.org/cancer/types/cancer-in-children.html.

[2] França, J., da Costa, S., Lopes, M., Nóbrega, M., & da França, I. (2013). The importance of communication in pediatric oncology palliative care: focus on Humanistic Nursing Theory. Rev. Latino-Am. Enfermagem, 21(3). https://doi.org/10.1590/S0104-11692013000300018.

[3] Facione, P., Crossetti, M., & Riegel, F. (2017). Holistic Critical Thinking in the Nursing Diagnostic Process. Rev. Gaúcha Enferm, 38(3). https://doi.org/10.1590/1983-1447.2017.03.75576.

[4] Santos, W., Santos, J., Machado, G., Maia, M., & Andrade, R. (2023). Care for Cancer Patients from the Perspective of Integrative Oncology. Rev. Bras. Cancerol, 69(2). https://doi.org/10.32635/2176-9745.RBC.2023v69n2.3431.

[5] Carnut, L. (2017). Care, integrality and primary care: essential articulation to reflect on the health sector in Brazil. Saúde Debate, 41(115). https://doi.org/10.1590/0103-1104201711515.

[6] Dantas, R., Farias, A., de Souza, L., Lira, A., & Fernandes, M. (2023). Holism in the professional practice of the primary care nurse: scope review. Revista Diálogos, 2(2).

[7] Kinchen, E. (2015). Development of a Quantitative Measure of Holistic Nursing Care. J Holist Nurs, 33(3), 228-246. https://doi.org/10.1177/0898010114563312.

[8] Monteiro, A. C. M., Rodrigues, B. M. R. D., & Pacheco, S. T., Pimenta, L. S. (2015). Nurses’ work with children with cancer: palliative care. Rev. enferm. UERJ, 22(6), 778-783. https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/15665.

[9] Vieira, A., Castro, D., & Coutinho, M. (2016). Nursing Care in Pediatric Oncology. Rev. Eletrôn. Atualiza Saúde, 3(3), 67-75.

[10] Wakiuchi, J., Marcon, S., & Sales, C. (2016). Care of cancer patients in the Family Health Strategy: the user’s view. Rev Gaúcha Enferm, 37(1). https://dx.doi.org/10.1590/1983-1447.2016.01.54088.

[11] de Souza, G., Cazola, L., & de Oliveira, S. (2017). Work of family health strategy nurses in oncology care. Esc. Anna Nery, 21(4). https://doi.org/10.1590/2177-9465-EAN-2016-0380.

[12] de Santana, M. E., da Costa, E. G. O., Corrêa, A. R. S., & Ximenes, W. L. O. (2017). Care in pediatric oncology: a study based on the nursing process. Rev. Dest. Acad, 9(3). https://doi.org/10.22410/issn.2176-3070.v9i3a2017.1511.

[13] de Souza, G., Anjos, T., Francisco, A., de Souza, J., & Cazola, L. (2021). Nursing performance in primary health care to oncological patients’ juvenile infants: integrative review. Braz. J. Dev, 7(5). https://doi.org/10.34117/bjdv.v7i5.29514.

[14] Sousa, A., Silva, L., & Paiva, E. (2019). Nursing interventions in palliative care in Pediatric Oncology: an integrative review. Rev. bras. Enferm, 72(2). https://doi.org/10.1590/0034-7167-2018-0121.

[15] Friestino, J., Corrêa, C., & Filho, D. (2017). Professionals Perceptions about the Early Diagnosis of Childhood Cancer in Primary Health Care. Rev. Bras. Cancerol, 63(4). https://doi.org/10.32635/2176-9745.RBC.2017v63n4.127.

[16] Miranda, L., Melaragno, A., & Pina-Oliveira, A. (2018). Children and Teenagers Cancer Early Diagnosis Related to Primary Health Care Nurses’ Contributions: A Literature Review. Revista Saúde, 11(3). https://revistas.ung.br/index.php/saude/article/view/3094/2396.

[17] Lima, I. (2018). Childhood cancer: nursing actions in Primary Health Care. Revista de APS, 21(2). https://doi.org/10.34019/1809-8363.2018.v21.15938.

[18] Paixão, T., Farias, S., Rosas, A., & Coropes, V. (2018). Early Detection and Child Cancer Approach for Primary Care. Rev enferm UFPE on line, 12(5), 1437-1443. https://doi.org/10.5205/1981-8963-v12i5a230982p1437-1443-2018.

[19] Dias, T., França, J., Silva, M., Oliveira, E., Marinho, H., & de Goes, A. (2020). Early detection of childhood and adolescent cancer in Primary Health Care: possibilities and limitations. RER, 5, 1-8. https://doi.org/10.12707/RV20060.

[20] National Health Council. (2016). Resolution nº 510, of April 7, 2016. Retrieved from https://conselho.saude.gov.br/resolucoes/2020/Reso510.pdf.

[21] Page, M., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ, 372. https://doi.org/10.1136/bmj.n160.

[22] Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Chapter LL: Scoping reviews (2020 version). JBI manual for evidence synthesis. Joanna Briggs Institute, JBI. Retrieved from https://jbi-global-wiki.refined.site/space/MANUAL/4687342.

[23] Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med, 169, 467-473. https://doi.org/10.7326/M18-0850.

[24] Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. Int J Soc Res Methodol, 8, 19-32. https://doi.org/10.1080/1364557032000119616.

[25] Morris, M., Boruff, J. T., & Gore, G. G. (2016). Scoping reviews: Establishing the role of the librarian. J Med Library Association, 104(4). https://doi.org/10.3163/1536-5050.104.4.020.

[26] Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Syst Rev, 5, 1-10. https://doi.org/10.1186/s13643-016-0384-4.

[27] Bardin, L. (1977). Content Analysis (70th ed.). Lisboa.

[28] Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qual. Res. Psychol., 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa.

[29] Whittemore, R. (2005). Combining evidence in nursing research: methods and implications. Nurs Res, 54(1), 56-62. https://doi.org/10.1097/00006199-200501000-00008.

[30] Centre for Evidence-Based Medicine. (2009). Levels of Evidence. Retrieved from https://www.cebm.net/2009/06/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/.

[31] Erlingsson, C., & Brysiewicz, P. (2017). A hands-on guide to doing content analysis. Afr J Emerg Med, 7(3), 93-99. https://doi.org/10.1016/j.afjem.2017.08.001.

[32] Creswell, J. W., & Clark, V. L. (2013). Mixed Methods Research (2nd ed.). Porto Alegre.

[33] Thoresen, C. K., Sandvik, H., & Hunskaar, S. (2016). Cancer patients’ use of primary care out-of-hours services: a cross-sectional study in Norway. Scand. J. Prim. Health Care, 34(3), 232-239. https://doi.org/10.1080/02813432.2016.1207140.

[34] Carduff, E., Jarvis, A., Highet, G., Finucane, A., Kendall, M., Harrison, N., et al. (2016). Piloting a new approach in primary care to identify, assess and support carers of people with terminal illnesses: a feasibility study. BMC Fam Pract, 17(18). https://doi.org/10.1186/s12875-016-0414-2.

[35] da Rosa, L. M., de Souza, A. I. J., Anders, J. C., da Silva, R. N., da Silva, G. S., & Fontão, M. C. (2017). Oncology nursing care and qualification demands in primary health care. Cogitare Enferm, 22(4). https://doi.org/10.5380/ce.v22i4.51607.

[36] Nadeau, K., Pinner, K., Murphy, K., & Belderson, K. M. (2017). Perceptions of a Primary Nursing Care Model in a Pediatric Hematology/Oncology Unit. J Pediatr Oncol Nurs, 34(1), 28-34. https://doi.org/10.1177/1043454216631472.

[37] Østergaard, B., Clausen, A. M., Agerskov, H., Brødsgaard, A., Dieperink, K. B., Funderskov, K. F., et al. (2017). Nurses' attitudes regarding the importance of families in nursing care: A cross-sectional study. J Clin Nurs, 29. https://doi.org/10.1111/jocn.15196.

[38] Amorim, Y. R. S., Cardelli, S. M., dos Santos, L. G., Marques, F. R. B., & Amador, D. D. (2023). Childhood cancer: knowledge of families of children assisted in primary health care. R Pesq Cuid Fundam. https://doi.org/10.9789/2175-5361.rpcfo.v15.12559.

[39] Johnson, L. M., Butterfield, R., Siegel, M., Pavlik, V., Cheng, Y. I., & McKenna, D. (2018). The role of education in pediatric cancer symptom management: A comprehensive review. J. Pediatr. Oncol. Nurs, 35(6), 403-414. https://doi.org/10.1177/1043454218796794.

[40] Weaver, M. S., Heinze, K. E., Bell, C. J., Wiener, L., Garee, A. M., Kelly, K. P., & Kazak, A. E. (2020). Establishing psychosocial palliative care standards for children and adolescents with cancer and their families: An integrative review. Palliat. Med, 34(7), 914-932. https://doi.org/10.1177/0269216320932770.

[41] Kuo, D. Z., Houtrow, A. J., Arango, P., Kuhlthau, K. A., Simmons, J. M., Neff, J. M., & Family-Centered Care Coordination Research Consortium. (2019). Family-centered care: Current applications and future directions in pediatric health care. Matern. Child Health J, 23(4), 553-559. https://doi.org/10.1007/s10995-018-2522-0.

[42] Rosenberg, A. R., Weaver, M. S., Wiener, L., & Bradford, M. C. (2021). Enhancing communication among pediatric oncology providers and parents of children with cancer: Recommendations for optimal communication and language. Pediatr. Blood Cancer, 68. https://doi.org/10.1002/pbc.29174.

[43] Ward, E., DeSantis, C., Robbins, A., Kohler, B., & Jemal, A. (2017). Childhood and adolescent cancer statistics, 2014. CA Cancer J. Clin, 64(2), 83-103. https://doi.org/10.3322/caac.21219.

[44] Sloan, H. L., Montoya, M. J., & Ruddy, K. J. (2022). Challenges and opportunities in adolescent and young adult oncology: A review. JCO Oncol. Pract, 18(1), 29-38. https://doi.org/10.1200/OP.21.00363.

[45] Coyne, I., Sheehan, A., & Heery, E. (2019). How children and young people experience and manage cancer symptoms: A review of the literature. J. Child Health Care, 23(2), 269-291. https://doi.org/10.1177/1367493518797736.

[46] Martínez-Gómez, A. E., Gracia-Pérez, M. L., & López-Miranda, B. L. (2022). Training needs and demands in oncology: Perceptions of primary care nurses. Rev. Latino-Am. Enfermagem, 30. https://doi.org/10.1590/1518-8345.5706.3481.

[47] United Nations. (2024). Sustainable Development Goals. Retrieved from https://sdgs.un.org/goals.

[48] World Health Organization. (2013). Global action plan for the prevention and control of noncommunicable diseases 2013–2020. Retrieved from https://www.who.int/publications/i/item/978924150623.

[49] Costa, A. (2004). Integral Healthcare. Saúde Soc, 13(3). https://doi.org/10.1590/S0104-12902004000300002.

[50] Lamba, S., Tyrie, L., Bryer, E., & Ward, K. (2020). Interprofessional communication between oncology specialists and primary care providers: A systematic review. J. Cancer Surviv, 14(2), 236-253. https://doi.org/10.1007/s11764-020-00866-7.

[51] Liu, Y., Mikesell, L., Braun, K. L., & Farrell, M. H. (2021). Interprofessional communication among healthcare professionals in a pediatric hospital: A qualitative study. J. Pediatr. Nurs, 60, 265-271. https://doi.org/10.1016/j.pedn.2021.03.014.

How to cite this paper

Comprehensive Care for Pediatric Oncology Patients and Their Families from the Perspective of Primary Health Care Nurses: A Scoping Review

How to cite this paper: Pedro Emílio Gomes Prates, Antonio Jorge Silva Cor-rea-Júnior, Natália Cristina Betoni Vieira, Pedro Jacinto Ferreira, Tatiana Mara da Silva Russo, Camila Maria Silva Paraizo-Horvath, André Aparecido da Silva Teles, Helena Megumi Sonobe. (2024). Comprehensive Care for Pediatric Oncology Patients and Their Families from the Perspective of Primary Health Care Nurses: A Scoping Review. Health and Prevention Journal, 1(1), 1-16.

DOI: http://dx.doi.org/10.26855/hpj.2024.12.001