Experience of Nurses Caring for Child With Hematopoietic Stem Cell Transplantation in General Pediatric Ward

Abstract

Nurses need practical support from nursing leaders in terms of carefully organizing patient care, controlling the nurse-to-patient ratio, and offering a safe work environment by providing systematic formal training on HSCT and receiving proper supervision. Understanding and learning are gained from nurses who are able to seek meaning from HSCT through appreciating every caregiving effort and through valuing how their nursing role contributes to the quality of patients' care.

The Perceptions of Children and Adolescents with Cancer Regarding Nurses’ Communication Behaviors during Needle Procedures

“…Regarding a heavy workload, this is known to be among the factors that, in the view of nurses, can undermine their ability to provide adequate patient care [ 50 ]. Poor staff allocation and ward management, along with a high patient-nurse ratio, can create an unhealthy working environment for nurses, leading to occupational stress, an increased likelihood of errors, and job dissatisfaction [ 51 ].…”

“…Finally, the distress that nurses themselves experience when regularly caring for children with a severe and potentially life-threatening illness may, over time, lead to compassion fatigue [ 50 ], and this could further inhibit their ability to consider the communication needs of young patients during needle procedures. An exacerbating factor here is that nurses usually have little time to reflect on their practice [ 60 ], which is an important gap given the stress produced by a heavy workload and the responsibility of caring for these patients [ 50 ]. Continuous occupational stress of this kind [ 61 ] can lead to burnout in the form of emotional exhaustion, depersonalization and a sense of poor personal accomplishment [ 62 ].…”

O papel do enfermeiro no transplante de células tronco hematopoiéticas

“…Uma assistência prestada de forma eficaz pelo profissional capacitado permite que as necessidades de caráter físico, educacional e psicossocial sejam supridas de forma que ocasione em resultados positivos na recuperação do paciente. (Huang, et al, 2014) A relação enfermeiro-paciente permite que os profissionais de saúde estejam relacionados diretamente aos pacientes e à família, atuando de forma crucial na elaboração de estratégias, na forma gerencial e assistencial (Lima, & Bernardino, 2014).…”

Nurse's difficulty and their educational needs regarding pediatric cancer care in Japan

“…Based on the difficulties and stresses felt by pediatric cancer nurses, as well as findings concerning pediatric cancer nursing education programs, we selected 30 items regarding difficulties in pediatric cancer nursing, examples of which were: managing of central venous catheters (Day et al, 2012;Day, Segovia, Viveros, Alqudimat, & Rivera, 2013), chemotherapy nursing care (Day et al, 2012(Day et al, , 2013Gibson et al, 2013), hematopoietic stem cell transplantation (Huang, Kellett, Wang, Chang, & Chih, 2014), preparation for procedures (Japanese Society of Pediatric Oncology Nursing, 2012), support for long-term follow-up (Maru et al, 2013), terminal care (Gibson et al, 2013;Hinds et al, 1990;Tomlinson, 2004), communication with children and their families (Citak, Toruner, & Gunes, 2014), and support for learning and playing (Japanese Society of Pediatric Oncology Nursing, 2012).…”