Consensus on Quality Indicators for Pediatric Oncology Nursing Care in Mainland China: A Delphi Method and Analytic Hierarchy Process

Background: Because routine nursing quality indicators are not suitable to evaluate pediatric oncology nursing care, this study aimed to identify a set of quality indicators for pediatric oncology nursing care in mainland China. Method: This prospective investigation utilized a modified Delphi technique and an analytic hierarchy process. A survey questionnaire was developed using a literature review and semi-structured interviews. Fifteen invited experts evaluated the importance of potential indicators through three rounds of Delphi survey by email in 2018. The importance weight of each indicator was identified through analytic hierarchy process. Results: In the Delphi survey, the average authoritative coefficient was 0.93–0.96 for each round of the inquiry. After three rounds of survey, 29 quality indicators were identified as important nursing outcomes for assessing the quality of pediatric oncology nursing care in mainland China. The importance rating mean score of indicators ranged between 4.67–5.00 on a 5-point scale, and the variation coefficient ranged between 0–0.19. Expert-assigned indicator importance weight varied between 0.0040–0.0870. Conclusion: This study identified an indicator system with 29 nursing-sensitive quality indicators that may represent potential indicator candidates for quality assessment of pediatric oncology nursing practice in mainland China.

Tratamento oncológico: desafios e perspectivas na comunicação da enfermagem: revisão integrativa

Objetivo: Apontar os principais desafios e perspectivas da enfermagem oncológica na comunicação de notícias para o paciente oncológico e seus familiares. Métodos: Trata-se de uma revisão integrativa que atendeu as recomendações do PRISMA. As bases de dados utilizadas foram: Bireme, Medline, Lilacs, BDENF e SciELO, via descritores: “oncology nursing”, “nursing”, “oncology” e “health communication”, no período de 2011 a 2021. Identificou-se 274 estudos, e após os critérios de inclusão, 9 investigações compuseram a amostra. Resultados: 77,7% das investigações apontaram que a falta de treinamento e capacitações transculturais, a ausência de sistematização, a falta de habilidades adquiridas na graduação, a ineficácia de esforços colaborativos, a aproximação nos padrões éticos, humanos e assistenciais se relacionaram aos principais desafios. Quanto às perspectivas, ressaltou-se o relevante papel humanitário no tratamento oncológico, assim como a capacidade e aptidão da enfermagem para a comunicação prognóstica com o paciente e seus familiares. Considerações finais: A equipe de enfermagem oncológica é essencial na comunicação de qualidade, entretanto, maior autonomia aos profissionais, investimentos em treinamentos e sistematizações ainda são um grande desafio. A atuação da equipe se apresentou como fundamental na qualidade da informação e humanização, abalizando perspectivas positivas e abrangências profissionais promissoras para o desenvolvimento de habilidades específicas.

Application Effect of Nurse Patient Communication in Oncology Nursing

Objective: To explore the clinical significance of strengthening nurse patient communication in oncology department. Methods: The study was carried out in our hospital. Taking 100 patients selected from May 2020 to May 2021 as an example, all patients were cancer patients. When they were treated, they cooperated with nursing, carried out grouping experiments, adopted different nursing methods, and compared and analyzed the recovery of patients under different nursing interventions. Results: There were significant differences in nursing satisfaction and compliance between the experimental group and the control group, expressed as P < 0.05. In contrast, the experimental group had higher satisfaction, better compliance and better effect. Conclusion: Strengthening nurse patient communication in oncology patients is helpful to improve patients’ understanding, improve patients’ bad mood and promote patients’ compliance. It has positive significance and remarkable effect on patients.

Oncology Nursing Care

This chapter explores the recommendations in developing oncology nursing care for a comprehensive medical center. Nursing orientation, continuing education, and competencies are required for the oncology nurse to remain successful in care delivery. Nurse–patient ratios should be benchmarked with other competitive centers, acuity taken into consideration, and various workflows depending on the clinical settings. Nurses play an instrumental role in delivering oncology care, from preventative screening, throughout the continuum, and into end-of-life care.