Involvement of Nurses in Understanding the Feelings of School Children and Adolescents with Pediatric Cancer Undergoing Long-term Hospitalization

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  • Akita Yumi
    Faculty of Nursing, Komazawa Women’s University

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Other Title
  • 小児がんにより長期入院している学童・思春期の子どもの気持ちに対する看護師の理解と関わり
  • ショウニ ガン ニ ヨリ チョウキ ニュウイン シテ イル ガクドウ ・ シシュンキ ノ コドモ ノ キモチ ニ タイスル カンゴシ ノ リカイ ト カカワリ

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<p>Purpose: The aim of this study was to describe the involvement of nurses in understanding the feelings of school children and adolescents with pediatric cancer undergoing long-term hospitalization.</p><p>Methods: Leininger’s ethnonursing method was used in this study. We conducted fieldwork at the pediatric ward to gather data for analysis.</p><p>Results: The following main themes were identified: (1) putting up an “antenna” to determine the children’s daily lifestyle and understand their individual traits, (2) exploring about the difficult-to-grasp “world of the child” in school children and adolescents, (3) becoming a person that the child feels they can talk to, (4) creating opportunities for the children to think and express themselves in their way, (5) waiting for a sign from the child with preparedness, and (6) taking actions and not dismissing words uttered by the children.</p><p>Conclusion: Nurses utilized their “periods of free time” and “unnecessary conversations” to discover “world of the child”. By discovering the world of the children, in particular their peer relationships, nurses were able to understand their honest desires and values, which could not be easily shown in the hospital setting. Nurses also determined the children’s true intentions by waiting for them to express their feelings in their own time using two approaches. The first approach involved waiting while proactively taking action, such as cultivating the children’s ability for self-expression and feelings, such as building a relationship in which the children felt they could talk to the nurse. The second approach involved waiting preparedly so as not to miss any difficult-to-discern signs in the children.</p>

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