Abstract

Information can help parents of children with cancer by reducing uncertainty and giving them a sense of control in a chaotic situation. Although providing information to parents is a core activity of paediatric oncology nursing, few studies focus on interventions for informing parents. Thus, the aim of this study is to evaluate parents' experiences after participating in a person-centred information intervention for parents of children with cancer. This study is part of a process evaluation of a person-centred informational intervention in paediatric oncology for patients' parents. Qualitative semi-structured interviews with 13 parents who had taken part in the intervention were analysed using qualitative content analysis. An opening for healing emerged as the overarching theme, consisting of three categories. Gaining a deeper understanding of the entire situation describes how parents benefitted from processing current topics and moving forward by learning. Caring reflections in a safe space describes how parents appreciated having a moment just for themselves and feeling better by venting their feelings. Meeting a competent and compassionate nurse describes how parents experienced trust and being listened to. Having individual information meetings integrated as a primary nursing responsibility, mediated by competent and compassionate nurses also responsible for the care of the child, could enhance person-centred care and individualise parental education.

Highlights

  • When a child is diagnosed with cancer and starts to receive treat­ ment, the parents experience the situation as very demanding

  • In this area I have the most questions at the moment, it was very much the current situation that guided the topics [...] this choice was pretty difficult because the topics sort of blend together and I would have wanted to handle maybe three or four or five topics, sort of. (Father of a 4-year-old)

  • Integrating the caring aspects with the medical aspects is of utmost importance in facilitating opportunities for parents’ healing during their child’s treatment trajectory

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Summary

Introduction

When a child is diagnosed with cancer and starts to receive treat­ ment, the parents experience the situation as very demanding. Studies have shown that transitions between phases of the treatment increase parental uncer­ tainty, and that the discharge from hospital and end of treatment are challenging (Gunter and Duke, 2019; McGeehin Heilferty, 2018). At those times parents felt that they had to process a lot of in­ formation and they were scared or nervous about caring for their sick child at home (Rodgers et al, 2016a; Smith et al, 2018)

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