Abstract
Objective: This study will illustrate the collaborative nursing practice of registered nurses and certified nurse specialists in family health nursing in a case study focusing on the diagnosis disclosure to pediatric female patients with osteosarcoma.Methods: The research method is a case study. Data was collected from the patient's medical record regarding the patient's behavior and symptoms, patient care, and family situation and interventions from admission until discharge by a registered nurse, the attending nurse. Data were compiled in chronological order. The analysis method was to summarize nursing practice's characteristic situations in short sentences and create a progress chart. Several researchers discussed the questions, ideas, and intentions that led to the decision to increase the progress charts' reliability. Consistency was ensured by member checking of collaborative nursing practice according to a progress chart. The review committee approved ethical considerations, and the patient's family was verbally informed about the publication, and their consent was obtained.Results: A pediatric female patient with osteosarcoma. At the start of treatment, chemotherapy was done without diagnosis disclosure to the patient due to family objections. The patient was to undergo tumorectomy, so the patient needed to be informed of the disease. Under the collaborative nursing practice of a registered nurse and certified nurse specialist in family health nursing, the diagnosis is disclosed to the patient for the patient's decision-making. After that, the patient and her family were able to leave the hospital with a positive mindset about treatment.Discussion: In Japan, the intention of the family greatly influences the diagnosis disclosure to children with pediatric cancer. The results suggest that collaborative nursing practice between registered nurses and certified nurse specialists in family health nursing can lead to the best benefits and outcomes for the patient's family.
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