Development of Discharge Planning Guidelines for Pediatric Patients with Cancer Receiving Chemotherapy, Maharaj Nakorn Chiang Mai Hospital
Keywords:
discharge planning, pediatric oncology patient, guidelines, chemotherapyAbstract
Discharge planning is important for the care of pediatric patients with cancer receiving chemotherapy. The purposes of this research were to develop discharge planning guidelines for pediatric patients with cancer receiving chemotherapy at Maharaj Nakorn Chiang Mai Hospital, and to study the feasibility of implementing the guidelines and the satisfaction in using the guidelines for nurses and caregivers of children with cancer receiving chemotherapy. Twelve registered nurses and ten caregivers were selected by purposive sampling. The research was conducted during April to June 2021. The guidelines were developed based on the concept of developing evidence-based practice guidelines of the National Council for Medical and Public Health Research of Australia. The tools for this study were: 1) the guideline development; 2) a guide to caring for pediatric patients with cancer receiving chemotherapy; and 3) an educational multimedia format for infection prevention and control. The validity of the contents was 1. The data was analyzed and expressed as frequency distribution and mean scores.
The study results were as follows: there is a possibility of implementing the guidelines in clinical practice. Nurses agreed on the implementation of the guidelines in clinical practice at a moderate to high level with a mean score of 2.89. Caregivers had very good overall satisfaction, with an average score of 4.4. Nurses' satisfaction scores were at a very good level with an average score of 4.52.
The results from this study indicate that the discharge planning guidelines for pediatric patients with cancer receiving chemotherapy at Maharaj Nakorn Chiang Mai hospital, could be implemented and used to conduct research on the effectiveness of discharge planning guidelines.
References
Berry, J. G., Blaine, K., Rogers, J., McBride, S., Schor, E., Birmingham, J., . . . Feudtner, C. (2014). A framework of pediatric hospital discharge care informed by legislation, research, and practice. The Journal of the American Medical Association, 168(10), 955-966.
doi:10.1001/jamapediatrics.2014.891
Bidwell, S. S., Peterson, C. C., Demanelis, K., Zarins, K. R., Meza, R., Sriplung, H., . . . Rozek, L. S. (2019).Childhood cancer incidence and survival in Thailand: A comprehensive population-basedregistry analysis, 1990-2011. Pediatric Blood & Cancer, 66(1), e27428. doi:10.1002/pbc.27428
Bleyer, A., Ritchey, K. A., & Friehling, E. (2019). Principles of treatment. In R. Kliegman & J. St. Geme (Eds.), Nelson textbook of pediatrics (21th ed.). Philadelphia: Elsevier.
Canadian Association of Discharge Planning and Continuity of Care. (1995). Guidelines and standards for discharge planning coordinators. Ontario: The Canadian Association of Discharge Planning and Continuity of Care.
Erb, J. K. (1997). Discharge planning. In M. D. Harris (Ed.), Handbook of home health care administration (2nd ed., pp. 427-445). Gaithersburg: An Aspen.
Hockenberry, J. M., Wilson, D., & Rodgers, C. C. (2017). Wong’s essentials of pediatric nursing (10th ed.). St. Louis, MO: Elsevier.
Joint Commission on Accreditation of Healthcare Organization. (2002). 2003 National patient safety golds. Retrieved from http://www.jcaho.org2accredited+organizations/patient+safety/npsg/index.htm
Kongkiatphan, N. (2013). Development of discharge planning guideline for elderly with cerebrovascular disease at Kosumphisai Hospital, Mahasarakham Province (Unpublished master’s thesis). Burapha University, Thailand. (in Thai)
Longacre, M. L. (2013). Cancer caregivers information needs and resource preferences. .Journal of Cancer Education, 28, 297-305. doi:10.1007/s13187-013-0472-2
Mazhari, F., Shirazi, S. A., & Shabzendehdar, M. (2018). Management of oral mucositis in pediatric patients receiving cancer therapy: A systematic review and meta-analysis. Pediatric Blood Cancer, 66(3), e27403. doi:10.1002/pbc.27403
Mohamed, A., Al-Moniem, I., Shalaby, L., & Hassan, S. (2019). Effect of discharge plan for children undergoing chemotherapy and their caregivers on improving practice and coping pattern. Egyptian Journal of Health Care, 10, 102-116. doi:10.21608/ejhc.2019.26762
Mulder, R. L., van der Pal, H., Levitt, G. A., Skinner, R., Kremer, L., Brown, M. C., . . . Frey, E. (2016).Transition guidelines: An important step in the future care for childhood cancer survivors. A comprehensive definition as groundwork. European Journal of Cancer, 54, 64-68.doi:10.1016/j.ejca.2015.10.007
National Cancer Institute. (2018). Cancer in children and adolescents. Retrieved from https://www.cancer.gov/types/childhood-cancers/child-adolescent-cancers-fact-sheet
National Cancer Institute. (2019). Cancer in children and adolescents. Retrieved from https://www.cancer.gov/types/childhood-cancers/child-adolescent-cancers-fact-sheet
National Health and Medical Research Council. (1999). A guide to the development, implementation and evaluation of clinical practice guidelines. Retrieved from http://www.nhmrc.gov.au/publications/synopses/cp30syn.htm
Rodgers, C. C., Bertini, V., Conway, M. A., Crosty, A., Filice, A., Herring, R. A., . . . Landier, W. (2018). A standardized education checklist for parents of children newly diagnosed with cancer: A report from the Children's Oncology Group. Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses, 35(4), 235-246. https://doi.org/10.1177/1043454218764889
Rodgers, C. C., Laing, C. M., Herring, R. A., Tena, N., Leonardelli, A., Hockenberry, M., & Hendricks-Ferguson, V. (2016). Understanding effective delivery of patient and family education in pediatric oncology. Journal of Pediatric Oncology Nursing, 33(6),
-446. doi:10.1177/1043454216659449
Rodgers, C. C., Stegenga, K., Withycombe, J. S., Sachse, K., & Kelly, K. P. (2016). Processing information after a child's cancer diagnosis-how parents learn. Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses, 33(6), 447-459. doi:10.1177/1043454216668825
Silva-Rodrigues, F. M., Nascimento, L. C., & Kurashima, A. Y. (2016). Information for parents in pediatric oncology and nurses’ educational interventions: Integrative review. Journal of Nursing: UFPE Online, 10, 2167-2176.
Taweesup, P., & Jenjaroenrat, W. (2012). The effectiveness of discharge planning among children with cancer at Thammasat University Hospital. Thammasat University Hospital Research Project for Performance Development. (in Thai).
Wilson, S., Sachse, K., & Perry, M. T. (2018). Road to home program: A performance improvement initiative to increase family and nurse satisfaction with the discharge education process for newly diagnosed pediatric oncology patients. Journal of Pediatric Oncology Nursing, 35(5), 368-374. doi:10.1177/1043454218767872
Wolf, K. M. (2019). The Transition from Health to Illness: Best practices for education of parents with children newly diagnosed with cancer (Master’s thesis, University of North Dagota). Retrieved from https://commons.und.edu/cgi/viewcontent.cgi? article=1232&context=nurs-capstones
Yodkolkij, T., Kanogsunthornrat, N., & Thiengthianthum, R. (2018). Clinical practice guideline implementation in colorectal disease patients undergoing abdominal surgery. Thai journal of Nursing and Midwifery Practice, 5(1), 94-111. (in Thai)
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