Nursing Presence in Pediatric Oncology: A Scoping Review

Abstract

Background: Nursing presence creates meaningful and trusting relationships that facilitate healing for the patient and enhances the nurse's clinical experience. Although nursing presence has been linked to better health outcomes especially in chronic illnesses and end-of-life, little is known about its contribution in pediatric oncology. Purpose: The purpose of this scoping review was to explore how nursing presence is understood and expressed in pediatric oncology. Methods: Arksey and O’Malley’s (2005) framework was used to guide the review, with Clarke and Braun’s (2013) thematic analysis process used for collating, summarizing, and reporting the results. Key search terms were developed for searches between January 1999 and July 2020 in CINAHL, MEDLINE, and Psych INFO databases. Initially, 4,357 studies were identified with a final sample of nine articles meeting specific inclusion and exclusion criteria. Gray literature retrieved from the search was used to inform the review. Findings: Most notably, there is a limited understanding of nursing presence in pediatric oncology setting. However, findings revealed five themes that can be identified with nursing presence: Being With or Being There, Therapeutic Relationships, Communication, Family-centered Approach, and Perceived Outcomes of Nursing Presence. Nurses in pediatric oncology are in an ideal position to provide nursing presence in order to improve the quality of care in pediatric oncology settings. Discussion: There is a need to establish a comprehensive evidence-based understanding of the construct of nursing presence in pediatric oncology that health care providers can utilize to enhance their clinical practice and health research.

Keywords

nursing presence oncology pediatric scoping review

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References

Alves

Comassetto

Almeida

Trezza

Silva

Magalhaes

(2016). The experience of parents of children with cancer in treatment failure conditions. Texto Contexto Enferm, 25(2), e2120014. https://doi.org/10.1590/0104-07072016002120014

American Psychology Association. (2021). APA Psycinfo: A world-class resource for abstracts and citations of behavioral and social sciences research. https://www.apa.org/pubs/databases/psycinfo

Anderson

J. H.

(2007). The impact of using nursing presence in a community heart failure program. Journal of Cardiovascular Nursing, 22(2), 89-94. https://doi.org/10.1097/00005082-200703000-00002

Anderzen-Carlsson

Sorlie

Kihlgren

(2012). Dealing with fear-from the perspective of adolescent girls with cancer. European Journal of Oncology Nursing, 16(3), 286-292. https://doi.org/10.1016/j.ejon.2011.08.003

Arksey

O’Malley

(2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616

CADTH. (2018). Grey matters: A practical tool for searching healthy-related grey literature (internet). https://www.cadth.ca/resources/finding-evidence/grey-matters

Canadian Cancer Statistics Advisory Committee. (2019). Canadian cancer statistics 2019. Canadian Cancer Society. Retrieved October 01, 2020, from http://cancer.ca/Canadian-Cancer-Statistics-2019-EN

Cantrell

M. A.

(2007). The art of pediatric oncology nursing practice. Journal of Pediatric Oncology Nursing, 24(3), 132-138. https://doi.org/10.1177/1043454206298842

Clarke

Braun

(2013). Teaching thematic analysis: Overcoming challenges and developing strategies for effective learning. The Psychologist, 26(2), 120-123. Retrieved February 23, 2021, from https://thepsychologist.bps.org.uk/volume-26/edition-2/methods-teaching-thematic-analysis

10.

Coughlan

Cronin

Ryan

(2013). Doing a literature review in nursing, health and social care. Sage Publications.

11.

Covington

(2003). Caring presence: Providing a safe space for patients. Holistic Nursing Practice, 19(4), 169-172. https://doi.org/10.1097/00004650-200507000-00008

12.

Doona

M. E.

Haggerty

L. A.

Chase

S. K.

(1997). Nursing presence: An existential exploration of the concept. Scholarly Inquiry for Nursing Practice, 11(1), 3-16. Retrieved August 27, 2021, from https://pubmed.ncbi.nlm.nih.gov/9188266/

13.

Doona

M. E.

Chase

S. K.

Haggerty

L. A.

(1999). Nursing presence: As real as a milky way bar. Journal of Holistic Nursing, 17(1), 54-70. https://doi.org/10.1177/089801019901700105

14.

East Carolina University Libraries. (2021). Evidence-based practice for nursing: Finding evidence. Retrieved February 23, 2021, from https://libguides.ecu.edu/c.php?g=17486&p=97641

15.

Easter

(2000). Construct analysis of four modes of being present. Journal of Holistic Nursing, 18(4), 362-377. https://doi.org/10.1177/089801010001800407

16.

Equator Network. (2021, February 12). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Retrieved February 24, 2021, https://www.equator-network.org/reporting-guidelines/prisma/

17.

Feeg

Huang

I.-C.

Mannino

J. E.

Miller

Kuan

(2018). Refinement of an instrument to measure the needs of parents of sick children in the context of family centered care. Journal of Pediatric Nursing, 43, 77-87. https://doi.org/10.1016/j.pedn.2018.08.014

18.

Finfgeld-Connett

(2006). Meta-synthesis of presence in nursing. Journal of Advanced Nursing, 55(6), 708-714. https://doi.org/10.1111/j.1365-2648.2006.03961.x

19.

Finfgeld-Connett

(2008). Qualitative convergence of three nursing concepts: Art of nursing, presence and caring. Journal of Advanced Nursing, 63(5), 527-534. https://doi.org/10.1111/j.1365-2648.2008.04622.x

20.

Foronda

MacWilliams

McArthur

(2016). Interprofessional communication in healthcare: An integrative review. Nurse Education in Practice, 19, 36-40. https://doi.org/10.1016/j.nepr.2016.04.005

21.

Furingsten

Sjogren

Forsner

(2015). Ethical challenges when caring for dying children. Nursing Ethics, 22(2), 176-187. https://doi.org/10.1177/0969733014533234

22.

Gardner

D. L.

(1992). Presence. In Bulechek

G. M.

McKloskey

J. C.

(Eds.), Nursing interventions, essential nursing treatments OH: WB Saunders Co, 2nd ed., pp. 191-200.

23.

Godkin

Austin

(2002). Nursing presence, patient satisfaction, and the bottom line. Journal of Hospital Marketing and Public Relations, 14(1), 15-33. https://doi.org/10.1300/J375v14n01_03

24.

Hessel

J. A.

(2009). Presence in nursing practice: A concept analysis. Holistic Nursing Practice, 23(5), 276-281. https://doi.org/10.1097/HNP.0b013e3181b66cb5

25.

Hosseini

F. A.

Momennasab

Yektatalab

Zareiyan

(2018). Presence: The cornerstone of spiritual needs among hospitalized patients. Scandinavian Journal of Caring Sciences, 33(1), 67-76. https://doi.org/10.1111/scs.12602

26.

Institute for Patient- and Family-Centered Care. (n.d.). What is patient and family centered care? Retrieved February 23, 2021, from https://www.ipfcc.org/about/pfcc.html

27.

The Joanna Briggs Institute. (2015). Joanna Briggs Institute Reviewers’ manual 2015 edition / supplement. Retrieved February 24, 2021 from https://nursing.lsuhsc.edu/JBI/docs/ReviewersManuals/Scoping-.pdf

28.

Kars

Duijnstee

Pool

van Delden

Grypdonck

(2007). Being there: Parenting the child with acute lymphoblastic leukemia. Journal of Clinical Nursing, 17(12), 1553-1562. https://doi.org/10.1111/j.1365-2702.2007.02235.x

29.

Kemerer

(2016). How to use intentional silence. Nursing Standard, 31(2), 42-44. https://doi.org/10.7748/ns.2016.e10538

30.

Kostovich

C. T.

(2012). Development and psychometric assessment of the presence of nursing scale. Nursing Science Quarterly, 25(2), 167-175. https://doi.org/10.1177/0894318412437945

31.

Kostovich

C. T.

Clementi

P. S.

(2014). Nursing presence: Putting the art of nursing back into hospital orientation. Journal for Nurses in Professional Development, 30(2), 70-75. https://doi.org/10.1097/NND.0000000000000045

32.

Kostovich

C. T.

Dunya

B. A.

Schmidt

L. E.

Collins

E. G.

(2016). A rasch rating scale analysis of presence of nursing scale-RN. Journal of Applied Measurement, 17(4), 478-488. Retrieved August 27, 2021, from https://europepmc.org/article/med/28009593

33.

Kuo

D. Z.

Houtrow

A. J.

Arango

Kuhlthau

K. A.

Simmons

J. M.

Neff

J. M.

(2012). Family-centered care: Current applications and future directions in pediatric health care. Maternal Child Health Journal, 16(12), 297-305. https://doi.org/10.1007/s10995-011-0751-7

34.

Lin

Jay

Howard

(2018). Childhood cancer incidence in Canada: Demographic and geographic variation of temporal trends (1992–2010). Health Promotion and Chronic Disease Prevention in Canada, 38(3), 79-115. https://doi.org/10.24095/hpcdp.38.3.01

35.

McKivergin

(2009). The nurse as an instrument of healing. In Dossey

Keegan

(Eds.), Holistic nursing: A handbook for practice (5th ed., pp. 721-737). Jones and Bartlett.

36.

Melnechenko

K. L.

(2003). To make a difference: Nursing presence. Nursing Forum, 38(2), 18-24. https://doi.org/10.1111/j.1744-6198.2003.tb01207.x

37.

Mohammadipour

Atashzadeh-Shoorideh

Parvizy

Hosseini

(2017). An explanatory study on the concept of nursing presence from the perspective of patients admitted in hospitals. Journal of Clinical Nursing, 26, 4313-4324. https://doi.org/10.1111/jocn.13758

38.

Monterosso

Kristjanson

L. J.

(2008). Supportive and palliative care needs of families of children who die from cancer: An Australian study. Palliative Medicine, 22, 59-69. https://doi.org/10.1177/0269216307084608

39.

Moyle

(2003). Nurse–patient relationship: A dichotomy of expectations. International Journal of Mental Health Nursing, 12(2), 103-109. https://doi.org/10.1046/j.1440-0979.2003.00276.x

40.

National Cancer Institute. (2020, August 28). Childhood Cancers – National Cancer Institute. U.S. Department of Health and Human Services. Retrieved February 24, 2021 https://www.cancer.gov/types/childhood-cancers

41.

Nicastro

Whetsell

M. V.

(1999). Children’s fears. Journal of Pediatric Nursing, 14(6), 392-402. https://doi.org/10.1016/S0882-5963(99)80068-2

42.

Osterman

(1996). Presence: Four ways of being there. Nursing Forum, 31(2), 23-30. https://doi.org/10.1111/j.1744-6198.1996.tb00490.x

43.

Ouzzani

Hammady

Fedorowicz

Elmagarmid

(2016). Rayyan-a web and mobile app for systematic reviews. Systematic Reviews, 5(1), Article 210. https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0384-4

44.

Pavlish

Ceronsky

(2009). Oncology nurses’s perceptions of nursing roles and professional attributes in palliative care. Clinical Journal of Oncology Nursing, 13(4), 404-412. https://doi.org/10.1188/09.CJON.404-412

45.

Penque

Kearney

(2015). The effect of nursing presence on patient satisfaction. Nursing Management, 64(4), 38-44. https://doi.org/10.1097/01.NUMA.0000462367.98777.40

46.

Phillips

Kenny

Easterman

(2014). Pre-registration paid employment practices of undergraduate nursing practices: A scoping review. Collegian, 23(1), 115-127. https://doi.org/10.1016/j.colegn.2014.09.012

47.

Public Health Agency of Canada. (2012, July 09). Cancer in children in Canada (0–14 years). Government of Canada. Retrieved February 24, 2021 https://www.canada.ca/en/public-health/services/chronic-diseases/cancer/cancer-children-canada-0-14-years.html

48.

Rankin

E. A.

DeLashmutt

M. B.

(2006). Finding spirituality and nursing presence: The students challenge. Journal of Holistic Nursing, 24(4), 282-288. https://doi.org/10.1177/0898010106294423

49.

Rourke

M. T.

(2007). Compassion fatigue in pediatric palliative care providers. Pediatric Clinics of North America, 54(5), 631-644. https://doi.org/10.1016/j.pcl.2007.07.004

50.

Rushton

C. H.

(2005). A framework for integrated pediatric palliative care: Being with dying. Journal of Pediatric Nursing, 30(5), 311-325. https://doi.org/10.1016/j.pedn.2005.03.003

51.

Sherwood

G. D.

(1997). Meta-synthesis of qualitative analysis of caring: Defining a therapeutic model of nursing. Advanced Practice Nursing Quarterly, 3(1), 32-42. Retrieved 27 August, 2021, https://pubmed.ncbi.nlm.nih.gov/9485778/

52.

Simon Fraser University Library. (2020, February 24). Grey literature: What it is and how to find it. Retrieved February 24, 2021 from https://www.lib.sfu.ca/help/research-assistance/format-type/grey-literature

53.

Sinclair

Norris

J. M.

McConnell

S. J.

Chochinov

H. M.

Hack

T. F.

Hagen

N. A.

McClement

Bouchal

S. R.

(2016). Compassion: A scoping review of the health literature. BMC Palliative Care, 15(1), 6. https://doi.org/10.1186/s12904-016-0080-0

54.

Sisk

B. A.

Friedrich

Blazin

L. J.

Baker

J. N.

Mack

J. W.

Dubois

(2020). Communication in pediatric oncology: A qualitative study. Pediatrics, 146(3), e20201193. https://doi.org/10.1542/peds.2020-1193

55.

Smith

T. D.

(2001). The concept of nursing presence: State of the science. Scholarly Inquiry for Nursing Practice: An International Journal, 15(4), 299-322. Retrieved 27 August, 2021, from https://www.proquest.com/docview/207665028?pqorigsite=gscholar&fromopenview=true

56.

Snaman

Torres

Duffy

Levine

D. R.

Gibson

Baker

J. N.

(2016). Parental perspectives of communication at the end of life at a pediatric oncology institution. Journal of Palliative Medicine, 19(3), 1-7. https://doi.org/10.1089/jpm.2015.0253

57.

Snyder

Brandt

C. L.

Tseng

Y. H.

(2000). Use of presence in the critical care unit. AACN Clinical Issues, 11(1), 27-33. http://doi.org/10.1097/00044067-200002000-00005

58.

Speakman

(2018, March 19). Challenges of ‘being with’ patients nearing at end of life. Nursing Times (Online), 114(4), 28-30. Retrieved February 24, 2021 https://www.nursingtimes.net/clinical-archive/end-of-life-and-palliative-care/challenges-of-being-with-patients-nearing-the-end-of-life-19-03-2018/

59.

Steele

A. C.

Kaal

Thompson

A. L.

Barrera

Compas

B. E.

Davies

Fairclough

D. L.

Foster

T. L.

Jo Gilmer

Hogan

Vannatta

Gerhardt

(2013). Bereaved parents and siblings offer advice to health care providers and researchers. Journal of Pediatric Hematology/Oncology, 35(4), 253-259. https://doi.org/10.1097/MPH.0b013e31828afe05

60.

Stockmann

(2018). Presence in the nurse–client relationship: An integrative review. International Journal for Human Caring, 22(2), 49-64. https://doi.org/10.20467/1091-5710.22.2.49

61.

Thienprayoon

Grossoehme

Humphrey

Pestian

Frimpong-Manso

Malcolm

Kitamura

Jenkins

Friebert

(2020). “There’s just no way to help, and they did.” Parents name compassionate care as a new domain of quality in pediatric home-based hospice and palliative care. Journal of Palliative Medicine, 23(6), 767-776. https://doi.org/10.1089/jpm.2019.0418

62.

Turpin

(2014). State of the science of nursing presence revisited: Knowledge for preserving nursing presence capability. International Journal for Human Caring, 18(4), 14-29. https://doi.org/10.20467/1091-5710.18.4.14

63.

The University of Melbourne. (2021). Systematic literature review. Retrieved February 23, 2021, from https://unimelb.libguides.com/nursing/systematic-literature-review

64.

Woodgate

R. L.

(2006). The importance of being there: Perspectives of social support by adolescents with cancer. Journal of Pediatric Oncology Nursing, 23(3), 122-134. https://doi.org/10.1177/1043454206287396

65.

Zyblock

D. M.

(2010). Nursing presence in contemporary nursing practice. Nursing Forum, 45(2), 120-124. https://doi.org/10.1111/j.1744-6198.2010.00173.x