Reflecting on paediatric oncology nursing practice using Benner's Helping Role as a framework to examine aspects of...

This paper uses Benner's helping domain (Benner 1984) to reflect on two aspects of paediatric oncology nursing practice. Exemplars of care will illustrate the use of therapeutic touch and bereavement skills whilst caring for two children with cancer. Children need to be given time and opportunity to express their feelings, fears and anxiety to enable them to understand and cope with their loss. They may also need support of a familiar adult and the multi-disciplinary team. In establishing a commitment to a healing relationship touch can be a valuable tool. Touch is a complex form of non-verbal communication that can be used to convey warmth, empathy and comfort. It is important that nurses are aware of both the types and meaning so it can be used therapeutically and appropriately. Paediatric oncology nurses are ideally placed to establish meaningful relationships with children who have cancer and their families but must be aware of their own limitations. To further improve care we must continue to reflect on the richness of our practical experiences and chart our expert knowledge.