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Attitudes and perceptions of parents and staff toward the rapid hydration protocol prior to chemotherapy in children
Ramona Samonis1, Jane Hilliard2, Tejinder Bains3
1University of Toronto, Toronto, Ontario, Canada.
Insights
Parents reported their child
Area of Science:
- Pediatric Oncology
- Clinical Protocol Implementation
- Patient Care Improvement
Background:
- Chemotherapy requires adequate hydration for patient safety.
- Standard hydration protocols can be time-consuming.
- Rapid hydration protocols aim to optimize pre-chemotherapy preparation.
Purpose of the Study:
- To evaluate parent satisfaction with a rapid hydration protocol.
- To assess oncology staff attitudes towards the rapid hydration protocol.
- To identify challenges and benefits of implementing rapid hydration in pediatric oncology.
Main Methods:
- Comparative study of standard versus rapid hydration.
- Parental feedback collected via 5-point Likert scale.
- Qualitative interviews with oncology staff to identify themes.
Main Results:
- Parents rated rapid hydration experiences as equal to or better than standard hydration.
- Oncology staff generally perceived rapid hydration positively.
- Staff noted challenges with timely urine parameter achievement and order integration.
Conclusions:
- Rapid hydration shows promise for improving pre-chemotherapy care.
- Further research is needed to fully assess parent satisfaction and optimize protocol integration.
- Findings can inform hospitals considering rapid hydration protocols.
Abstract:
The Children's Hospital of Eastern Ontario has implemented a rapid hydration protocol that may reduce the time required to achieve adequate hydration prior to chemotherapy. This study aims to assess parent satisfaction and the attitudes and perceptions of oncology staff with regard to the rapid hydration protocol. Patients who received both standard and rapid hydration were identified, and their parents were asked to rate the child's experiences on a 5-point Likert-type scale. Oncology staff were interviewed and common themes were identified. Parents perceived their child's experience with rapid hydration to be the same or better than with the standard hydration. Themes uncovered through staff interviews indicate an overall positive perception of rapid hydration, but there are some concerns with certain patients not meeting necessary urine parameters in a timely manner, and incorporating the rapid hydration preprinted order into the current chemotherapy preprinted order was a challenge. These results may be used to improve the current practice and inform hospitals planning to adopt rapid hydration, but further research is required to assess parent satisfaction.
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