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Reflections on the Past Decade in Evidence-Based Practice Within the Children's Oncology Group

Elizabeth A Duffy1, Mary C Hooke2, Wendy Landier3

  • 1Health Behavior and Biological Sciences, The University of Michigan School of Nursing.

Journal of Pediatric Hematology/Oncology Nursing
|March 4, 2024
PubMed

Insights

The Children's Oncology Group (COG) implemented evidence-based practice (EBP) in pediatric cancer nursing. This initiative standardized care for children in clinical trials, improving outcomes and advancing nursing practice.

Area of Science:

  • Pediatric Oncology Nursing
  • Evidence-Based Practice (EBP)
  • Clinical Trials Nursing

Background:

  • The Children's Oncology Group (COG) is a key organization for childhood cancer research, supported by the National Cancer Institute.
  • The COG Nursing Discipline Committee integrated evidence-based practice (EBP) principles to standardize nursing care for pediatric patients in clinical trials.
  • The EBP initiative aims to create evidence-based resources for clinicians managing pediatric cancer treatment from diagnosis through survivorship.

Purpose of the Study:

  • To describe the development and implementation of a standardized evidence-based practice (EBP) process within the COG nursing discipline.
  • To highlight the establishment of nurse expert teams (NETs) and their role in creating clinical tools and resources.
  • To evaluate the impact of the EBP initiative on nursing practice and professional development over 10 years.

Main Methods:

  • A rigorous, evidence-based process was developed to guide the creation of clinical tools and resources.
  • Nurse expert teams (NETs) were selected and supported with leadership, mentoring, and championship.
  • Clinical content developed by NETs underwent approval, and dissemination was guided and overseen.

Main Results:

  • The COG Nursing EBP Subcommittee has produced 15 publications involving 90 authors.
  • Eleven authors have contributed to multiple publications, indicating sustained engagement.
  • The initiative has been in place for 10 years, demonstrating long-term commitment.

Conclusions:

  • The COG's EBP initiative has significantly contributed to the professional growth of nursing discipline members.
  • Advances in nursing care for children enrolled in pediatric cancer clinical trials have been achieved.
  • The standardized EBP process has successfully guided the development of valuable clinical resources and tools.

Keywords:
clinical trialsevidence-based practice (EBP)nursing careoncologypatient and family educationpediatric

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