Exploring experiences and needs among children with cancer undergoing peripherally inserted central catheter...

Area of Science:

• Pediatric Oncology
• Qualitative Research
• Patient Experience

Background:

• Peripherally inserted central catheters (PICCs) are essential for administering chemotherapy and supportive care in pediatric cancer patients.
• Understanding the child's perspective during PICC insertion is vital for improving healthcare delivery.

Purpose of the Study:

• To explore the lived experiences of children with cancer during peripherally inserted central catheter (PICC) insertion.
• To identify the key themes and needs associated with PICC insertion from the child's viewpoint.

Main Methods:

• A descriptive qualitative approach was utilized.
• Data were collected from 20 pediatric cancer patients through semi-structured interviews and draw-and-tell techniques.
• Thematic analysis was applied to interpret the collected data.

Main Results:

• Four major themes emerged: uncertainty, high sensitivity, psychophysical changes, and multidimensional needs.
• Subthemes included fear of the unknown, vulnerability, stress responses, physical discomfort, and the need for information and comfort.
• Children expressed a range of emotions, from anxiety to acceptance, highlighting their complex responses to the procedure.

Conclusions:

• The findings emphasize the critical need to acknowledge and address the unique concerns of pediatric cancer patients undergoing PICC insertion.
• Healthcare providers should prioritize open communication and tailored support to meet the informational, emotional, and physical needs of these children.
• Honoring children's voices is paramount for delivering compassionate and effective care, ensuring they receive the attention and support they deserve.