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Nurses' Experiences in Assessing and Promoting Optimal Nutrition During Pediatric Cancer Treatment: A Qualitative
Håkon Endal1, Gabriele Kitzmüller1, Inger J Danielsen1
1Faculty of Health Sciences, Department of Health and Care Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
Journal of Pediatric Hematology/Oncology Nursing
|December 13, 2025
Summary
Nurses use a holistic approach to support pediatric cancer patients
Area of Science:
- Pediatric Oncology
- Nursing Care
- Nutritional Support
Background:
- Childhood cancer treatments cause side effects impacting patient nutrition.
- Nurses are crucial in assessing and promoting nutritional support.
- Optimal nutrition is vital for pediatric cancer patients undergoing treatment.
Purpose of the Study:
- To explore clinical nurses' experiences with assessing and promoting nutrition support.
- To understand challenges and facilitators in pediatric oncology nutritional care.
- To identify strategies for enhancing family-centered nutritional care.
Main Methods:
- Qualitative study using four focus groups with 22 clinical nurses.
- Conducted in four tertiary hospitals in Norway.
- Analysis guided by Braun and Clarke's reflexive thematic approach.
Main Results:
- Nurses adopt a holistic approach, collaborating with families and healthcare teams.
- Barriers include treatment side effects, time constraints, and guideline use.
- Nurses face challenges discussing overweight issues with patients.
Conclusions:
- Family-centered care and close collaboration are key for optimal nutritional status.
- Nurses require a broad perspective on nutritional care.
- Systematic guideline use is crucial to prevent malnutrition.
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