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School Reentry Experiences of Children With Leukemia and Their Parents: A Qualitative Study
Gizem Çakir1, Naime Altay, Namik Yaşar Özbek
1Author Affiliations: Department of Pediatric Nursing, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey (Çakir); Department of Pediatric Nursing, Faculty of Nursing, Gazi University, Ankara, Turkey (Altay); and Department of Child Hematology-Oncology, Ankara Bilkent City Hospital, Ankara, Turkey (Özbek).
Background:
Needs and facilitating factors should be identified for children with cancer to receive effective transitional care services during school reintegration.
Objective:
This study examined the experiences of children with leukemia and their parents during the process of returning to school.
Methods:
This qualitative research, designed as a descriptive phenomenological study, was based on semistructured, in-depth interviews with children with leukemia and their parents.
Results:
Three main themes were identified from the analysis for both children and parents: perceived difficulties, comprehensive support needs, and facilitators. For children, the analysis identified 3 main themes. The first theme focused on emotional and behavioral aspects, the process of returning to school, and social life. The second theme highlighted the importance of both academic and social support, while the third emphasized the need for professional guidance and improvements to the school's physical environment. For parents, similar themes emerged: emotional and behavioral aspects, as well as school reentry, formed the first theme; academic support, along with communication and collaboration, constituted the second; and professional support and attention to physical conditions made up the third theme.
Conclusions:
The emotional, social, and academic support needs of children with cancer are critical for the successful management of their school reentry.
Implications For Oncology Nursing Practice:
Oncology nurses should incorporate structured school reentry support into follow-up care, collaborating with families, teachers, and school staff. They should monitor children's anxiety, coping skills, and treatment-related effects, and provide guidance and support to promote smoother school reintegration.
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