Fatigue in 7- to 12-year-old patients with cancer from the staff perspective: an exploratory study

P S Hinds1, M Hockenberry-Eaton, A Quargnenti

  • 1St. Jude Children's Research Hospital, Memphis, TN, USA.

Oncology Nursing Forum
|January 28, 1999
PubMed

Insights

Pediatric cancer patients experience debilitating fatigue influenced by many factors. Healthcare staff perceive their role in managing this fatigue, using a child's baseline for assessment.

Area of Science:

  • Pediatric Oncology
  • Symptom Management
  • Patient Care

Background:

  • Fatigue is a common and debilitating symptom in pediatric cancer patients.
  • Understanding staff perspectives on fatigue is crucial for effective interventions.
  • Current literature lacks comprehensive analysis of healthcare staff's views on pediatric cancer-related fatigue.

Purpose of the Study:

  • To document and analyze healthcare staff perspectives on fatigue in pediatric cancer patients aged 7-12.
  • To explore the nature, causes, and effective interventions for fatigue in this population.
  • To inform nursing practice and improve patient care strategies.

Main Methods:

  • Exploratory study design.
  • Focus group sessions with 38 pediatric oncology staff members (nurses, nutritionists, chaplain, physician).
  • Content analysis and Wilson concept analysis of open-ended responses.

Main Results:

  • Staff perceive fatigue as a significant energy and will deficit, influenced by environmental, biochemical, personal, cultural, and treatment factors.
  • Fatigue can manifest as acute, episodic, or chronic, often with associated emotional or mental state changes.
  • Staff primarily assess fatigue by comparing a child's current state to their own previous state.

Conclusions:

  • Healthcare staff view fatigue as a debilitating symptom in pediatric cancer patients.
  • Staff acknowledge their role in both causing and alleviating fatigue.
  • Findings can guide staff in identifying fatigue and its contributing/alleviating factors in young cancer patients.
Abstract