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Parents' experiences on handling paediatric anticancer drugs at home after an educational intervention
Karolinska Institutet, Sweden; Karolinska University Hospital, Sweden.ORCID iD: /0000-0002-3966-0351
Karolinska Institutet, Sweden; Karolinska University Hospital, Sweden.
Marie Cederschiöld University, Department of Health Care Sciences. Karolinska Institutet, Sweden.ORCID iD: 0000-0002-8185-781x
Marie Cederschiöld University, Department of Health Care Sciences. Karolinska University Hospital, Sweden.ORCID iD: 0000-0003-4736-500X
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2025 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 31, no 1, p. 1-8, article id e14089Article in journal (Refereed) Published
Abstract [en]

Background: The shift of treatment of paediatric cancer patients to include more care at home puts a lot of pressure on health care professionals (HCPs) to prepare and train parents on safe and correct drug handling at home. Parents must take in and understand the information presented to them while coping with their own fear related to their child's cancer diagnosis. In Sweden, parents are expected to handle and manipulate oral anticancer drugs (OADs) in the home setting. There is however a lack of a standardized method to inform and educate parents on how to handle OADs in a correct way at home.

Aim: To describe parents' experiences of handling OADs at home after participating in an educational intervention.

Method: Educational intervention in the present study aimed to improve parents' knowledge in key concepts that is, handling OADs at home by using information presented in different forms. Fifteen parents to 12 children with cancer were recruited from a paediatric oncology ward in Sweden to participate in an interview. The interviews were transcribed verbatim and subjected to qualitative content analysis.

Results: Parents' experiences are presented in categories: Relieved stress, Awareness of own exposure, Facilitated my everyday life, Parents need continued support individually. The educational intervention resulted in both positive and negative feelings, increased awareness of drug exposure and correct drug handling at home. Practical training and information presented in different ways facilitated the process of drug handling. To handle the drug correctly at home parents requested to be trained and informed in the beginning of their child's oral drug treatment. In addition, parents requested to be individually approached by HCP to get answers to questions and concerns.

Conclusions: This educational intervention study shows promising results for the method used by HCPs to inform and educate parents on complicated topics such as handling OADs at home.

Place, publisher, year, edition, pages
2025. Vol. 31, no 1, p. 1-8, article id e14089
Keywords [en]
Antineoplastic, Home care, Medication management, Paediatric cancer, Parents, Personnel protective equipment
National Category
Nursing Palliative Medicine and Palliative Care
Research subject
The Individual in the Welfare Society, Palliative Care
Identifiers
URN: urn:nbn:se:esh:diva-11188DOI: 10.1111/jep.14089ISI: 001268088000001PubMedID: 38993024OAI: oai:DiVA.org:esh-11188DiVA, id: diva2:1924534
Available from: 2025-01-06 Created: 2025-01-06 Last updated: 2025-09-22Bibliographically approved

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Kreicbergs, UlrikaLövgren, Malin

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