2:55 pm –3:15 pm Saturday, September 17

Primary Caregivers’ Knowledge Attitudes and Beliefs toward Palliative Care for Children with Cancer (235-3)

Parents of children with cancer perform a myriad of caregiving tasks related to Pediatric Palliative Care (PPC) along the illness trajectory. Yet, their knowledge, attitudes and beliefs (KAB) toward PPC remain underexplored, especially in Low and Middle Income Countries (LMICs) where care relies heavily on the family. A better understanding of parent KAB would inform effective strategies to support the integration of PPC into the care of children with cancer and their families.

The purpose of this two-phase multicenter study among primary caregivers of children with cancer in Lebanon was to examine their KAB toward PPC in order to uncover areas for improvement, to determine factors associated with KAB, and identify primary caregivers’ PPC tasks in caring for their children with cancer.

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11:10 am – 11:30 am Saturday, September 17

Improving the Efficiency and Efficacy for Patients in Sickle Cell Crisis in the Outpatient Setting (229-3)

The unpredictability of sickle cell crisis leads to same-day add-on visits where the patient is reliant on the provider of the day. Due to the lack of consistent providers, the interpretation of the patient’s pain can be influenced by a lack of understanding on how to properly manage it based on previous encounters. Read more...
9:45 – 10:45 am Thursday, September 15

Using Your Resources-The Role Of A Clinical Resource Nurse (208-2)

Patient census and acuity throughout healthcare institutions continue to rise as staffing numbers and resources remain the same. Nursing is asked to create innovative ways to maximize staff productivity and efficiency, decrease burnout and increase retention while improving patient care. The development of a Clinical Resource Nurse (CRN) is an innovative approach to maximize the nurse's clinical potential and improve unit efficiency while working within the context of the current staffing model.

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2:15 pm – 2:35 pm Saturday, September 17

Do Parents Protect Themselves When Administering Home Oral Chemotherapy to Children with Acute Lymphoblastic Leukemia? (235-1)

As part of cancer treatment, parents of children with cancer are expected to administer multiple medications to their child in the home setting (Landier et al., 2016). Safe practices in delivering oral chemotherapy are an essential part of the education of parents of children with cancer (Rodgers et al., 2018). Little is known about what parents actually do in the home setting to protect themselves from exposure when administering oral chemotherapy.

 

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6:45 – 8:00 am
Saturday, September 17
CNE Presentation

Recognition Breakfast for Certified Oncology Nurses: Lighten Up and Laugh . . . .Learn to Take Yourself Lightly, For the Health of It! (RB)

Oncology Nursing is no laughing matter! But a positive work culture makes all the difference. Laughter raises client-centered focus, motivation, staff engagement, and, yes, even productivity while addressing compassion fatigue, staff satisfaction, and greater joy! A good “sense of humor” spills over into heart-centered patient care.


Craig’s keynote is guaranteed to shake loose some old paradigms, stimulate the ol’ funny bones, and leave participants with a true experience of “taking your work seriously while taking yourself lightly.”

*Please note that while this optional event is included in the conference fee, selecting the event on the registration form is required to attend. Space is limited to the first 300 certified hematology/oncology/BMT nurses who register.

ONCC homepage
APHON thanks ONCC for their generous support of this event. 
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Speaker:
Craig Zablocki
CNE Hours
1.25
2:45 pm – 3:05 pm Saturday, September 17

Association of Health Literacy with Comprehension of Key New Diagnosis Education Concepts in Parents/Caregivers of Children with Cancer (235-2)

Parents/caregivers of children newly diagnosed with cancer are expected to adequately care for their child at home upon hospital discharge, which entails understanding how to manage medication schedules, recognize key signs and symptoms, and access care emergently (Landier et al., 2016). Read more...
10:30 am – 10:50 am Saturday, September 17

A Collaborative Approach to the Development of Specialized Nursing Education in a Lower Middle-Income Country (Ghana) (229-1)

Children with cancer in low- and middle-income countries are four times more likely to die of the disease than those in high income countries. Expert nurses are critical to a successful pediatric oncology program, yet few opportunities exist for nurses across Ghana to receive specialized education. Read more...
4:55 pm – 5:15 pm Friday, September 16

Wearing Two Hats: Professional Boundaries When Balancing Direct Care and Research Roles (223-3)

Nursing care, whether in the clinical or research context, is guided and directed by the ANA Code of Ethics for Nurses. The Code of Ethics is based on the ethical principles of beneficence, nonmaleficence, autonomy and justice. These principles can serve to guide nurses as they navigate what may seem to be competing roles of direct-care nurse and nurse intervenor. This presentation will describe: 1) role conflicts that may present when the nurse functions as both care provider and intervenor as part of a research study and 2) strategies for managing role conflict.

Learning Objectives:

  • Describe role conflicts that may present when direct care nurses including advance practice nurses serve as intervenors in randomized clinical trials.
  • Identify key ethical principles that the nurse must always consider when providing care either in the clinical or research context.
  • Outline strategies to manage role conflicts that may present when direct care nurses serve as intervenors in randomized clinical trials.
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4:35 pm – 4:55 pm Friday, September 16

Pediatric Oncology Safety Simulation (223-2)

Pediatric Oncology patients are at high risk for rapid deterioration given their severity of illness, toxicity of interventions and associated immunosuppression. Pediatric Oncology focused escalation of care for patients experiencing clinical deterioration continues to present significant challenges within healthcare. At the current institution a two-year review of inpatient and outpatient oncologic emergencies was evaluated, and a comprehensive Oncology Safety Simulation Program was developed.The Oncology Safety Simulation Program has offered a hands on multi-disciplinary approach to educating physicians, nurse practitioners, nurses and pharmacists on safe practices during Oncology medical emergencies. Outcome data has been tracked to evaluate attendees' satisfaction and attendees' evaluation of their ability to utilize the education to change practices at the bedside. Data has been tracked with regards to use of intramuscular epinephrine administration during anaphylaxis and time to implementing the sepsis protocol during a sepsis workup. The simulation process development timeline will be reviewed, outcome data will be shared and latent safety effects will be reviewed.

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9:45 am – 10:15 am Friday, September 16

Insurance and Neighborhood Opportunity Predict Adverse Events in Children with Acute Lymphoblastic Leukemia (217-1)

Our prior research uncovered potential socioeconomic (SE) risk factors for two adverse events that impact children hospitalized with acute lymphoblastic leukemia (ALL): hyperglycemia and severe sepsis. That research, however, was limited to only two measures of SE status, insurance source and median neighborhood income. Composite indices of neighborhood social and economic stability are useful in gleaning understanding of pathways between a child’s immediate environment and health outcomes. Yet, there is little reporting of the best way to measure these aspects of a child’s environment in pediatric oncology nursing research.

This study was a side-by-side comparison of three measures of SE status: insurance source, area deprivation and neighborhood child opportunity. The study goal was to determine each one’s utility as risk a predictor of hyperglycemia and serious infections, two outcomes our team has shown are potentially influenced by SE factors.

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