Volume 6, Issue 4 (11-2016)                   Iran J Ped Hematol Oncol 2016, 6(4): 235-243 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pourmovahed Z, Roozbeh B. Nursing Support System for Mothers of Hospitalized Leukemic Children: A Comparative Study . Iran J Ped Hematol Oncol. 2016; 6 (4) :235-243
URL: http://ijpho.ssu.ac.ir/article-1-272-en.html
Social Determinates of Health Research Center, Shahid Sadoughi University of Medical Sciences , Yazd ,Iran
Abstract:   (3418 Views)



In addition to child, families can be influenced traumatically by the leukemia and hospitalization. Adopting the philosophy of a family-centered care approach can maximize the well being of pediatric patients and their family. The philosophy is based on the collaboration of the family, nurses and hospital staff to plan, provide and evaluate care to establish the best plan of care for leukemic child and improve family stability as well, nurses should support the family. The current study was conducted to compare the opinions of mothers with nurses regarding the availability of nursing support for mothers of hospitalized leukemic children in a pediatric oncology ward.

Materials and Methods:

This comparative descriptive study was conducted on all mothers with leukemic children who were hospitalized in a pediatric oncology ward (n=89) of Shahid Sadoughi Hospital, Yazd, Iran and all nurses (n=21) in this ward during 2015. Data were collected through the NPST( Nurse-parent Support Tool) and demographic questionnairs. The obtained data were analyzed with SPSS (version 22).


The most important dimensions in terms of mothers' opinions were "emotional" (3.34±0.56) and "quality of care" (3.26 ±0.55) and considering nurses' opinions were "emotional" (3.22± 0.47) and "informational-communicational" (3.22± 0.43). Mann-Whitney test showed no significant differences between mothers' and nurses' opinions regarding four subscales of nursing support (p < 0.21).


The opinions of mothers and nurses in the pediatric oncology ward did not differ regarding the availability of nursing support. However with respect to the overall mean of nursing support from mother's perspective, it is necessary to provide further support for mothers by the nurses. The results of this study may be useful for improving nursing care in oncologic wards. 

Full-Text [PDF 194 kb]   (794 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/03/28 | Accepted: 2016/07/10 | Published: 2016/10/29

1. Panganiban-Corales A. Medina JRM .Family resources study: part1: family resources, family function and caregiver strain in childhood cancer. APFMJ. 2011; 10(14): 1-11. [Article]
2. Kashani F. Spiritual intervention effect on quality of life improvement in mothers of children with cancer. JMJ. 2012; 4(11): 127-149.(Persian). [Article]
3. Landier W. Childhood lymphoblastic leukemia: Current Perspectives,Oncol Nurs Forum. 2001;28(5):823-833. [Article]
4. Hu YM, Jiang ZF. Zhu Futang (2002).Textbook of Pediatrics. 7th ed. Beijing,China: PMPH, :2199Y2213. [Article]
5. Pui CH, Evans WE. Treatment of acute lymphoblastic leukemia. N Engl J Med. 2006;354(2):166-178. [Article]
6. Miles MS, Carlson J, Brunssen S. The Nurse Parent Support Tool. J Pediatr Nurs 1999; 14(1):44-50. [Article]
7. Han Jing , Liu Jun-E, Xiao Qian, Zheng Xiao-Lei, Ma Yue-Hong, Ding Yan-Ming. The Experiences and Feelings of Chinese Children Living With Leukemia:A Qualitative Study. Cancer Nurs. 2011; 34( 2):134-141. [Article]
8. Rodríguez-Sánchez et al. Relationships between quality of life and family function in caregiver. BMC Fam Pract . 2011; 12(19): 1-7. [Article]
9. Shields L, Hunter J, Hall J. Parents' and staff's perceptions of parental needs during a child's admission to hospital: an English perspective. J Child Health Care. 2004 ; 8(1):9-33. [Article]
10. Shields L, Kristensson-Hallström I. We have needs, too: parental needs during a child's hospitalisation. OBJN. 2004 ; 3(3). [Article]
11. Aein F, Alhani F, Mohammadi E, Kazemnejad A. Parental partici¬pation and mismanagement: a qualitative study of child care in Iran. Nurs Health Sci. 2009; 11(3):221–7. [Article]
12. Kyritsi H, Matziou V, Perdikaris P, Εvagelou Η. Parents' needs during their child's hospitalization.ICUS Nurs Web J. 2005; 23(3):1-9. [Article]
13. Shields L, Kristensson-Hallstrom I, O'Callaghan M. An examination of the needs of parents of hospitalized children: comparing parents' and staff's perceptions. Scand J Caring Sci. 2003 ;17(2):176-84. [Article]
14. Miles MS, Carter MC. Assessing parental stress in intensive care units. MCN: Am J Maternal/Child Nurs 1983;8(5):354-60. [Article]
15. Hallstrom I, Runeson I, Elander G. An observational study of the level at which parents participate in decisions during their child's hospitalization. Nurs Ethics. 2002 ; 9(2):202-14. [Article]
16. Kristensson-Hallstrom I. Parental participation in pediatric surgical care. AORN J. 2000 71(-5):1021-4, 6-9. [Article]
17. Hallstrom I, Runesson I, Elander G. Observed parental needs during their child's hospitalization. J Pediatr Nurs. 2002; 17(2):140-8. [Article]
18. Theofanidis D. Chronic Illness in Childhood: Psychosocial Adaptation and Nursing Support for the Child and Family .Health Sci J . 2007; 2:1-9. [Article]
19. Ierodiakonou C. Psychological problems in children. MASTORIDIS Thessaloniki;1991 295-296. [Article]
20. Wolchik S,Sandler IN. Handbook of Children's coping: Linking theory and intervention.New York: Plenum Press ;2013: 41-70. [Article]
21. Masoodi R. Alhani F. Moghadasi J. Ghorbani M. Effect of family-centered empowering intervention on knowledge, attitude and function of multiple sclerosis patients care givers. Journal of BUMS. 2010; 17(2): 87-97. (Persian) [Article]
22. Bowden V. Greenberg CS . Children and Their Families :The continuum of care .2010. 2 th ed. Philadelphia: Lippincott, Williams & Wilkins. [Article]
23. Goldenberg I. Goldenberg H. Family Therapy: An Overview. 2012 .8th ed. Belmont, CA: Thomson. USA. Brooks Cole Cengage Learning. [Article]
24. Brown J, Ritchie JA. Nurses’ perceptions of parent and nurse roles in caring for hospitalized children. Child Health Care. 1990: 19(1): 28-36. [Article]
25. Knafl KA, Cavallari KA, Dixon DM. Pediatric hospitalization: Family and nurses perspectives. Glenview, IL: Scott, Foresman & Company.1998. [Article]
26. Kristensson-Hallstrom, I., & Elander, G. Parents’ experience of hospitalization: Different strategies for feeling secure. Pediatr Nurs. 1997: 23, 361-367. [Article]
27. Miles M. S., & Frauman, A. Nurses' and parents' negotiations of caregiving roles for mew dically fragile infants. In: S. G. Funk, E.M. Tornquist, M.T. Champagne, and R.A. Wiese (Eds.), Key Aspects of Caring for the Chronically Ill. New York: Springer.1993 : 239-250. [Article]
28. Lee TY, Miles MS,Holditch-Davis D. Father,s support to mothers of medically fragile infants. J Obstet Gynecol Neonatal Nurs. 2006; 35:46-55. [Article]
29. Mok E, Leung SF.Nurses as providers of support for mothers of premature infants. J Clin Nurse. 2006;15 :726-34. [Article]
30. Sanjari M, Shirazi F, Heidari S, Salemi S, Rahmani M, Shoghi M. Nursing Support for Parents of Hospitalized Children. Issu Comprehens Pediatr Nurs. 2009; 32(3).120–130. ( Persian) [Article]
31. Miles MS, Funk S, Kasper MA. The stress response of mothers and fathers of preterm infants. Res Nurs Health.1992 ; 15(4): 261–269. [Article]
32. Akbarbegloo M , Valizadeh L, Asadollahi M. Mothers and nurses viewpoint on importance and amount of nursing supports for parents with hospitalized premature infants in neonatal intensive care unit. IJCCN . 2009; 2( 2) : 71-74. [Article]
33. Valizadeh L, Zamanzadeh V, Akbarbegloo M,Sayadi L. Importance and Availability of Nursing Support for Mothers in NICU:A Comparison of Opinions of Iranian Mothers and Nurses. Iran J Pediatr. 2012; 22(2):191-196. [Article]
34. Hallstrom I, Elander G. Decision-making during hospitalization: parents' and children's involvement. J Clin Nurs. 2004 Mar; 13(3):367-75. [Article]
35. Hopia H, Tomlinson PS, Paavilainen E, Astedt-Kurki P. Child in hospital: family experiences and expectations of how nurses can promote family health. J Clin Nurs. 2005; 14(2):212-22. [Article]
36. Yiu JMC, Twinn S. Determining the needs of Chinese parents during the hospitalization of their child diagnosed with cancer: an exploratory study. Cancer Nurs . 2001; 24(6):483. [Article]
37. Bruce B, Ritchie J. Nurses' practices and perceptions of family-centered care. J Pediatr Nurs 1997;12(4):214-22. [Article]
38. Mayumi M, Reiko N, Yoko K. Nurses perception of their relational behavior with family members of hospitalized patients: Survey of nurses who work at national hospital organizations in Tohoku district. Journal of the Faculty of Nursing. 2006; 8: 1-12. [Article]
39. Manongi RN, Nasuwa FR, Mwangi R, Reyburn H, Poulsen A, Chandler CIR. Conflicting priorities: evaluation of an intervention to improve nurse-parent relationships on a Tanzanian paediatric ward. Human Resources for Health . 2009; 7:50. [Article]

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | Iranian Journal of Pediatric Hematology and Oncology

Designed & Developed by : Yektaweb