Developing the Evidence Base in Pediatric Oncology Nursing Practice for Promoting Health-Related Quality of Life in Pediatric Oncology Patients.
Research has shown that self-esteem and hopefulness are positively related among female childhood cancer survivors (CCS) and contribute to their health-related quality of life (HRQOL). HRQOL remains a significant outcome of treatment for CCS. This study examined the relationships among self-esteem, hopefulness, and HRQOL in young adult female CCS to inform the development of evidence-based practice guidelines for pediatric oncology nursing practice. An online survey was conducted with a sample of young adult female CCS from 58 treatment centers across the United States at 4 time points: at baseline and at 6 weeks, 3 months, and 6 months after initial measurement time. The relationships between self-esteem, hopefulness, and HRQOL were statistically significant (Time 1, P = .05; Times 2, 3, and 4, P = .01) across all measurement times. These findings identify hopefulness and self-esteem as determinants of HRQOL and suggest that caring practices among pediatric oncology nurses that support psychosocial adjustment through promoting self-esteem and hopefulness have the potential to support HRQOL among young adult female CCS. These outcomes support the development of evidence-based practice guidelines to influence HRQOL outcomes among these survivors.
1 Villanova University, Villanova, PA, USA.
Mary Ann
MA
Cantrell
2 University of Scranton, Scranton, PA, USA.
Teresa M
TM
Conte
3 St. Jude Children's Research Hospital, Memphis, TN, USA.
Melissa M
MM
Hudson
4 Johns Hopkins University, Baltimore, MD, USA.
Kathy
K
Ruble
5 Minnesota State University in Mankato, MN, USA.
Kaye
K
Herth
6 Georgetown Medical Center, Washington, DC, USA.
Aziza
A
Shad
7 Capstone Pediatrics, Nashville, TN, USA.
Alyssa
A
Canino
D000328:Adult; D002648:Child; D055317:Evidence-Based Practice; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009369:Neoplasms / Q000523:psychology*; D009859:Oncology Nursing; D010371:Pediatric Nursing / Q000379:methods; D057184:Practice Patterns, Nurses' / Q000458:organization & administration*; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D017741:Survivors / Q000523:psychology*; D000078329:Workforce; D055815:Young Adult
adolescents and young adults; psychosocial; quality of life; survivorship
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