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All Journal Jurnal Keperawatan Priority Caring : Indonesian Journal of Nursing Science
Dewi Elizadiani Suza
Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Nurses’ Communication in Providing Care for Children with Cancer: Literature Review Dina Rasmita; Dewi Elizadiani Suza; Setiawan; Diah Arruum; Nurbaiti
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7823

Abstract

Cancer in children presents a major global health problem, impacting not only the physical condition of pediatric patients but also causing significant psychological and social challenges for both the children and their families. Effective communication between nurses, children, and families is essential to ensure quality care, support psychosocial adaptation, and foster active involvement in decision-making. The study design used literature review. This literature review was conducted using PubMed, Scopus, and CINAHL (EBSCO) databases, focusing on articles published from 2014 to 2025. The inclusion criteria were English-language articles discussing nurse communication with children aged 0-18 diagnosed with cancer, with nurses as the main communicators, and full-text availability. The findings indicate that nurses assume multifaceted roles not only as providers of medical information, but also as emotional supporters, advocates, and key facilitators in multidisciplinary healthcare teams. Communication approaches identified include tailoring information to the child’s developmental stage and cultural context, validating emotions, and employing active listening, open-ended questioning, and reflection. However, nurses face considerable barriers such as limited time, insufficient communication training, unclear professional roles, emotional burden, and systemic challenges within healthcare settings. Therefore, there is a need to improve communication training, enhance institutional support, and develop policies that encourage multidisciplinary collaboration and a work environment that supports effective communication. These efforts are expected to strengthen the role of nurses in providing holistic, adaptive, and family-centered care in the pediatric oncology setting.
Nurse-Mediated Parental Involvement in Pediatric Oncology: A Scoping Review Dina Rasmita; Dewi Elizadiani Suza; Dwi Karina Ariadni
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8512

Abstract

Parents investing time in caregiving is an essential component of their child's treatment in pediatric oncology. The literature describing the processes through which parents engage is often vague. This study collated evidence regarding engagement of parents in the care of pediatric oncology patients by nurses and care processes pertaining to nurses, and examined this evidence. A Scoping review designed according to PRISMA-ScR was conducted. The literature was collected from Scopus, Web of Science, PubMed, and CINAHL. Literature pertaining to pediatric oncology, parents, or family caregivers in the context of nursing from 2021-2026 was included. Of the 168 records, 20 studies were included. The evidence was framed as five facets of nursing: presence, information translation, family process support, coaching for home care and symptom management, and technology-supported care. Parent engagement in care was articulated through four process qualities: understanding, confidence, participation, and continuity in care from hospital to home. Evidence was most readily available for relational work and for the communication domain. Evidence was scarce for guidance on systematic discharge, preparation for home care, and inclusion of fathers and families of diverse language groups. Engagement of parents in pediatric oncology is better articulated as a process with nursing as a central element with clearly defined components rather than as a general family-centered construct.
Adolescent Barriers to Understanding Cancer Information:A Qualitative Study Dina Rasmita; Dewi Elizadiani Suza; Dwi Karina Ariadni
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.25785

Abstract

Cancer-related information is widely accessible to adolescents through schools, families, social media, and their surrounding environment. However, adequate understanding has not necessarily been produced by increased access to information. In this study, adolescents' experiences of the barriers that are encountered in the accessing and understanding of cancer-related information were aimed to be explored. A qualitative study with a descriptive phenomenological approach was conducted. Eighteen Grade XII students from SMK Negeri 14 Medan were purposively selected and were participated in semi-structured interviews. The data were analysed manually using Colaizzi's phenomenological method. Three main themes were identified by the analysis: (1) difficulty in the understanding of complex and diverse cancer information; (2) difficulty in the filtering and prioritising of large volumes of cancer information; and (3) difficulty in the coping with uncertainty before an adequate understanding of cancer was developed. These barriers were associated with fragmented and limited information, unfamiliar medical terminology, communication that was not tailored to adolescents' level of understanding, the broad scope of cancer-related topics, challenges in the prioritising of information, confusion in the distinguishing between symptoms, prevention, and treatment, and the perception of cancer as an inevitable death sentence. It is suggested by the findings that cancer information for adolescents should be communicated using clear, age-appropriate language, be presented progressively, be tailored to their lived experiences, be delivered by trusted sources, and be designed with consideration for adolescents' psychological needs. Valuable insights for the development of school-based cancer education programmes and adolescent-centred nursing interventions are provided by these findings.                                                                                                           Keywords: Cancer, Health literacy, Health information, Teenagers
Co-Authors Arruum, Diah Dina Rasmita Dina Rasmita Dwi Karina Ariadni Nurbaiti Setiawan