Evidence map›Paper›PMID 41014003›Full record

ArticleJournal of clinical nursing2026

Challenges of Parents While Providing Complex Medical Care at Home to Children With Cancer: A Cross-Sectional Convergent Mixed Methods Study.

Rachel Klausner Shyman, Sveta Roberman, Gal Goldstein, Sabaa Masarwe, Amy Solnica, Rachel Yaffa Zisk-Rony

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rachel Klausner ShymanHenrietta Szold Nursing Department, Hadassah-Hebrew University Medical Center and Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Sveta RobermanGordon Academic College for Education, Haifa, Israel.
Gal GoldsteinPediatric Hemato Oncology Department, Hadassah Medical Center, Jerusalem, Israel.
Sabaa MasarweSchool of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Amy SolnicaHenrietta Szold Nursing Department, Hadassah-Hebrew University Medical Center and Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Rachel Yaffa Zisk-RonyHenrietta Szold Nursing Department, Hadassah-Hebrew University Medical Center and Faculty of Medicine, The Hebrew University, Jerusalem, Israel.

Funding

Israel Cancer Association
6 · The paper itself

Abstract

aimTo explore challenges parents of children with cancer encounter while providing complex medical care at home.

methodsDesign: Cross-sectional convergent mixed-methods study. INSTRUMENTS: Questionnaire and open interviews that mirrored and complemented each other.

resultsParents (n = 32), with no prior medical training, were expected to remain constantly vigilant as they monitored and managed rapidly changing situations. Regardless of time from diagnosis, they detected a mean of 3.3 ± 1.4 (0-6) symptoms, reported administering up to 22 daily medications, including cytotoxics, narcotics and injections, and dealt with many related challenges. Parents described needing responsive communication channels, especially when dealing with bleeding and infection emergency situations during off-hours.

conclusionsFindings highlight the constantly shifting demands when managing a child with cancer at home. Educational programmes that address parental needs throughout treatment, tailored to protocol changes and individual circumstances, should be expanded and further developed. PATIENT CARE IMPLICATIONS: Parents need continual education regarding home management throughout their children's illness and treatment. IMPACT: This study addresses challenges parents of children with cancer encounter while providing complex medical care at home. The findings demonstrated that parents, responsible for administering numerous medications via various routes and managing symptoms and side effects, did not feel confident performing these tasks regardless of time from diagnosis. Nurses should adapt ongoing parental education regarding complex medical tasks, symptoms, side effects, emergency detection and management for children with cancer at home. The study adhered to the Mixed Methods Appraisal Tool (MMAT) and STROBE reporting method. PATIENT CONTRIBUTION: Parents of children with cancer participated in the design and questionnaire validation.

Indexed as

Home Care ServicesNeoplasmsParentsAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleSurveys and Questionnairescomplex medical carehomepaediatric cancerparents

Identifiers

PMID41014003
PMCPMC12862524

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.