br Bonito A Horowitz N McCorkle
42. Bonito A, Horowitz N, McCorkle R, Chagpar AB. Do healthcare professionals discuss the emotional impact of cancer with patients? Psychooncology. 2013;22:2046e2050.
44. Sep MS, van Osch M, van Vliet LM, Smets EM, Bensing JM. The power of clinicians’ affective communication: how reassurance about non-abandonment can reduce patients’ physiological arousal and increase information recall in bad news consultations. An experimental study using analogue patients. Patient Educ Couns. 2014;95:45e52.
46. Heyland DK, Allan DE, Rocker G, Dodek P, Pichora D, Gafni A. Discussing prognosis with patients and their Elafibranor (GFT505) near the end of life: impact on satisfaction with end-of-life care. Open Med. 2009;3:e101ee110.
47. Lelorain S, Bredart A, Dolbeault S, et al. How does a physician’s accurate understanding of a cancer patient’s unmet needs contribute to patient perception of physician empathy? Patient Educ Couns. 2015;98:734e741.
48. Lelorain S, Bredart A, Dolbeault S, Sultan S. A systematic review of the associations between empathy measures and patient outcomes in cancer care. Psychooncology. 2012;21:1255e1264.
49. Gallop K, Kerr C, Simmons S, McIver B, Cohen EE. A qualitative evaluation of the validity of published health utilities and generic health utility measures for capturing health-related quality of life (HRQL) impact of differentiated thyroid cancer (DTC) at different treatment phases. Qual Life Res. 2015;24:325e338.
Journal of Pediatric Nursing xxx (xxxx) xxx
Contents lists available at ScienceDirect
Journal of Pediatric Nursing
A qualitative study exploring coping strategies in Chinese families during children's hospitalization for cancer treatment
a School of Nursing, Sun Yat-Sen University, Guangzhou, China
b Sun Yat-Sen Memorial Hospital, Guangzhou, China
c Shandong College of Traditional Chinese Medicine, Yantai, China
Available online xxxx
Purpose: To explore how Chinese families cope with children's hospitalization for cancer treatment.
Design and methods: A descriptive qualitative inquiry was employed. Semi-structured interview was conducted in four pediatric oncology departments in four hospitals from November 2017 to June 2018. The interviews fo-cused on how families cope with the challenges resulting from their children's hospitalization for cancer treat-ment. Twenty one parents participated into the study.
Results: Four categories related to family coping strategies emerged from the data, including increasing family strength, maintaining optimistic thoughts, seeking external support, and not disclosing the unfavorable informa-tion.
Conclusions: Families had adopted multiple coping strategies to handle the challenges caused by children's hos-pitalization for cancer treatment. The influences of Chinese culture on family coping should be taken into consid-eration during family-centered interventions development. Further studies could analyze whether the spouse perspectives are independent from one another and whether the coping strategies change as the time of hospi-talization.
Practice implications: This study has reminded nurses' to become more concerned about the influences of culture on families' coping strategies during this challenging period. Other nurses in the world could understand how to enhance family coping strategies of Chinese clients.
Advanced therapy for childhood cancer is often associated with two to three years of repeated and prolonged hospitalization. This process is an immensely stressful experience for the entire family (Long & Marsland, 2011; Wiener et al., 2017) of a child with cancer, and may lead to a family crisis or threaten its integrity. Certain families adapt well to this situation, whereas others continue to experience extremely serious problems (e.g., divorce, disruption of family routine). Family ad-aptation can be assessed exploring family coping according to the Dou-ble ABC-X Model (Kong, 2010).