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Journal of Pediatric Oncology Nursing
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Pediatric Oncology Nurses' Management of Patients' Symptoms

Jennifer I. Rheingans, PhD, RN, CPON

Department of Education, Clinical Practice, and Research, Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239, Jennifer-rheingans{at}smh.com

The purpose of this article is to describe the results of a national descriptive survey of 509 pediatric oncology nurses' interventions for managing patients'symptoms. The Nurses' Distress and Interventions for Symptoms Survey (NDISS) is used to assess nurses' management of patients' 7 most distressing symptoms. The average number of symptoms reported as being present is 6.0 (SD 1.3; range, 0-7). Pain is the most commonly reported symptom; trouble sleeping is the least common. The mean score for nurses' distress is 2.9 (SD 0.8; range, 0-4); nurses' distress is greatest with trouble sleeping and lowest with hair loss. Nurses use an average of 12.7 interventions to treat each symptom; pain has the greatest number of interventions to treat and hair loss the least. The average perceived effectiveness of interventions across symptoms is 2.5 (SD 0.5; range, 0-4). Pain is perceived as the most effectively treated symptom; fatigue is the least.

Key Words: Key words: children • cancer • interventions • non-pharmacologic • distress

This version was published on November 1, 2008

Journal of Pediatric Oncology Nursing, Vol. 25, No. 6, 303-311 (2008)
DOI: 10.1177/1043454208323294
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Home page
 Journal of Pediatric Oncology NursingHome page
J. I. Rheingans
Relationship Between Pediatric Oncology Nurses' Management of Patients' Symptoms and Job Satisfaction
Journal of Pediatric Oncology Nursing, November 1, 2008; 25(6): 312 - 322.
[Abstract] [PDF]


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