UNIVERSITY OF SANTO TOMAS – COLLEGE OF NURSING

Espana Boulevard, Sampaloc, Manila, Philippines 1015

Tel. No. 406-1611 loc.8241 | Telefax: 731-5738 | Website: www.ust.edu.ph

Name: SALAZAR, Nica Sharmaine C. RLE: 8.4

Yr.&Sec.: 4NUR8 Clinical Instructor: Ma’am Llanes

RESEARCH BIBLIOGRAPHY LEVEL IV

Title of the article:
Promotion of Well-being During Treatment for Childhood Cancer
APA Format:
Derman, Y. E., & Deatrick, J. A. (2016). Promotion of Well-being During Treatment for
Childhood Cancer. Cancer Nursing, 39(6). doi:10.1097/ncc.0000000000000318

Guide Questions:

1. Using the PICO format, formulate your questions:

a. What is the population of interest?
 The population of interest in the study are Pediatric patient with cancer that are being
treated using the art therapy
b. What is the intervention implemented or the interest?
 The intervention that was implemented in the study was the use of Art therapy in
alleviating the suffering of oncologic patients primarily through making tangible visual
art implemented during the course of treatment to enhance the physical, emotional,
social and mental well being of the patients such as reducing fear, pain and anxiety;
achieving a sense of control; and enhancing communication with the health care team
particularly the treatment team.
c. What is the comparison? Or the current applicable practice or status?
 In the Philippines, our current practice coincides with the intervention, however, there
are few studies and few institutions that are using art therapy in promoting the well-
being of the oncologic-pediatric patients. However, we use art therapy in the pediatrics
department in general regardless of the illness.
d. What is the outcome of interest?
 The purpose of this article is to assess, analyze and summarize the research evidence
regarding the role of the art therapy or art intervention for promoting the well-being of
pediatric oncology patients going through their treatment-related struggles.
2. Discuss your process of evidence research
a. Identify key words used
 Oncology
 art therapy
 nursing management for cancer
b. Identify data bases used
 Science direct
 Elsevier
 Wolters Kluwer Health
c. Identify at least 5 potential articles relevant to your problem

Derman, Y. E., & Deatrick, J. A. (2016). Promotion of Well-being During Treatment for
Childhood Cancer. Cancer Nursing, 39(6). doi:10.1097/ncc.0000000000000318 (LEVEL
1)

Eswar, C. (2014). Oncological management of cancer pain. Practical Management of

Complex Cancer Pain, 53-60. doi:10.1093/med/9780199661626.003.0005 (LEVEL 6)

Upton, P. (2014). Childhood Cancer. Encyclopedia of Quality of Life and Well-Being

Research, 765-767. doi:10.1007/978-94-007-0753-5_341 (LEVEL 6)

Powers, J. M., Daniel, C. L., Mccavit, T. L., & Buchanan, G. R. (2016). Deficiencies in the
Management of Iron Deficiency Anemia During Childhood. Pediatric Blood & Cancer,
63(4), 743-745. doi:10.1002/pbc.25861 (LEVEL 3)

Ward E, DeSantis C, Robbins A, Kohler B, Jemal A. Childhood and adolescent cancer

statistics. CA Cancer J Clin. 2014;64(2):83Y103. (LEVEL 4)

d. Choose one article to appraise

Derman, Y. E., & Deatrick, J. A. (2016). Promotion of Well-being During Treatment for
Childhood Cancer. Cancer Nursing, 39(6). doi:10.1097/ncc.0000000000000318

Children in the pediatric oncology setting who are accepting treatment face
numerous difficulties that are not part of their supposed to be usual age-related encounters.
They are often subject to painful procedures. They may have lost control over their bodies
and must comply with those prescribing the procedures they must undergo, which may
occur at unexpected intervals. The familiar is disrupted; they have been removed from
home, family, school, and friends. They may not have adequate parental support. These
struggles are particularly addressed in this literature review. The purpose of this literature
review is to evaluate and incorporate research proof with respect to the role of art
 therapy/art making for promoting the well-being of pediatric oncology patients going
through their treatment-related challenges. Sample sizes ranged from 8 to 50 participants;
Three studies involved art interventions in an inpatient treatment setting in a children’s
hospital; Two studies took place in the outpatient treatment setting in a children’s hospital;
and One study took place in both the inpatient and outpatient settings of a children’s
hospital in the United States. Art therapy or art-making interventions implemented in
either an inpatient or outpatient hospital treatment setting, facilitated by an art therapist or
trained play worker, and administered before, during, or after treatments, may promote the
well-being of pediatric oncology patients of both genders (aged 2Y21 years) undergoing
treatment by(1) reducing anxiety, fear, and pain and promoting cooperative behavior for
painful or invasive treatment protocols; (2) by enhancing patient communication with the
treatment team; (3) and by counteracting the disruption of selfhood that cancer treatment
evokes. Nurses recognize the therapeutic nature of art interventions in the oncology
treatment setting and perceive it as a venue for promoting cooperative behaviors during
treatment. Art interventions may be tools that facilitate communication with the treatment
team, control pain and anxiety, and promote a positive self-image. This literature review,
gave emphasis to the important role of the nurses; it provided the readers the struggles the
nurses have to undergo in taking care of the pediatric patients suffering from cancer. We
all know that children crying breaks the heart of many individuals, what more when you
see one in agony because the treatment he or she receiving, which is a very common
scenario for the nurses.

e. Assess the available evidence for its appropriateness and applicability for our practice

The study was supported by other studies which suggest that art therapy is indeed
helpful in alleviating the suffering of the cancer patients. The design used was appropriate
to come up with the results. The studies went through the due process wherein it was
validated and established its rigor and reliability. The sample was filtered using the
inclusion and exclusion criteria; the tools used were also validated and lastly, the data
collection methods were appropriate and ethical.

3. Give your general comment on the study identified

The study is very informative. It was indeed heartbreaking handling or taking care
of a pediatric oncology patient screaming in pain while undergoing treatment, but As
nurses, we stand alongside our patients’ suffering and should consider the facilitation of
art making as part of our privileged presence. Although many art interventions have been
undertaken by fully trained art therapists and child-life workers, nurses can further promote
the integration of arts interventions into their pediatric oncology patients’ care plan to
encourage self-expression, maintain communication with the treatment team, reduce pain,
 and promote positive coping strategies. This opens up another window for the nurses to
help their patients suffering from the challenges of treatment in cancer. This also helps the
patients and their families in terms of financial matter. Instead of buying pain medications,
they could just use the art therapy in alleviating the pain of the patient. Also, Nursing
education should address the value of interdisciplinary collaboration with art therapists and
child-life specialists. interdisciplinary collaboration among health professionals and
suggest that nurses and art therapists alike should be well versed with a variety of art
interventions in order to provide synergistic management of the pain and anxiety inherent
in the treatment setting.

4. Give your recommendation for evidence-based practice

I would not recommend anything. However, If I were in the position, I would

reinforce the implementation of the art therapy in pediatric oncology patients here in the
Philippines despite the lack of manpower. It would be a big help for the whole health care
team and the patients if this intervention would be fully reinforced. However, if this
intervention would be reinforced in the Philippines, further and higher-quality of
researches are required to eliminate issues especially its cost-efficiency.