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                  <text>Oncology</text>
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              <text>&lt;a href="http://doi.org/10.1136/bmjspcare-2016-001132" target="_blank" rel="noreferrer"&gt;http://doi.org/10.1136/bmjspcare-2016-001132&lt;/a&gt;</text>
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                <text>Non-pharmacological interventions for management of fatigue among children with cancer: systematic review of existing practices and their effectiveness</text>
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                <text>Bmj Supportive Palliative Care</text>
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                <text>2017</text>
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                <text>Cancer; Children; Complementary Therapy; Fatigue; Non-pharmacological</text>
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                <text>Bhardwaj T; Koffman J</text>
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                <text>OBJECTIVES: Fatigue is common among children living with cancer, particularly in advance stages. Little is known about the effectiveness of non-pharmacological approaches to manage this complex and distressing symptom among children. Thus, the present paper aim to critically examine the effectiveness and setting for non-pharmacological interventions to manage fatigue among children with cancer. METHODS: Six electronic databases were screened first in February 2013 and at second instance in March 2015. They include PsycINFO, Medline, EMBASE, CINAHL, Scopus and Cochrane library. All databases were systematically searched for literature on fatigue and cancer, limited to children (as age group) and English language. RESULTS: 1498 articles were identified, of which six were reviewed. Three types of interventions for managing fatigue were identified including (1) complementary and alternative medicine (healing touch/massage therapy), (2) exercise-based interventions and (3) nursing-based interventions. Most interventions were delivered during active treatment and in hospital settings where parents were involved to optimise participation. Despite fatigue scores being lower among intervention groups, no study findings were observed as being statistically significant. CONCLUSION: Fatigue is common among children treated for and living with cancer. The most appropriate setting to deliver non-pharmacological interventions to manage fatigue appears to be in hospital. However, in absence of any strong evidence, professionals need to be cautious about existing non-pharmacological interventions. Future research must adopt more rigorous research designs that are adequately powered using validated measures to identify potential benefits. In addition, researchers may wish to test psychosocial interventions shown to be of benefit in adults.</text>
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                <text>&lt;a href="http://doi.org/10.1136/bmjspcare-2016-001132" target="_blank" rel="noreferrer"&gt;10.1136/bmjspcare-2016-001132&lt;/a&gt;</text>
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              <elementText elementTextId="58991">
                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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        <name>Bhardwaj T</name>
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        <name>Bmj Supportive Palliative Care</name>
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        <name>Cancer</name>
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        <name>Children</name>
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        <name>Complementary Therapy</name>
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        <name>Fatigue</name>
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        <name>Koffman J</name>
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        <name>Non-pharmacological</name>
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        <name>Oncology 2017 List</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>June 2018 List</text>
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            <element elementId="47">
              <name>Rights</name>
              <description>Information about rights held in and over the resource</description>
              <elementTextContainer>
                <elementText elementTextId="112980">
                  <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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          <name>Citation List Month</name>
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              <text>June 2018 List</text>
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              <text>&lt;a href="http://doi.org/10.1136/archdischild-2018-rcpch.468" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/10.1136/archdischild-2018-rcpch.468&lt;/a&gt;</text>
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            <description>A name given to the resource</description>
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                <text>The experiences, attitudes and practices of nurses working in a paediatric intensive care unit caring for babies and children at the end of life: A qualitative study</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
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                <text>Archives of Disease in Childhood</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2018</text>
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            <description>The topic of the resource</description>
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                <text>nurse; pediatric intensive care unit; qualitative research; child; clinical article; conference abstract; documentation; female; genetic transcription; hospice; human; human experiment; infant; male; personal experience; sampling; scientist; semi structured interview; terminal care; uncertainty</text>
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            <name>Creator</name>
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                <text>Du Pre P; Brierley J; Koffman J</text>
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                <text>Introduction Of the 74% of UK childhood deaths that occur in hospital, an increasing number-up to 65%-occur in PICU. There is little information about the impact of this on those who provide minute-to minute care of the children and their families, the bedside nurses. Aims The objectives of this study were to explore the lived experiences, attitudes and practice of nurses delivering PICU end-of-life care (EOLC). Method Maximum variation sampling: range of roles and clinical experience to identify potential participants who may hold different views. Qualitative approach with face-to-face semi-structured interviews away from the bedside. (Build rapport, tackle hierarchy and enable undiluted, in depth, exploration.) Researcher introduced broad topic areas, then specific questioning responsive to participant replies. Areas: clinical background ('ice-breaker'); experiences caring for children at EOLC; view of what good outcome entails; any experiences taking children home or to hospice for EOLC.; challenges faced providing EOLC; discussions surrounding EOLC (who/when/how documentation. Recollected case EOLC done well and one where done badly Interview process designed to maximise richest data. Face-to-face interviews to obtain detailed investigation of participant's personal perspectives within complex systems. Qualitative methodology sought and preserved original lived experience of participants and offer insight into individuals' subjective lived-experiences, providing rich descriptions contextualised to par-ticipants personal settings and social meanings. Data recorded, transcribed and analysed thematically. Results Seven participants. Main themes were facilitating factors and challenges faced providing optimal EOLC for children and families. Themes included: offering choice to families; meeting family's needs; past experience; relationships with families; conflict in a few hard cases; communication; uncertainty and lack of time. Participants consider they do this well most of the time and find this aspect of work hugely satisfying when done well but extremely hard when there are difficulties Conclusions This study provided rich insights into the lived experiences of nurses caring for children at end of life in PICU. We demonstrated the values and models of good practice as well as the barriers encountered. There continues to be a need to advance the evidence base in order to improve this aspect of care.</text>
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                <text>&lt;a href="http://doi.org/10.1136/archdischild-2018-rcpch.468" target="_blank" rel="noreferrer noopener"&gt;10.1136/archdischild-2018-rcpch.468&lt;/a&gt;</text>
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            <description>Information about rights held in and over the resource</description>
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              <elementText elementTextId="113001">
                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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