Abstracts / European Journal of Oncology Nursing 17 (2013) 892–899898

Conclusions

Catheter-associated infections and catheter blockage were the mostfrequent complications in our paediatric patients with CVC. Despite of thelow CLABSI rate when compared with pooled mean CLABSI rate (1.7 per1000 CVC days) for all paediatric haematology-oncology units reported in2010 National Healthcare Safety Network, staff training and patient edu-cation on CVC care should be reinforced to minimize infection. Moreover,continuous surveillance of the CVC complications is essential to improveinfection control and quality of patient care.

THE STATE OF DENTAL VISIT AND ORAL HEALTH CARE IN CHILDHOODCANCER SURVIVORS

N. Ito a, E. Suzuki a, C. Kawakami b, F. Inoue c

a Shukuutoku University, School of Nursing & Nutrition, Chiba, Japanb Toho University, School of Nursing, Tokyo, JapancMillefeuille Child Cancer Frontiers, Chairperson, Chiba, Japan

Purpose/objective

To research the state of dental visits * dentists' attitude/response whenthey are reported patients' cancer experience, their knowledge in child-hood cancer/ treatments and late effects, and managing skills for cancersurvivors, how survivors manage their dental health care as well.

Materials and methods

Mailed questionnaires to 204 survivors who live in a district (Chiba pre-fecture) in Japan. The questionnaire was prepared drawing on some lit-eratures about the state of dental visits, late effects related to mouth fromchildhood cancer treatments, and pediatric dental health.

Results

79 respondents including hematological malignancy. Age; 29 school chil-dren, 16 in 20's, 11 in 30's, 18 in adolescence. Time from completion oftreatment; 29 are �11 years and 28 are 3 years - 10 years.50 visit dental clinics (46 for dental check, 44 for tooth decay, 9 forhypotrophy of dental root, 9 for missing teeth and 2 for enamel hypopla-sia). They reported some troubles including ‘being easy to have a decay’,‘hypotrophy of dental root’ ‘poor secretion of saliva’ and ‘irregular teeth’. A30 years old survivor reported he had milk teeth still now. 54 reported todentists that they were cancer survivors and most of them receivedtreatment without any uncomfortable response and uneasiness, althoughsome were rejected treatment from the dentists or were referred to othermedical institutions.78 keep brushing teeth every day including 20 who have been carefuldental health care after childhood cancer experience.

Conclusions

Need for education of dental health care to patients and their familiesduring hospitalization. Need to give information about childhood cancertreatments and late effects to dentists because more than 60% visit den-tist's office. They visit a dentist whom they used to visit before diagnosis ofcancer and keep good communication with the dentist. It is important toconfirm if patients have trustworthy dentist at the time of dischargingfrom the hospital.

A GLOBAL WEB-BASED PROGRAMME ABOUT CANCER IN LANGUAGESPECIFIC FOR STAFF, A SICK CHILD AND THEIR FAMILY

M. Jenholt Nolbris a, B. Wee Sævig b, J. Challinor c, I. Skärsäter d,L.Z. Abramovitz e

aCentrum for Children's Right, Queen Silvia's Children's Hospital SahlgrenskaUniversity, Gothenburg, Swedenb The Norwegian Cancer Society, The Norwegian Cancer Society, Bergen,NorwaycDepartment of Physiological Nursing, University of California, San Francisco,USAd School of Health and Social Sciences Halmstad University, SahlgrenskaAcademy Gothenburg University, Gothenburg Halmstad, SwedeneUCSF Medical Center, University of California, San Francisco, USA

Purpose/objective

To have expert paediatric oncology nurses to inform and explain childhoodcancer diagnoses, treatments, side effects, situations and feelings, bydeveloping a web-based programme.

Materials and methods

The programme will be developed and tested in three steps. Step 1 is todevelop a web portal with animated pictures of cancer themes based onthe ‘See Hear Do’ programme in Sweden and Norway. Step 2 is to add textand audio in several languages for each theme (such as Arabic, English,Spanish). Step 3 is to develop two informational sections on the webportal: one section for staff and for the patient and family. The staff,children and families will evaluate each section as appropriate before theprogramme is published on the web portal. A participatory design methodis going to be used. The programme will also be offered to nurses in theInternational Society of Paediatric Oncology and nursing working group ofthe Pediatric Oncology in Developing Countries committee for translationinto their native languages.

Results

Expected result is that the web portal can easily be downloaded viacomputer, iPad or mobile and can be used twofold. Staff can use thisprogramme for self-education and for working with the child andfamily. The child and family can use the web programme in varioussituations during the child's cancer treatment, e.g., explaining thediagnosis to family members, schoolmates, families' networks, duringphone calls using an interpreter or for persons with a visual or auditorydisability.

Conclusions

Goal of the project is to globalize childhood cancer education and infor-mation with a web-based programme including pictures, text and audio invarious languages. Theprogramme isdesigned toconsider theprofessional'sinformation and the child and family's needs and participation. The activerole of all stakeholders to ensure cultural relevance is key to this project.

SEARCH FOR A GOOD FIT BETWEEN NURSING PRACTICE ANDELECTRONIC NURSING RECORDS: BENEFITS AND LIMITATIONS OFNURSING RECORDS ON A PEDIATRIC HEMATO-ONCOLOGY WARD

E. Willems a, V. Van de Velde a, K. Goethals a, Y. Benoit a, G. Laureys a

a Paediatric Hemato-oncology and SCT, University Hospital Ghent, Ghent,Belgium

Purpose/objective

Nowadays, electronic charting is widely used in healthcare. The electronicpatient file has been introduced on our ward since May 2011 to improveworkflow and quality of documentation.Two years after implementation, the benefits and limitations of electronicnursing records are identified. This will contribute to the accurate selectionof a future electronic system in our hospital.