{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:40:16Z","timestamp":1792172416552,"version":"4.4.0"},"reference-count":77,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood cancer is highly stressful and potentially traumatic for families. While trauma\u2010informed care (TIC) aims to address these impacts, little is known about how pediatric oncology nurses understand and use TIC in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This study was conducted using a qualitative descriptive design to explore pediatric oncology nurses' perceptions of trauma and trauma\u2010informed care. Fifteen nurses with at least 1\u00a0year of experience working in a pediatric oncology unit in a city hospital in T\u00fcrkiye were recruited through purposive sampling. Data were collected between June and July 2025 through face\u2010to\u2010face interviews using a semi\u2010structured interview guide based on the Trauma\u2010Informed Care Pyramid, and analyzed using Braun and Clarke's six\u2010phase thematic analysis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five major themes were identified: (1) family\u2010 and child\u2010centered communication and care, (2) understanding the health effects of trauma, (3) interprofessional collaboration, (4) understanding one's own history and reactions, and (5) screening and evaluation processes. Additionally, metaphor analysis revealed that nurses frequently described trauma as destructive objects, dark colors, natural disasters, harsh seasons, and bitter tastes underscoring perceptions of trauma as overwhelming and difficult to endure. These findings highlight both the potential for TIC integration and the current gaps in systematic training and organizational support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pediatric oncology nurses recognize the effects of trauma and the need for psychosocial care, yet structured TIC practices remain limited. Integrating TIC principles into nursing education, strengthening team collaboration, and implementing systematic screening are key to improving holistic, family\u2010centered care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70360","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:08:34Z","timestamp":1765609714000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Trauma\u2010Informed Care in Pediatric Oncology Nursing"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9281-1614","authenticated-orcid":false,"given":"Sevil","family":"\u00c7\u0131nar \u00d6zbay","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences Artvin \u00c7oruh University  Artvin T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4079-3776","authenticated-orcid":false,"given":"Dilek","family":"Gelin","sequence":"additional","affiliation":[{"name":"Department of Emergency, Kayseri City Hospital  Kayseri T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0318-3098","authenticated-orcid":false,"given":"Selma","family":"Durmu\u015f Sar\u0131kahya","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing Faculty of Health Sciences Artvin \u00c7oruh University  Artvin T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6980-1568","authenticated-orcid":false,"given":"Handan","family":"Boztepe","sequence":"additional","affiliation":[{"name":"Department of Nursing Faculty of Health Sciences Ankara Medipol University  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380221120836"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/27527530211056001"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010024\u201012272\u2010z"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwad126"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1494587"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010023\u201005016\u2010z"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2023.2278094"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10911359.2018.1472703"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1859"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2019.0048"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/fam0000463"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010599"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852918001268"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.2206"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.2741"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/23320249251318364"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1188\/24.CJON.E97\u2010E104"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.25706"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010025\u201012732\u20107"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2018.1441212"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1891\/JDNP\u20102024\u20100003"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/13634593241270955"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5737"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.30285"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2023.04.012"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00298"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/spcare\u20102024\u2010004927"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1057\/s41599\u2010024\u201003284\u2010y"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lingua.2022.103244"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000724"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2017.1335365"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780190848965.001.0001"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsj054"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/0735\u20107028.39.4.396"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/13561820.2022.2070142"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2025.09.001"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2024.2433976"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010240X(200008)23:4<334::AID\u2010NUR9>3.0.CO;2\u2010G"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135\u2010017\u20100574\u20108"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/FCH.0000000000000071"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"issue":"2","key":"e_1_2_13_45_1","first-page":"358","article-title":"Systematic Metaphor Analysis as a Method of Qualitative Research","volume":"10","author":"Schmitt R.","year":"2005","journal-title":"Qualitative Report"},{"key":"e_1_2_13_46_1","volume-title":"Metaphors We Live by","author":"Johnson M.","year":"1980"},{"key":"e_1_2_13_47_1","volume-title":"Metaphor Analysis: Research Practice in Applied Linguistics, Social Sciences and the Humanities","author":"Cameron L.","year":"2010"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1017\/9781107762350"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02765185"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.5437"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.11957"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.31067\/0.2019.225"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016\u20101278"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.24626"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840720964093"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/24694193.2023.2166159"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260517696855"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mop.0000245358.06326.e9"},{"key":"e_1_2_13_59_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/25.6.449"},{"key":"e_1_2_13_60_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsm049"},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3643"},{"key":"e_1_2_13_62_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17081342"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893\u20103200.21.3.407"},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732320983788"},{"key":"e_1_2_13_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16809"},{"key":"e_1_2_13_66_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15565"},{"key":"e_1_2_13_67_1","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/8572654"},{"key":"e_1_2_13_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2017.06.003"},{"key":"e_1_2_13_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12783"},{"key":"e_1_2_13_70_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.31579"},{"key":"e_1_2_13_71_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14093016"},{"key":"e_1_2_13_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2941"},{"key":"e_1_2_13_73_1","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco\u20102021\u2010000815"},{"key":"e_1_2_13_74_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2429"},{"key":"e_1_2_13_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2019.104256"},{"key":"e_1_2_13_76_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14683"},{"key":"e_1_2_13_77_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000379"},{"key":"e_1_2_13_78_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001707"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70360","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.70360","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70360","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T16:49:42Z","timestamp":1776012582000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":77,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/pon.70360"],"URL":"https:\/\/doi.org\/10.1002\/pon.70360","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-10-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70360"}}