{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T19:18:52Z","timestamp":1785525532514,"version":"3.56.0"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T00:00:00Z","timestamp":1699228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T00:00:00Z","timestamp":1699228800000},"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":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Effective communication in end\u2010of\u2010life care for pediatric cancer patients is crucial. Yet, limited research focuses on the communication experiences of pediatric oncology nurses during this period. This study aims to investigate the communication experiences and needs of these nurses with children and their families during the end\u2010of\u2010life period. A qualitative study design with photo voice methodology was followed. The research was conducted with 16 pediatric oncology nurses working in the pediatric oncology wards of a university hospital between January and May 2023. Data were collected the \u201cCharacteristic Information Form\u201d, \u201cSemi\u2010Structured Interview Form\u201d, and photovoice methodology. Data were analyzed through reflexive thematic analysis. Most of the nurses are at the undergraduate level, and their working experience in pediatric oncology wards ranges from 4\u2009months to 17\u2009years. Seven main themes emerged: Optimistic Communication\u2010Interaction, Mindfulness, Active Coping, Behavioral Actions, Death Uncertainty Dilemma, Interpersonal and Environmental Factors, and Discrepancy between Ideals and Reality. The study sheds light on the importance of pediatric oncology nurses' ideals versus realities upstream approach in communicating with end\u2010of\u2010life children and their families, empowering pediatric oncology nurses on the journey to ideal end\u2010of\u2010life care.<\/jats:p>","DOI":"10.1111\/nhs.13062","type":"journal-article","created":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T18:44:31Z","timestamp":1699296271000},"page":"685-699","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Realities and ideals: Experiences and needs of pediatric oncology nurses in communication processes with children and their families at the end\u2010of\u2010life period: A photovoice qualitative study"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4418-613X","authenticated-orcid":false,"given":"Hazal","family":"\u00d6zdemir Koyu","sequence":"first","affiliation":[{"name":"Nursing Faculty Department of Pediatric Nursing Gazi University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0945-2145","authenticated-orcid":false,"given":"G\u00f6kce","family":"Alg\u00fcl","sequence":"additional","affiliation":[{"name":"Health Research and Application Center Gazi University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3358-7616","authenticated-orcid":false,"given":"Ebru","family":"Kilicarslan T\u00f6r\u00fcner","sequence":"additional","affiliation":[{"name":"Nursing Faculty Department of Pediatric Nursing Gazi University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781529770278.n3"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2021.1926397"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/27527530221140073"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.04.182"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1769238"},{"key":"e_1_2_12_7_1","unstructured":"Consolidated criteria for Reporting Qualitative research (COREQ). (2023).https:\/\/cdn.elsevier.com\/promis_misc\/ISSM_COREQ_Checklist.pdf"},{"key":"e_1_2_12_8_1","volume-title":"Research design: Qualitative, quantitative, and mixed methods approaches","author":"Creswell J. W.","year":"2020"},{"key":"e_1_2_12_9_1","article-title":"Mothers' experiences post\u2010childhood cancer treatment: A qualitative study","volume":"32","author":"Davies J.","year":"2022","journal-title":"Journal of Child and Family Studies"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0272504"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001113"},{"key":"e_1_2_12_12_1","article-title":"Cancer nursing research priorities: A rapid review","volume":"63","author":"Dowling, M., Efstathiou, N., Amanda D., Cherith, S., Fern\u00e1ndez\u2010Ortega, P., Dieperink, K. B., Pape, E., Kotronoulas, G., Miguel, S., & Colomer\u2010Lahiguera S.","year":"2023","journal-title":"European Journal of Oncology Nursing"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2023.102271"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/10434542211041934"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.12.139"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.12.004"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e14096"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.11.013"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2023.151397"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2022-001677"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2017.1399508"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2019.1648333"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001102"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32637"},{"key":"e_1_2_12_25_1","first-page":"1097","article-title":"Effectiveness of meaning\u2010centered coaching on the job of oncology nurses on spiritual care competences: A participatory action research approach","volume":"10","author":"Modderkolk L.","year":"2023","journal-title":"Cancer Nursing"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000363"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2018.11.001"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29621"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2022.2057287"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.09.010"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2021.101923"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9020274"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-01105-0"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043454219835448"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-1193"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29405"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2021.0154"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2022.151565"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2019.0015"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6002"},{"key":"e_1_2_12_41_1","first-page":"1097","article-title":"A qualitative descriptive study of nurse\u2010patient relationships near end of life","volume":"10","author":"Walker S.","year":"2023","journal-title":"Cancer Nursing"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27993"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.7748\/nr.2018.e1516"}],"container-title":["Nursing &amp; Health Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.13062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nhs.13062","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.13062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:49:38Z","timestamp":1785520178000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nhs.13062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,6]]},"references-count":42,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1111\/nhs.13062"],"URL":"https:\/\/doi.org\/10.1111\/nhs.13062","archive":["Portico"],"relation":{},"ISSN":["1441-0745","1442-2018"],"issn-type":[{"value":"1441-0745","type":"print"},{"value":"1442-2018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,6]]},"assertion":[{"value":"2023-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}