{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:18:45Z","timestamp":1789841925604,"version":"4.0.1"},"reference-count":52,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T00:00:00Z","timestamp":1701302400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Juravinski Hospital and Cancer Centre Foundation"},{"name":"Banting Postdoctoral Fellowship"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>A cancer diagnosis in patients who are parents of minor children is uniquely stressful for both parents and children. Children need developmentally appropriate information and support to help reduce their fears and worries. Child life specialists (CLSs) are health professionals who work in pediatric environments to support children and families with the stress and uncertainty of illnesses. Increasingly, CLSs have been called upon to support children of patients in adult clinical environments. Our objective was to elucidate CLS caregiving narratives related to working with children of adult cancer patients. We used narrative inquiry to interview four CLSs working in adult oncology. Canadian CLSs who have experience providing care for children and families affected by parental cancer were recruited via convenience sampling. We used narrative analysis methods that included multiple close reads of the data, generating narrative themes, and noting conflicts or tensions in the data. CLSs\u2019 caregiving stories often highlighted the complexities of working in an adult oncology environment. Their narratives included challenges in providing optimal care to the children, including family-level barriers (such as parental wishes to withhold information from their children) and systemic barriers (such as late referrals and limited options for bereavement support). CLS participants identified several challenges of working with families in adult oncology. The CLSs highlighted a desire for additional institutional support for children of adult oncology patients and for themselves working in these environments in order to achieve what they believed to be optimal care.<\/jats:p>","DOI":"10.1177\/10497323231215950","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T19:42:30Z","timestamp":1701373350000},"page":"1084-1095","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["\u201cThere\u2019s So Much More Support We Could Have Provided\u201d: Child Life Specialists\u2019 Stories of the Challenges Working in Adult Oncology"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2623-8952","authenticated-orcid":false,"given":"Shipra","family":"Taneja","sequence":"first","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7347-6259","authenticated-orcid":false,"given":"Meredith","family":"Vanstone","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Lysecki","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, ON, Canada"},{"name":"Department of Pediatrics, McMaster University, Hamilton, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"McKean","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, McMaster Children\u2019s Hospital, Hamilton, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daryl","family":"Bainbridge","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Sussman","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Molinaro","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, ON, Canada"},{"name":"Institute of Health Sciences Education, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,30]]},"reference":[{"key":"bibr1-10497323231215950","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.05.001"},{"key":"bibr36-10497323231215950","volume-title":"What is a certified child life specialist?","author":"Association of Child Life Professions","year":"2022"},{"key":"bibr2-10497323231215950","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2021.102038"},{"key":"bibr3-10497323231215950","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.so.10.080184.001243"},{"key":"bibr4-10497323231215950","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-94337-4_27"},{"issue":"7","key":"bibr5-10497323231215950","first-page":"3095","volume":"24","author":"Bylund-Grenklo T.","year":"2016","journal-title":"Supportive Care in Cancer"},{"key":"bibr6-10497323231215950","doi-asserted-by":"publisher","DOI":"10.3102\/0013189X019005002"},{"key":"bibr7-10497323231215950","first-page":"1","volume-title":"The foundations of social research","author":"Crotty M. 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