Affiliation:
1. Department of Anaesthesia Children's Health Queensland South Brisbane Queensland Australia
2. School of Nursing and Midwifery Griffith University Southport Queensland Australia
3. Department of Anaesthesia Gold Coast University Hospital Gold Coast Queensland Australia
4. Starlight Children's Foundation New South Wales New South Wales Australia
5. Faculty of Medicine and Health School of Clinical Medicine UNSW Medicine & Health UNSW Sydney Sydney New South Wales Australia
Abstract
AbstractBackgroundRetinoblastoma is a rare childhood ophthalmic cancer that requires frequent eye examinations under anaesthesia and painful or distressing procedures. This can cause significant anxiety for children and their families.ObjectiveWe evaluated a Starlight Children's Foundation programme, ‘Captains on Call’, at the Queensland Children's Hospital, which aims to provide positive distraction and reduce stress, anxiety and pain during the perioperative journey for children in the retinoblastoma treatment pathway. This study examined the impact of the programme on the perioperative experience of the children and their families, using a qualitative design.MethodsThis study was conducted in a paediatric operating suite at a tertiary‐level children's hospital in Australia. We interviewed a parent from 20 families (from a cohort of 40 families, including 44 children), whose children received treatment or screening for retinoblastoma, focusing on the programme's impact on the child and family at various stages during the perioperative journey. We undertook a thematic analysis of transcribed interviews.ResultsWe identified two themes, each with two sub‐themes: (1) the programme positively contributed to the overall treatment journey, by addressing different needs at different times, and helping to reframe a traumatic medical experience, and (2), the programme supported the whole family unit by empowering children through play, and adopting a family systems approach which recognised the impact of cancer treatment on the whole family.ConclusionThis study highlights the value of the Captains on Call programme in supporting children with retinoblastoma and their families during perioperative visits. The Captains, particularly as non‐medicalised professionals in a healthcare setting, built trust and rapport with the children through play over repeated episodes of care. The interprofessional collaborative approach with a reflective cycle of practice extended it beyond a programme providing simple distraction. Other retinoblastoma services may benefit from implementing a similar approach.