Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an
ethnonursing study
Dublin Core
Title
Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an
ethnonursing study
ethnonursing study
Subject
behavior, health workers, preventing neutropenic fevers
Description
Introduction: Neutropenic fever is commonly found in children with leukemia after chemotherapy. Fever occurs
when children's immunity decreases after chemotherapy, and they are prone to infection. This study aims to describe
the cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever among hospitalized
children with leukemia after chemotherapy.
Methods: An ethnonursing study was conducted at a cancer referral hospital in Central Java, Indonesia. Data were
collected through observation in two Pediatric ward and chemotherapy unit for three months and FGDs and in-depth
interviews with health workers who provided care services to leukemia patients post-chemotherapy. Data were
collected from 14 informants: six nurses, four doctors, two clinical pharmacists, and two nutritionists. This study
employed four phases of Leininger analysis for qualitative data to develop its thematic structures.
Results: The analysis of the entire data has revealed five themes: (1) performing antiseptic and aseptic techniques
consistently, (2) nurse and dietician collaboration in handling eating difficulties post-chemotherapy, (3) collaborative
interactions interdisciplinary in handling medication, (4) patient placement in an isolation room adjusted to patients'
conditions, and (5) nurse’s challenge to educate patients and their families.
Conclusions: Health workers from multiple disciplines play essential roles in preventing neutropenic fever by
involving patients, parents, and other family members. It is necessary for the nurses to collaborate with other
healthcare professionals and educate patients, and families to participate in the care interventions for these patients
in minimizing the occurrence of infection among leukemia patients.
when children's immunity decreases after chemotherapy, and they are prone to infection. This study aims to describe
the cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever among hospitalized
children with leukemia after chemotherapy.
Methods: An ethnonursing study was conducted at a cancer referral hospital in Central Java, Indonesia. Data were
collected through observation in two Pediatric ward and chemotherapy unit for three months and FGDs and in-depth
interviews with health workers who provided care services to leukemia patients post-chemotherapy. Data were
collected from 14 informants: six nurses, four doctors, two clinical pharmacists, and two nutritionists. This study
employed four phases of Leininger analysis for qualitative data to develop its thematic structures.
Results: The analysis of the entire data has revealed five themes: (1) performing antiseptic and aseptic techniques
consistently, (2) nurse and dietician collaboration in handling eating difficulties post-chemotherapy, (3) collaborative
interactions interdisciplinary in handling medication, (4) patient placement in an isolation room adjusted to patients'
conditions, and (5) nurse’s challenge to educate patients and their families.
Conclusions: Health workers from multiple disciplines play essential roles in preventing neutropenic fever by
involving patients, parents, and other family members. It is necessary for the nurses to collaborate with other
healthcare professionals and educate patients, and families to participate in the care interventions for these patients
in minimizing the occurrence of infection among leukemia patients.
Creator
Elsa Naviati 1,3 Yati Afiyanti 2
* , Allenidekania Allenidekania 2
, and Enie Novieastari2
* , Allenidekania Allenidekania 2
, and Enie Novieastari2
Source
http://dx.doi.org/10.20473/jn.v19i1.50681
Date
February 2024,
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Elsa Naviati 1,3 Yati Afiyanti 2
* , Allenidekania Allenidekania 2
, and Enie Novieastari2, “Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an
ethnonursing study,” Repository Horizon University Indonesia, accessed February 22, 2026, https://repository.horizon.ac.id/items/show/11001.
ethnonursing study,” Repository Horizon University Indonesia, accessed February 22, 2026, https://repository.horizon.ac.id/items/show/11001.