Exploration of hope in pediatric oncology patients and their families: A systematic review and meta-synthesis of qualitative studies.

Résumé

PURPOSE: Pediatric cancer, though less common than adult malignancies, poses significant emotional and psychological challenges for patients and their families. Despite advancements in medical treatments improving survival rates, hope remains a crucial psychological resource, influencing coping mechanisms and overall well-being throughout the cancer journey. This systematic review synthesizes qualitative studies exploring how pediatric oncology patients and their families perceive and experience hope.METHOD: Following PRISMA guidelines, a comprehensive literature search was conducted across PubMed, Cochrane Library, Scopus, and Web of Science. Eligible qualitative studies were systematically screened and synthesized using thematic analysis to explore experiences of hope among pediatric oncology patients and their families.RESULTS: Four key themes emerged: (1) Holding on to Hope reflects aspirations for recovery and normalcy; (2) Coping with Psychosocial Challenges highlights emotional struggles and the role of support systems; (3) Faith and Spirituality underscores religious beliefs and resilience in sustaining hope; and (4) Communication and Information Needs emphasizes the importance of clear, honest, and developmentally appropriate communication with healthcare professionals.CONCLUSIONS: Hope is a fundamental psychological resource for pediatric oncology patients and their families, shaping coping strategies and treatment adherence. Healthcare professionals should integrate hope-centered interventions to enhance emotional resilience. Future research should focus on developing and evaluating interventions that foster hope and improve psychosocial well-being in this vulnerable population.IMPLICATIONS TO PRACTICE: Nurses and healthcare professionals can strengthen emotional resilience and coping in children and their families by addressing uncertainty, supporting family involvement, and recognizing spiritual and cultural resources in clinical practice.