Publications by authors named "Elizabeth Sniderman"
Background: Research expands knowledge and improves outcomes. Research is needed in all settings, but most often occurs in high-income countries (HIC) compared to low- and middle-income countries (LMICs). Publication in scientific peer-reviewed journals and authorship position are important for academic/clinical advancement.
View Article and Find Full Text PDFIntroduction: Optimal outcomes during childhood cancer treatment require effective management of toxicities, often called supportive care. A lack of agreement on what comprises supportive care limits the development and provision of comprehensive guidance (for this work, we have defined supportive care as any disease- or treatment-related condition experienced by children with cancer, excluding psychosocial conditions, palliative care, survivorship, or procedural topics). To address this gap, we conducted a consensus-building exercise among global experts to define and prioritize topics for supportive care.
View Article and Find Full Text PDFBackground: Pediatric oncology patients have increased risk for critical illness; outcomes are well described in high-income countries (HICs); however, data is limited for low- and middle-income countries (LMICs).
Methods: We systematically searched PubMed, EMBASE, Web of Science, CINAHL and Global Health databases for articles in 6 languages describing mortality in children with cancer admitted to intensive care units (ICUs) in LMICs. Two investigators independently assessed eligibility, data quality, and extracted data.
Article Synopsis
- Pediatric oncology nurse educators in LMICs rely on online healthcare information for training due to limited access to paid resources like nursing journals and textbooks.
- A project evaluated 86 childhood cancer websites using a scoring tool focusing on factors like currency, accuracy, and language options, with 51 qualifying for detailed evaluation.
- Of these, 48 websites were considered suitable resources for training nurses, although many offered content at higher reading levels than ideal for health literacy and were not peer-reviewed or consistently updated.
Background: High-quality clinical care requires excellent interdisciplinary communication, especially during emergencies, and no tools exist to evaluate communication in critical care. We describe the development of a pragmatic tool focusing on interdisciplinary communication during patient deterioration (CritCom).
Methods: The preliminary CritCom tool was developed after a literature review and consultation with a multidisciplinary panel of global experts in communication, pediatric oncology, and critical care to review the domains and establish content validity iteratively.
Background: As implementation science in global health continues to evolve, there is a need for valid and reliable measures that consider diverse linguistic and cultural contexts. A standardized, reproducible process for multilingual measure development may improve accessibility and validity by participants in global health settings. To address this need, we propose a rigorous methodology for multilingual measurement development.
View Article and Find Full Text PDFBackground: The COVID-19 pandemic altered healthcare systems globally, causing delays in care delivery and increased anxiety among patients and families. This study examined how hospital stakeholders and clinicians perceived the global impact of the COVID-19 pandemic on children with cancer and their families.
Methods: This secondary analysis examined data from a qualitative study consisting of 19 focus groups conducted in 8 languages throughout 16 countries.
Article Synopsis
- Qualitative research has historically supported quantitative studies to better understand pandemics, with the COVID-19 crisis introducing new challenges that researchers have addressed using innovative methods.
- The authors detail their experience conducting a multilingual global study on healthcare resilience among pediatric oncology teams during the pandemic, highlighting their unique methodology and factors that contributed to their success.
- They aim to share insights on their use of technology, collaboration within a diverse team, and rapid analysis techniques to benefit other researchers in similar contexts.
Article Synopsis
- COVID-19 significantly disrupted pediatric oncology care globally, resulting in increased demands on healthcare providers (HCPs) who had to adapt to continue their work despite challenges.
- A survey that gathered 311 responses from 213 institutions across 79 countries revealed that many institutions faced reduced clinical staff availability, with 66% reporting decreased provider availability and a lack of personal protective equipment affecting half of the providers.
- Focus group discussions highlighted that while HCPs experienced physical, psychological, and financial stress, increased teamwork and communication helped stabilize the negative impacts and maintain patient care continuity.
Background: In the face of unprecedented challenges because of coronavirus disease 2019, interdisciplinary pediatric oncology teams have developed strategies to continue providing high-quality cancer care. This study explored factors contributing to health care resilience as perceived by childhood cancer providers in all resource level settings.
Methods: This qualitative study consisted of 19 focus groups conducted in 16 countries in 8 languages.
Background: Although mortality due to COVID-19 has been reportedly low among children with cancer, changes in health-care services due to the pandemic have affected cancer care delivery. This study aimed to assess the effect of the COVID-19 pandemic on childhood cancer care worldwide.
Methods: A cross-sectional survey was distributed to paediatric oncology providers worldwide from June 22 to Aug 21, 2020, through the St Jude Global Alliance and International Society for Paediatric Oncology listservs and regional networks.
The COVID-19 pandemic quickly led to an abundance of publications and recommendations, despite a paucity of information on how COVID-19 affects children with cancer. This created a dire need for a trusted resource with curated information and a space for the pediatric oncology community to share experiences. The Global COVID-19 Observatory and Resource Center for Childhood Cancer was developed, launched, and maintained by the International Society of Pediatric Oncology and St.
View Article and Find Full Text PDFWith the World Health Organization (WHO) Global Initiative for Childhood Cancer, there is renewed interest in sustainable interventions to improve childhood cancer care in low-/middle-income countries (LMICs). Practitioners in LMICs have traditionally practiced "twinning," i.e.
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