Literature Review: Telenursing in Palliative Care for Children with Cancer
Main Article Content
Abstract
Children with cancer often require continuous, holistic palliative care to manage both physical symptoms and psychosocial needs. However, limited access to in-person services—especially in rural or underserved areas—poses a significant barrier. Telenursing, as a form of telehealth, offers an innovative approach to delivering pediatric palliative care remotely. This literature review aims to explore the impact of telenursing in supporting palliative care among children with cancer. The review followed a PRISMA-based selection process, including seven primary research articles published between 2021 and 2025, sourced from both international and Indonesian journals. Studies were included if they focused on pediatric cancer patients (≤18 years) and examined telenursing or telepalliative interventions. Thematic synthesis identified four main findings: (1) improved accessibility and service efficiency, (2) enhanced self-management of symptoms, (3) high family satisfaction, and (4) emotional and spiritual support. Evidence shows that telenursing reduces logistical burdens, improves symptom monitoring, and facilitates meaningful communication between families and healthcare providers. However, challenges such as digital literacy gaps, infrastructural limitations, and lack of regulation remain. The review concludes that telenursing is a valuable complement to in-person pediatric palliative care, particularly when integrated with culturally sensitive practices and supported by healthcare policies. Future efforts should focus on strengthening infrastructure, nurse training, and equitable policy frameworks to support the expansion of pediatric telenursing service
Downloads
Article Details
References
Andriastuti, M., Halim, P. G., Tunjungsari, E., & Widodo, D. P. (2022). Home-based Palliative Intervention to Improve Quality of Life in Children with Cancer: A Randomized Controlled Trial. Asian Pacific Journal of Cancer Prevention, 23(9), 3029–3034. https://doi.org/10.31557/APJCP.2022.23.9.3029
Armini, N. K. S., & Mulyono, S. (2023). Aplikasi Smartphone untuk Pelaporan Gejala yang Dialami Pasien Kanker Anak. Journal of Telenursing (JOTING), 5(1), 1461–1470. https://doi.org/10.31539/joting.v5i1.4900
Dasat, M., & Anggraini, D. (2023). Hambatan Penerapan Telenursing Bagi Perawatan Paliatif Pasien Kanker dalam Keluarga. Jurnal Kedokteran Meditek, 29(2), 165–172. https://doi.org/10.36452/jkdoktmeditek.v29i2.2669
DeGroote, N. P., Harris, E., Lange, A., Wasilewski-Masker, K., Klosky, J. L., Wolfe, J., Kavalieratos, D., & Brock, K. E. (2024). A Pilot of a Telehealth-Hospice Transition Intervention for Children and Young Adults with Cancer. Journal of Pain and Symptom Management, 68(1), 32-42.e1. https://doi.org/10.1016/j.jpainsymman.2024.03.023
Effendy, C., Uligraff, D. K., Sari, S. H., Angraini, F., & Chandra, L. (2022). Experiences of family caregivers of children with cancer while receiving home-based pediatric palliative care in Indonesia: a qualitative study. BMC Palliative Care, 21(1), 1–10. https://doi.org/10.1186/s12904-022-00986-5
Esterilita, M., Robby, M., & Cahya, F. (2024). Inovasi dalam Perawatan: Evaluasi Layanan Paliatif Homecare dan Telemedicine untuk Anak Kanker di Yayasan Rachel House. Indonesian Journal of Humanities and Social Sciences, 5(4). https://ejournal.uit-lirboyo.ac.id/index.php/IJHSS
Ganguly, S., Sasi, A., Sra, M. S., Sharma, S., Sharma, S., Kumari, M., Pushpam, D., & Bakhshi, S. (2025). The Utility and Impact of Telemedicine in Childhood Cancer Care: A Mixed Methods Study. Pediatric Blood & Cancer, 72(4). https://doi.org/10.1002/pbc.31552
Ma, C., Fang, Y., Zhang, H., Zheng, Y., Zhang, Y., Zhao, W., Yan, G., Zeng, Y., Zhang, Y., Ning, X., Jia, Z., & Guo, N. (2025). Nurse-Delivered Telehealth in Home-Based Palliative Care: Integrative Systematic Review. Journal of Medical Internet Research, 27, e73024. https://doi.org/10.2196/73024
Muñoz-Villaverde, S., Martínez-García, M., Serrano-Oviedo, L., Gómez-Romero, F. J., Sobrado-Sobrado, A. M., Cidoncha-Moreno, M. Á., Riesgo-Martín, J., Pedreira-Robles, G., & Garcimartin, P. (2024). Impact of telenurse-led intervention in clinical trials on health literacy, empowerment, and health outcomes in patients with solid tumours: a pilot quasi-experimental study. BMC Nursing, 23(1), 1–12. https://doi.org/10.1186/s12912-023-01641-x
Pangarso, A. W. S., Mulatsih, S., Sitaresmi, M. N., Verhulst, S., Kaspers, G., & Mostert, S. (2024). Discovering needs for palliative care in children with cancer in Indonesia. Pediatric Blood & Cancer, 71(7). https://doi.org/10.1002/pbc.30985
Pyke-Grimm, K. A., Fisher, B., Haskamp, A., Bell, C. J., & Newman, A. R. (2021). Providing Palliative and Hospice Care to Children, Adolescents and Young Adults with Cancer. Seminars in Oncology Nursing, 37(3). https://doi.org/10.1016/j.soncn.2021.151166
Sari, D. K. (2023). Peranan Telenursing Untuk Meningkatkan Mutu dalam Pelayanan Keperawatan. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 11(1). https://doi.org/10.33560/jmiki.v11i1.408
Schmitt, S., Ebby, C., Doshi, A., Bower, K., & Marc-Aurele, K. (2022). Retrospective Pediatric Telepalliative Care Experience. Journal of Palliative Medicine, 25(2), 274–281. https://doi.org/10.1089/jpm.2021.0173
Shahri, M. A., Farahani, A. S., Rassouli, M., Khabazkhoob, M., & Aghbelagh, S. M. (2024). The Impact of Telenursing on the Self-management of Gastrointestinal Symptoms in Adolescent Cancer Patients Receiving Chemotherapy. Cancer Nursing. https://doi.org/10.1097/NCC.0000000000001447
Suandika, M., Andriani, Y., Naili, Y. T., & Ayu, D. J. (2023). Inovasi Telehealth Dalam Layanan Kesehatan. Repository Universitas Harapan Bangsa.
Tampubolon, N. R., Fatimah, W. D., & Hidayati, A. U. N. (2021). Hambatan-Hambatan Implementasi Perawatan Paliatif di Indonesia: Systematic Review. Jurnal Kesehatan, 14(1), 1–10. https://doi.org/10.23917/jk.v14i1.12815
Weaver, M. S., Shostrom, V. K., Neumann, M. L., Robinson, J. E., & Hinds, P. S. (2021). Homestead together: Pediatric palliative care telehealth support for rural children with cancer during home‐based end‐of‐life care. Pediatric Blood & Cancer, 68(4). https://doi.org/10.1002/pbc.28921
WHO. (2020). Integrating palliative care and symptom relief into paediatrics. In Proceedings of the National Academy of Sciences (Vol. 3, Issue 1). WHO. http://dx.doi.org/10.1016/j.bpj.2015.06.056%0Ahttps://academic.oup.com/bioinformatics/article-abstract/34/13/2201/4852827%0Ainternal-pdf://semisupervised-3254828305/semisupervised.ppt%0Ahttp://dx.doi.org/10.1016/j.str.2013.02.005%0Ahttp://dx.doi.org/10.10
WHO. (2025). Childhood Cancer.
YOAI. (2025). Kanker Anak di Indonesia. Yoaifoundation.Org, 021, 97640. https://www.yoaifoundation.org/kanker-anak.php