ORCHESTRATING CARE: NURSING COORDINATION IN MIBG TREATMENT FOR HIGHRISK NEUROBLASTOMA.

Significance & Background: Metaiodobenzylguanidine (MIBG) therapy is a targeted radiopharmaceutical treatment used for children with high-risk neuroblastoma. Its administration involves complex logistical, clinical, and psychosocial challenges, requiring meticulous multidisciplinary coordination. Nu...

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Publicado en:Oncology Nursing Forum Vol. 53; no. 2; p. 47
Autor principal: Bushnak, Diana
Formato: Journal Article
Publicado: Oncology Nursing Society Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 53
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      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        atl: ORCHESTRATING CARE: NURSING COORDINATION IN MIBG TREATMENT FOR HIGHRISK NEUROBLASTOMA.
      aug:
        au: Bushnak, Diana
        affil: RN/ BSN, King Faisal Specialized Hospital and research center, Riyadh, NA
      sug:
      ab: Significance & Background: Metaiodobenzylguanidine (MIBG) therapy is a targeted radiopharmaceutical treatment used for children with high-risk neuroblastoma. Its administration involves complex logistical, clinical, and psychosocial challenges, requiring meticulous multidisciplinary coordination. Nurses, particularly in the role of nurse coordinator, are central to ensuring the safety, efficacy, and emotional prepared-ness of both patients and families throughout the treatment process. Purpose: To describe and evaluate the multifaceted role of the nurse coordinator in the preparation and delivery of MIBG therapy, highlighting the impact of nursing coordination on treatment outcomes, patient experience, and interdisciplinary collaboration. Interventions: This descriptive analysis outlines the nurse coordinator's responsibilities across three core domains: * Education - Providing developmentally appropriate instruction to patients and families regarding radiation safety, isolation protocols, and emotional coping strategies. * Environmental Safety - Leading the preparation of the lead-lined isolation room, ensuring supply readiness, and minimizing unnecessary staff exposure. * Clinical Optimization - Overseeing thyroid protection protocols (e.g., potassium iodide or Lugol's solution), conducting pre-treatment assessments, and managing residual symptoms from prior therapies. Coordination with oncologists, radiation safety officers, and child life specialists was integral to the process. Preliminary data were collected on treatment adherence, procedural delays, and family satisfaction. Results: Implementation of a nurse-led coordination model resulted in improved patient preparedness, reduced procedural delays, and enhanced family understanding of treatment protocols. Families reported lower anxiety levels and higher satisfaction with care delivery. Staff exposure incidents were minimized due to effective environmental planning and communication. Discussion: The nurse coordinator serves as both a clinical expert and a systems navigator, bridging communication among disciplines and advocating for patient-centered care. By integrating education, safety, and emotional support within a coordinated framework, nursing leadership enhances the therapeutic experience and contributes to safer, more efficient MIBG therapy. These findings underscore the importance of formalizing the nurse coordinator role in complex pediatric oncology treatments and suggest potential for broader application in other high-risk therapies.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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