Uncertainty of parents due to having children with cancer: A concept analysis

Background: Parents of newly diagnosed cancer children often experience significant
concerns about the implications of the diagnosis. They find themselves in challenging
decision-making situations, navigating through uncertain conditions following the disclosure.
Uncertainty is a prevailing issue in healthcare, yet its interpretation and application within the
context of health and nursing practice exhibit multiple meanings and variations.
Objective: This study aimed to clarify the concept of parental uncertainty arising from having
children with cancer.
Methods: The concept analysis followed the steps outlined by Walker and Avant. A thorough
literature search was conducted using the Embase, CINAHL, and MEDLINE databases to
identify articles published between 1980 and 2022.
Results: The literature search yielded 147 articles from various disciplines, including health,
nursing, medicine, psycho-oncology, and management. After analysis, 20 articles were
selected for inclusion. This study identified four key attributes of parental uncertainty
associated with having a child with cancer: (1) emotional disturbance, (2) unpredictability, (3)
insufficient information, and (4) problems with decision-making. The antecedents of parental
uncertainty encompassed the complexity of the disease, the diagnostic and treatment
processes, the hospital environment, communication, and support from credible authorities.
The consequences of parental uncertainty included the pursuit of new information, parental
adaptability to their role, and parental distress.
Conclusion: Understanding the four attributes of parental uncertainty, along with their
antecedents and consequences, can facilitate the future development and operational
translation of the concept of uncertainty in nursing practice. This concept is valuable in the
evidence-based provision of nursing care to parents of children with cancer, enabling
comprehensive recognition and assessment of parental uncertainty and the implementation of
appropriate interventions that are sensitive to parental experiences. Ultimately, this approach
promotes the adaptation of both the child and the parent.