A DNP Project Through Literature Review:
Developing a Model for Screening and Intervention for Pediatric Oncology Open Access

Abstract

This systematic review investigates and presents how social determinants of health (SDoH), specifically food insecurity, housing instability, and transportation barriers, impact health outcomes in pediatric oncology patients. Despite improving survival rates due to medical advances, poor patient reported outcomes persist, largely due to non-medical factors. The systematic review synthesizes existing evidence on SDoH screening and intervention methods targeting these domains in the U.S. pediatric cancer population and survivorship. Findings indicate limited but growing evidence for integrating SDoH into clinical care. However, standardized screening tools and sustainable interventions remain lacking. This review highlights the need for systematic approaches to mitigate SDoH-related disparities in pediatric cancer care and survivorship and synthesizes the findings into an integrative model for screening and intervention.

Table of Contents

I. Introduction

II. Conceptual Framework

III. Methods

IV. Synthesis of Literature

V. Discussion

VI. Future Research Directions

VII. Limitations

VIII. Conclusion

IX. Tables and Figures

X. Evidence-Based Model- COCOON: Comprehensive Oncology Care Outreach and Ongoing Navigation Model

XI. Stakeholder Engagement

XII. Project Timeline

XIII. References

About this Scholarly Project

Rights statement

• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Nell Hodgson Woodruff School of Nursing
Specialty	Family Nursing Practice
Degree	D.N.P.
Submission	Scholarly Project
Language	English
Research Field	Health Sciences, General Health Sciences, Nursing
Keyword	Social Determinants of Health Pediatric Oncology Health Disparities
Committee Chair / Thesis Advisor	Bai, Jinbing, Emory University

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