Pediatric oncology nursing: providing care through decades of change.

Pediatric oncology nursing practice has evolved over the years as new technology and trends in health care have precipitated change. Three pediatric oncology nursing leaders share their perspectives on nursing practice as it relates to treatment of a child with leukemia during four different points in time. Their comments illustrate the challenges, resources, and rewards. Their reflections, combined with a survey of the literature over the past half a century, show the dramatic impact of advances in supportive care on the practice of caring for a child with cancer. It is also evident that as the cure rate has increased, so have the efforts to improve quality of life. What has transcended time is the delivery of consistent and compassionate care, the education of patients and families, and the dedication to advocacy and support.