Table 6. Factors Negatively Influencing Education among Parents.

Factor	References (First Author, Year)
DELIVERY OF INFORMATION
Large amount of written and verbal information Use of medical terms and jargon Conflicting information from healthcare providers Child presence in educational session	Aburn, 2014; Flury 2011; Jackson, 2007; Hummelinck, 2006; Farrell, 2013; McKeller, 2002; Young 2011
EMOTIONS
Fear, shock, grief, anxiety Negative experiences with cancer	Aburn, 2014; Levi, 2000; Aburn, 2011; Hatton, 1996; Eden, 1994; Garwick, 1995
LANGUAGE BARRIERS
Lack of use of interpreters Inability of the interpreter to accurately translate complex medical information Lack of understanding of cultural issues	Miquel-Verges, 2011; Abbe, 2006; Sullivan-Bolyai, 2009
RELATIONSHIP WITH HEALTHCARE PROVIDERS (HCPs)
Negative history with the child's doctor Overwhelmed with multiple HCPs teaching simultaneously HCP too busy to answer questions Inconsistent HCPs Not feeling like a partner in the team	Garwick, 1995; Levi, 2000; McKeller, 2002; Ridsdale, 1999; Reed, 2013; Risdale, 1999; Reed, 2013
CHILD'S CONDITION AND SOCIAL ISSUES
Child's worsening medical condition Lack of daycare or babysitting for siblings Lack of transportation to the hospital Information provided without child present, along with assurance that the child was comfortable and cared for	Graf, 2008; Young, 2011; Aburn, 2011