At-Home HSCT

Fernández‐Avilés, Francesc; Gutiérrez‐García, Gonzalo

doi:10.1007/978-3-030-02278-5_63

Cited by 3 publications

(5 citation statements)

References 19 publications

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“…Hospitalised patients may experience more stress than patients treated at home, causing the release of inflammatory cytokines that could trigger GvHD. Improved nutritional status at home may enhance gut microbiota, thereby decreasing the incidence of acute GvHD (Fernández-Avilés & Gutiérrez-García, 2019;Guru Murthy et al, 2019;Gutiérrez-García et al, 2020). Bergkvist et al (2013) investigated patients' experiences with their care and support while being treated in the hospital or at home during the acute post-transplantation phase.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…In some outpatient programs, patients travel daily to an outpatient clinic for a physician check‐up. An alternative to this is ‘hospital at home’ care (home care [HC]) where patients get the equivalent of hospital treatment and care in their own homes (Fernández‐Avilés & Gutiérrez‐García, 2019). Daily visits by an HC nurse and phone calls from a physician are often part of the protocol (Bergkvist et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Daily visits by an HC nurse and phone calls from a physician are often part of the protocol (Bergkvist et al, 2015). Different countries in Europe have established HC programs for HSCT, while in Norway HC is a relatively new way of organising HSCT patient care (Fernández‐Avilés & Gutiérrez‐García, 2019; St.meld nr. 7 (2019–2020), 2019).…”

Section: Introductionmentioning

confidence: 99%

“…The main reasons for transferring patients in a neutropenic phase out of a hospital to an ambulatory setting are to reduce exposure to hospital microorganisms, to make better use of hospital resources, patient preference and cost‐saving initiatives (Bergkvist et al, 2018; Fernández‐Avilés & Gutiérrez‐García, 2019). Further, advances in technology can help reduce the number of mandatory hospital visits (St.meld nr.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hospital nurses’ experiences of assessing health status changes in stem‐cell transplanted patients in home care: A qualitative study

Wergeland

Harsten

Klarare

et al. 2021

Journal of Clinical Nursing

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Aims and objectives To explore hospital nurses’ experience assessing changes in the health status of stem‐cell transplanted patients in home care (HC). Background Stem‐cell transplanted patients in HC are treated at home instead of in hospital wards. Hospital nurses visit patients daily and play a key role in assessing the patients’ health status. Previous studies on HC for stem‐cell transplanted patients focus mainly on safety in HC versus hospital care. No studies regarding nurses’ experience assessing patients’ health status at home when patients undergo stem‐cell transplantation were found. Design Qualitative study with an explorative design. Methods Data were collected via 14 individual semi‐structured interviews with hospital nurses working with stem‐cell transplanted patients in HC. Data were analysed using systematic text condensation. The reporting of the study was guided by the COREQ checklist. Results Three categories emerged from the data analysis: 1) Effective communication and clinical intuition enhances the assessment of patients’ general health condition; 2) It is challenging to rely on one's own judgment in remote assessment; and 3) There are key facilitators in performing remote clinical assessments. Conclusions Effective communication and clinical intuition enhanced the assessment of patients’ general health conditions. The lack of physical presence during remote assessments made using clinical intuition in the assessment process difficult. Experience with hematopoietic stem‐cell transplantation was seen as important to facilitate accurate remote clinical assessments. Relevance to clinical practice Nurses with responsibility for hospital at‐home telephone care should receive training in remote communication and should shadow hospital at‐home nurses during in home visits to gain experience assessing patients’ health status. Telehealth aspects such as videoconferencing and remote patient monitoring should be considered for more accurate remote assessment. This could potentially result in more effective assessments and reduced readmissions and could promote nurses’ confidence in their assessments.

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Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Hospital nurses’ experiences of assessing health status changes in stem‐cell transplanted patients in home care: A qualitative study

Wergeland

Harsten

Klarare

et al. 2021

Journal of Clinical Nursing

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Brave new world: expanding home care in stem cell transplantation and advanced therapies with new technologies

Romon,

Gonzalez-Barrera,

Coello de Portugal

et al. 2024

Front. Immunol.

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Hematopoietic stem cell transplantation and cell therapies like CAR-T are costly, complex therapeutic procedures. Outpatient models, including at-home transplantation, have been developed, resulting in similar survival results, reduced costs, and increased patient satisfaction. The complexity and safety of the process can be addressed with various emerging technologies (artificial intelligence, wearable sensors, point-of-care analytical devices, drones, virtual assistants) that allow continuous patient monitoring and improved decision-making processes. Patients, caregivers, and staff can also benefit from improved training with simulation or virtual reality. However, many technical, operational, and above all, ethical concerns need to be addressed. Finally, outpatient or at-home hematopoietic transplantation or CAR-T therapy creates a different, integrated operative system that must be planned, designed, and carefully adapted to the patient’s characteristics and distance from the hospital. Patients, clinicians, and their clinical environments can benefit from technically improved at-home transplantation.

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High Serum miR-361-3p Predicts Early Postdischarge Infections after Autologous Stem Cell Transplantation

Mikulski,

Kościelny,

Dróżdż

et al. 2024

Infect Chemother

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At-Home HSCT

Cited by 3 publications

References 19 publications

Hospital nurses’ experiences of assessing health status changes in stem‐cell transplanted patients in home care: A qualitative study

Hospital nurses’ experiences of assessing health status changes in stem‐cell transplanted patients in home care: A qualitative study

Brave new world: expanding home care in stem cell transplantation and advanced therapies with new technologies

High Serum miR-361-3p Predicts Early Postdischarge Infections after Autologous Stem Cell Transplantation

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