Being in protective isolation following autologous haematopoietic stem cell transplantation: A phenomenological study

Biagioli, Valentina; Piredda, Michela; Annibali, Ombretta; Iacorossi, Laura; D’Angelo, Daniela; Alvaro, Rosaria; Marinis, Maria Grazia De

doi:10.1111/jocn.13777

Cited by 9 publications

(18 citation statements)

References 57 publications

(77 reference statements)

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“…The more patients felt emotionally supported by nurses, the less they suffered because of isolation, and the less they found it difficult to relate with themselves. In particular, nurses can help patients cope with their situations by having positive and human-connecting attitudes (Cohen, Ley, & Tarzian, 2001;Williams, 2012) because thereby they provide emotional support to patients, who in turn would feel grateful for the care received (Biagioli, Piredda, Annibali, et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

et al. 2019

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Objectives To identify which factors can influence the patients’ perception of protective isolation following Haematopoietic Stem Cell Transplantation (HSCT). Methods This is a prospective study conducted in 10 Italian centres, members of the Italian Group of stem cell transplant (GITMO). Patients’ perception of protective isolation was assessed using the ISOLA scale between 7 and 9 days post‐transplant. Statistical linear regression analysis was performed. Results The participants were 182 adult patients receiving autologous (48%) or allogeneic (52%) HSCT in protective isolation. Male sex (β = .152), education level (β = −.245), double room (β = .186), satisfaction with visiting hours (β = −.174) and emotional support from nurses (β = −.169) were independently associated with isolation‐related suffering. Significant predictors of the relationship with oneself included body temperature (β = −.179), fatigue (β = −.192) and emotional support from nurses (β = −.292). Factors independently associated with the relationship with others were education (β = −.230), chemotherapy cycles (β = −.218), pain (β = .150) and satisfaction with visiting hours (β = −.162). Conclusion Healthcare providers should pay greater attention in caring for those patients who are at risk for a negative isolation experience. Nurses should provide emotional support.

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Section: Discussionmentioning

confidence: 99%

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

et al. 2019

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“…This study aimed to develop and test a questionnaire about the perception of being in protective isolation in a sample of HSCT patients. We developed the ISOLA questionnaire on the basis of a previous metasynthesis of international qualitative studies (Biagioli, Piredda, Alvaro, et al, ) and two qualitative studies with Italian patients (Biagioli et al, ; Biagioli, Piredda, Annibali, et al, ). Qualitative research is fundamental to developing conceptual knowledge useful to generate valid and reliable tools (Furr, ).…”

Section: Discussionmentioning

confidence: 99%

“…Comments were used to develop a first draft of the questionnaire, including 28 items. These items were further revised and 19 of them were selected on the basis of patient experiences collected in two phenomenological studies with Italian participants (Biagioli, Piredda, Annibali, et al, 2017;Biagioli, Piredda, Mauroni, Alvaro, & De Marinis, 2016).…”

Section: Face Validitymentioning

confidence: 99%

“…In fact, convergent validity with emotional loneliness was found for isolation-related suffering (r = 0.36, p < 0.001) and relationship with others (r = 0.32, p < 0.001) but not for relationship with oneself. We developed the ISOLA questionnaire on the basis of a previous metasynthesis of international qualitative studies (Biagioli, Piredda, Alvaro, et al, 2017) and two qualitative studies with Italian patients (Biagioli et al, 2016;Biagioli, Piredda, Annibali, et al, 2017).…”

Section: Reliability Scores and Correlationsmentioning

confidence: 99%

“…In particular, patients may experience fractured human connectivity (Vottero & Rittenmeyer, 2012), social isolation (Lee, Lang, & Tho, 2011) and loneliness (ElSadr, Noureddine, & Kelley, 2009) as a consequence of their time spent alone in a hospital room (Kruger et al, 2001;Tecchio et al, 2013) without the supportive presence of their family members (Beattie, Lebel, & Tay, 2013;Kettmann & Altmaier, 2008;Rini et al, 2011;Syrjala et al, 2004;Wingard et al, 2010). They can, however, give a positive meaning to isolation, which can be seen as a defence (Biagioli, Piredda, Annibali, et al, 2017). In addition, they can adapt to isolation by relating with themselves and maintain the connection with the external world by relating with loved ones (Biagioli, Piredda, Alvaro, & De Marinis, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Development and initial validation of a questionnaire to assess patients’ perception of protective isolation following haematopoietic stem cell transplantation

et al. 2018

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The aim of this study was to develop and psychometrically test a questionnaire assessing patients’ perception of protective isolation following haematopoietic stem cell transplantation (HSCT). The conceptual framework for developing the questionnaire was a three‐dimensional model that emerged from a metasynthesis: isolation‐related suffering, relationship with oneself and relationship with others. Item selection was performed through a focus group, comparison with the findings of two phenomenological studies, and content validity with 22 experts. Cognitive interviews with five patients were used to verify face validity. A validation study was conducted in 10 Italian centres, all members of the Italian Group of stem cell transplant (GITMO). Patients completed the questionnaires between 7 and 9 days post‐transplant. Dimensionality was tested through exploratory factor analysis (EFA). A total of 17 items yielded a content validity index (CVI) of 0.88. Participants included 186 adult patients receiving autologous (48%) or allogeneic (52%) HSCT in protective isolation. The EFA yielded a three‐factor solution, explaining 55% of the variance. The scale showed adequate psychometric properties, with the exception of three items, which were eliminated. Future studies should test the psychometric properties of the questionnaire through confirmatory factor analysis and verify its transcultural validity.

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Living with cancer in the COVID‐19 pandemic: An Italian survey on self‐isolation at home

et al. 2020

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Objective To investigate the perception of self‐isolation at home in patients with cancer during the lockdown period resulting from the COVID‐19 outbreak in Italy. Methods A cross‐sectional descriptive study was conducted through an online survey of patients with cancer who were sheltering at home from 29th March to 3rd May 2020. Perception of self‐isolation was assessed using the ISOLA scale, after evaluation of its psychometric properties. Content analysis was used to analyse two open‐ended questions. Results The participants were 195 adult patients with cancer (female = 76%; mean age = 50.3 ± 11.2; haematological malignancy = 51.3%). They reported moderate isolation‐related suffering ( M = 2.64 ± 0.81), problems in their relationships with others ( M = 3.31 ± 1.13) and difficulties in their relationships with themselves ( M = 3.14 ± 1.06). Patients who experienced significantly more social problems were older, had less education and were living without minor children. Overall, four main categories emerged from the qualitative content analysis: (1) lack of freedom and social life, (2) uncertainty and worries, (3) feeling supported and (4) dealing with isolation. Conclusion Living with cancer in the COVID‐19 pandemic was often perceived as an isolating experience, primarily in terms of detachment from loved ones.

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Being in protective isolation following autologous haematopoietic stem cell transplantation: A phenomenological study

Abstract: Nurses should provide emotional and social support to help patients feel like active fighters and strengthen their strategies for an effective defence from suffering.

Cited by 9 publications

References 57 publications

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

Development and initial validation of a questionnaire to assess patients’ perception of protective isolation following haematopoietic stem cell transplantation

Living with cancer in the COVID‐19 pandemic: An Italian survey on self‐isolation at home

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