The Development and Evaluation of Clinical Nursing Practice Guideline for Children Undergoing Hematopoietic Stem Cell Transplantation
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Abstract: The study aimed to develop and evaluate a clinical nursing practice guideline (CNPG) for children undergoing hematopoietic stem cell transplantation. The sample consisted of 10 children who underwent hematopoietic stem cell transplantation and 20 registered nurses. The tools used were the CNPG and a manual for children undergoing hematopoietic stem cell transplantation. Data were collected including the feasibility of CNPG implementation, nurse satisfaction questionnaire and complications of hematopoietic stem cell transplantation assessment form. Data were analyzed using descriptive statistics. The most frequently encountered complication was mucositis, which was in level 2 (70%). The feasibility of CNPG implementation was high (Mean = 4.57; SD = 0.59) and overall nurses’ satisfaction with the guideline’s implementation was high (Mean = 4.55; SD = 0.60). Implementation of this CNPG in the departments can improve patient clinical outcomes.
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References
Passweg JR, Baldomero H, Bader P, Bonini C, Cesaro S, Dreger P, et al. Hematopoietic stem cell transplantation in Europe 2014: more than 40,000 transplants annually. Bone Marrow Transplant 2016;51(6):786-92.
Maziarz RT, Slater SS. Blood and marrow transplant handbook. Cham: Springer; 2015.
Khandelwal P, Millard HR, Thiel E, Abdel-Azim H, Abraham AA, Auletta JJ, et al. Hematopoietic stem cell transplant activity in pediatric cancer between 2008 and 2014 in the United States: A CIBMTR report. Biol Blood Marrow Transplant 2017;23(8):1342-9.
D’Souza A, Lee S, Zhu X, Pasquini M. Current use and trends in hematopoietic cell transplantation in the United States. Biol Blood Marrow Transplant 2017;23(9):1417-21.
Informatics division for health data analysis. Hematopoietic stem cell transplantation data in children Ramathibodi hospital. Faculty of Medicine Ramathibodi hospital 2022. (In Thai)
Corbacioglu S, Jabbour EJ, Mohty M. Risk factors for development of and progression of hepatic venoocclusive disease/sinusoidal obstruction syndrome. Biol Blood Marrow Transplant 2019;25(7):1271-80.
Mistrik M, Bojtarova E, Sopko L, Masakova L, Roziakova L, Martinka J, et al. Graft-versus-host disease management. Bratisl Lek Listy 2016;117(7):388-96.
Styczynski J, Czyzewski K, Wysocki M, Gryniewicz-Kwiatkowska O, Kolodziejczyk-Gietka A, Salamonowicz M, et al. Increased risk of infections and infection-related mortality in children undergoing haematopoietic stem cell transplantation compared to conventional anticancer therapy: a multicentre nationwide study. Clin Microbiol Infect 2016;22(2):179.e1-.e10.
Preussler JM, Denzen EM, Majhail NS. Costs and cost-effectiveness of hematopoietic cell transplantation. Biol Blood Marrow Transplant 2012;18(11):1620-8.
Pakakasama S. Hematopoietic Stem Cell Transplantation. 2nd ed. Bangkok: Nextstep D-sign & print; 2015.(In Thai)
de Souza A, Campos DJ, Schieferdecker MEM, Funke VAM, Vilela RM. Phase angle as a screening tool for mortality risk among hematopoietic stem cell transplanted adult patients. Clin Nutr ESPEN 2019;(29):65-71.
Nuannoo P, Jiwarat P. Development of a care system for pediatric cancer patients receiving chemotherapy in Surathani Hospital. Region 11 Medical Journal 2018;31(1):97-108. (In Thai)
Songsitthikul T, Anamai O. The development of a nursing service system for patients with ischemic stroke receiving thrombolytic agents in Ratchaburi hospital. NJPH 2016;26(2):142-53.(In Thai)
Kaspad M, Kanogsunthornrat N, Chirappapha P. Program to improve quality of breast cancer care at Somdech Phra Debaratana Medical Center. J Nurs Midw Pract 2021;7(2):41-6.(In Thai)
Donabedian, A. An Introduction to quality assurance in health care 3rd ed. New York: Oxford university press; 2003.
Chaisongkram S. Development and evaluation of a clinical nursing practice guideline for postoperative pain management in children age 7 month-5 years. [Dissertation]. Songkla: Prince of Songkla University; 2015.(In Thai)
Przepiorka D, Weisdorf D, Martin P, Klingemann HG, Beatty P, Hows J, et al. Consensus conference on acute GVHD grading. Bone Marrow Transplant 1995;15(6):825-8.
Galgano L, Hutt D. HSCT: how does it work? In: Kenyon M, Babic A, editors. The european blood and marrow transplantation textbook for nurses. Bellinzona: Springer; 2018. p.23-35.
Katsanis E, Sapp LN, Varner N, Koza S, Stea B, Zeng Y. Haploidentical bone marrow transplantation with post-transplant cyclophosphamide/bendamustine in pediatric and young adult patients with hematologic malignancies. Biol Blood Marrow Transplant
;24(10):2034-9.
Rowe RG, Guo D, Lee M, Margossian S, London WB, Lehmann L. Cytomegalovirus infection in pediatric hematopoietic stem cell transplantation: risk factors for primary infection and cases of recurrent and late infection at a single center. Biol Blood Marrow Transplant 2016;22(7):1275-83.
Bowen JM, Wardill HR. Advances in the understanding and management of mucositis during stem cell transplantation. Curr Opin Support Palliat Care 2017;11(4):341-6.
Hong CHL, Gueiros LA, Fulton JS, Cheng KKF, Kandwal A, Galiti D, et al. Systematic review of basic oral care for the management of oral mucositis in cancer patients and clinical practice guidelines. Support Care Cancer 2019;27(10):3949-67.
Holtan SG, Yu J, Choe HK, Paranagama D, Tang J, Naim A, et al. Disease progression, treatments, hospitalization, and clinical outcomes in acute GVHD: a multicenter chart review. Bone Marrow Transplant 2022;57(10):1581-5.
Katherine NW, Joshua AH, Petr H, Rafael de la C, Roberto C, Hermann E, et al. Guidelines from the 2017 European conference on infections in leukaemia for management of HHV-6 infection in patients with hematologic malignancies and after hematopoietic stem cell transplantation. Haematologica 2019;104(11):2155-63.
Tiasawat U, Saensom D, amuangchan A, Tansura S, Boonloy Y, Songserm A. Development of a clinical nursing practice guideline for mechanically ventilated patients in critical care department of a tertiary care hospital. Journal of Nursing and Health Care 2017;35(1):194-206.(In Thai)
Rodaree Y, Sonkongdang W, Arunritthidecha A, Rengrad P, Wongkom S, Sathitsamitphong L. Development of discharge planning guidelines for pediatric patients with cancer receiving chemotherapy, Maharaj Nakorn Chiang Mai hospital. Nursing Journal CMU 2022;49(1):302-16.(In Thai)