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Discharge and Unscheduled Readmissions of Adult Patients Undergoing Hematopoietic Stem Cell Transplantation: Implications for Developing Nursing Interventions

Marcia Grant
Liz Cooke
Smita Bhatia
Stephen J. Forman
ONF 2005, 32(1), E1-E8 DOI: 10.1188/05.ONF.E1-E8

Purpose/Objectives: To describe discharge and unscheduled read-mission patterns of adult patients undergoing hematopoietic stem cell transplantation (HSCT). To identify implications for nursing practice from survey results and the literature that may improve patient outcomes during and following initial hospital discharge.

References 

Altmaier, E.M., Gingrich, R.D., & Fyfe, M.A. (1991). Two-year adjustment of bone marrow transplant survivors. <i>Bone Marrow Transplantation, 7</i>, 311-316.

Andrykowski, M.A. (1994). Psychosocial factors in bone marrow transplantation: A review and recommendations for research. <i>Bone Marrow Transplantation, 13</i>, 357-375.

Andrykowski, M.A., Cordova, M.J., Hann, D.M., Jacobsen, P.B., Fields, K.K., & Phillips G. (1999). Patients' psychosocial concerns following stem cell transplantation. <i>Bone Marrow Transplantation, 24</i>, 1121-1129.

Andrykowski, M.A., & McQuellon, R.P. (1999). Psychological issues in hematopoietic cell transplantation. In E.D. Thomas, K.G. Blume, & S.J. Forman (Eds.), <i>Hematopoietic cell transplantation</i> (2nd ed., pp. 398-413). Malden, MA: Blackwell Science.

Baker, F. (1994). Psychosocial sequelae of bone marrow transplantation. <i>Oncology, 8</i>(10), 87-101.

Baker, F., Zabora, J., Polland, A., & Wingard, J. (1999). Reintegration after bone marrow transplantation. <i>Cancer Practice, 7</i>, 190-197.

Blume, K.G., & Amylon, M.D. (1999). The evaluation and counseling of candidates for hematopoietic cell transplantation. In E.D. Thomas, K.G. Blume, & S.J. Forman (Eds.), <i>Hematopoietic cell transplantation</i> (2nd ed., pp. 371-389). Malden, MA: Blackwell Science.

Broers, S., Kaptein, A.A., Le Cessie, S., Fibbe, W., & Hengeveld, M.W. (2000). Psychological functioning and quality of life following bone marrow transplantation: A three-year follow-up study. <i>Journal of Psychosomatic Research, 48</i>, 11-21.

Cooper, M.C., & Powell, E. (1998). Technology and care in a bone marrow transplant unit: Creating and assuaging vulnerability. <i>Holistic Nursing Practice, 12</i>(4), 57-68.

Ferrell, B., Grant, M., Schmidt, G.M., Rhiner, M., Whitehead, C., Fonbuena, P., et al. (1992a). The meaning of quality of life for bone marrow transplant survivors. Part 1. The impact of bone marrow transplant on quality of life. <i>Cancer Nursing, 15</i>, 153-160.

Ferrell, B., Grant, M., Schmidt, G.M., Rhiner, M., Whitehead, C., Fonbuena, P., et al. (1992b). The meaning of quality of life for bone marrow transplant survivors. Part 2. Improving quality of life for bone marrow transplant survivors. <i>Cancer Nursing, 15</i>, 247-253.

Fife, B.L., Huster, G.A., Cornetta, K.G., Kennedy, V.N., Akard, L.P., & Broun, R.E. (2000). Longitudinal study of adaptation to the stress of bone marrow transplantation. <i>Journal of Clinical Oncology, 18</i>, 1539-1549.

Grant, M. (1999). Assessment of quality of life following hematopoietic cell transplantation. In E.D. Thomas, K.G. Blume, & S.J. Forman (Eds.), <i>Hematopoietic cell transplantation</i> (2nd ed., pp. 407-413). Malden, MA: Blackwell Science.

Grant, M., Ferrell, B., Schmidt, G.M., Fonbuena, P., Niland, J.C., & Forman, S.J. (1992). Measurement of quality of life in bone marrow transplantation survivors. <i>Quality of Life Research, 1</i>, 375-384.

Hinds, M., & Minor, S. (2000). Nonmyeloablative transplantation: Reducing toxicity utilizing an immunologic approach. In P. Buchsel & P. Kapustay (Eds.), <i>Stem cell transplantation: A clinical textbook</i> (pp. 19.1-19.28) Pittsburgh, PA: Oncology Nursing Society.

Horowitz, M.M. (1999). Uses and growth of hematopoietic cell transplantation. In E.D. Thomas, K.G. Blume, & S.J. Forman (Eds.), <i>Hematopoietic cell transplantation.</i> (2nd ed., pp. 12-18). Malden, MA: Blackwell Science.

Jackson, S.R., Tweeddale, M.G., Barnett, M.J., Spinelli, J.J., Sutherland, H.J., Reece, D.E., et al. (1998). Admission of bone marrow transplant recipients to the intensive care unit: Outcome, survival and prognostic factors. <i>Bone Marrow Transplant, 21</i>, 697-704.

Johnson Vickberg, S.M., Duhamel, K.N., Smith, M.Y., Manne, S.L., Winkel, G., Papadopoulos, E.B., et al. (2001). Global meaning and psychological adjustment among survivors of bone marrow transplant. <i>Psycho-Oncology, 10</i>, 29-39.

Keogh, F.O., Riordan, J., McNamara, C., Duggan, C., & McCann, S.R. (1998). Psychosocial adaptation of patients and families following bone marrow transplantation: A prospective, longitudinal study. <i>Bone Marrow Transplantation, 22</i>, 905-911.

King, R.C. (1996). Latent effects and quality of life one year after marrow and stem cell transplantation. <i>Quality of Life—A Nursing Challenge, 4</i>(2), 40-45.

Kopp, M., Schweigkofler, H., Holzner, B., Nachbaur, D., Niederwieser, D., Fleischhacker, W.W., et al. (1998). Time after bone marrow transplantation as an important variable for quality of life: Results of a cross-sectional investigation using two different instruments for quality-of-life assessment. <i>Annals of Hematology, 77</i>, 27-32.

Loberiza, F., Jr. (2003). Report on state of the art in blood and marrow transplantation. <i>International Bone Marrow Transplant Registry/Autologous Bone and Marrow Transplant Registry Newsletter, 10</i>(1), 7-10.

McQuellon, R.P., Russell, G.B., Rambo, T.D., Craven, B.L., Radford, J., Perry, J.J., et al. (1998). Quality of life and psychological distress of bone marrow transplant recipients: The ‘time trajectory’ to recovery over the first year. <i>Bone Marrow Transplantation, 21</i>, 477-486.

Molassiotis, A., Boughton, B.J., Burgoyne, T., & van den Akker, O.B. (1995). Comparison of the overall quality of life in 50 long-term survivors of autologous and allogeneic bone marrow transplantation. <i>Journal of Advanced Nursing, 22</i>, 509-516.

Molassiotis, A., van den Akker, O.B., & Boughton, B.J. (1997). Perceived social support, family environment and psychosocial recovery in bone marrow transplant long-term survivors. <i>Social Science Medicine, 44</i>, 317-325.

Oudshoorn, M., Lie, J.L.W.T., Bakker, J.N.A., Van der Zanden, H.G.M., & Claas, F.H.J. (2004). Finding the most suitable allogeneic hematopoietic stem cell donor. In K. Atkinson, R. Champlain, J. Ritz, W.E., Fibbe, P. Ljungman, & M.K. Brenner (Eds.), <i>Clinical bone marrow and blood stem cell transplantation</i> (3rd ed., pp. 369-382). Cambridge, United Kingdom: Cambridge University Press.

Schmidt, G.M., Niland, J.C., Forman, S.J., Fonbuena, P.P., Dagis, A.C., Grant, M.M., et al. (1993). Extended follow-up in 212 long-term allogenic bone marrow transplant survivors. Issues of quality of life. <i>Transplantation, 55</i>, 551-557.

Smith, E.M., Burcat, S., & Walker, F. (1999). Issues and care of the post-bone marrow transplant patient. <i>Home Health Care Consultant, 6</i>(7), 2-6.

Thain, C.W., & Gibbon, B. (1996). An exploratory study of recipients' perceptions of bone marrow transplantation. <i>Journal of Advanced Nursing, 23</i>, 528-535.

Wagner, N.D., & Quinones, V.W. (1998). Allogeneic peripheral blood stem cell transplantation: Clinical overview and nursing implications. <i>Oncology Nursing Forum, 25</i>, 1049-1057.

Wettergren, L., Langius, A., Bjorkholm, M., & Bjorvell, H. (1997). Physical and psychosocial functioning in patients undergoing autologous bone marrow transplantation—A prospective study. <i>Bone Marrow Transplantation, 20</i>, 497-502.

Whedon, M.B., & Fliedner, M.C. (1999). Nursing issues in hematopoietic cell transplantation. In E.D. Thomas, K.G. Blume, & S.J. Forman (Eds.), <i>Hematopoietic cell transplantation.</i> (2nd ed., pp. 381-389). Malden, MA: Blackwell Science.