Construction of a nursing care protocol for children in post-hematopoietic stem cell transplantation

Jéssica Alline Pereira Rodrigues1,2, Maria Ribeiro Lacerda1, Cristina Maria Galvão3

  • 1Universidade Federal do Paraná (UFPR). Programa de Pós-Graduação em Enfermagem. Curitiba, Paraná, Brasil.

Insights

This study developed a nursing care protocol for children after hematopoietic stem cell transplantation. The protocol addresses 40 nursing problems to prevent and manage complications in pediatric transplant patients.

Area of Science:

  • Pediatric Nursing
  • Hematopoietic Stem Cell Transplantation
  • Nursing Care Protocols

Background:

  • Hematopoietic stem cell transplantation (HSCT) in children requires specialized nursing care.
  • Existing care practices may lack comprehensive, structured protocols.
  • Addressing the holistic needs of pediatric transplant patients is crucial for optimal outcomes.

Purpose of the Study:

  • To construct a comprehensive nursing care protocol for pediatric patients undergoing hematopoietic stem cell transplantation.
  • To standardize and enhance the quality of nursing care provided post-transplantation.

Main Methods:

  • Methodological research conducted from January to September 2019.
  • Utilized an integrative review to identify nursing care needs.
  • Integrated the Theory of Basic Human Needs and the International Classification for Nursing Practice for theoretical structuring.
  • Developed and validated the protocol with specialist nurses.

Main Results:

  • A nursing care protocol comprising 40 distinct nursing problems was established.
  • The protocol is organized around the psychobiological, psychosocial, and psycho-spiritual needs of pediatric transplant recipients.
  • It integrates both practical and guidance-oriented nursing care interventions.

Conclusions:

  • The developed nursing care protocol serves as a vital technological resource for pediatric HSCT nursing.
  • It is designed to proactively prevent and effectively manage complications associated with transplantation in children.
  • Implementation of this protocol can improve care quality and patient outcomes.
Abstract

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