Safe Practices in Nursing Care for Patients Undergoing Bone Marrow Transplantation: A Scoping Review
Isabel Maria Pereira da Rocha1, Maria Manuela Martins2, Luís Miguel Ferreira3
1Department of Hematology and Bone Marrow Transplantation, ICBAS - School of Medicine and Biomedical Sciences of Oporto University, Nursing School of Oporto University, IPO FG Porto, Porto, Portugal (Mrs Rocha).
Background:
Bone marrow transplantation (BMT) is a high-complexity procedure requiring specialized nursing to ensure care safety and quality.
Purpose:
The purpose of this study is to map safe nursing practices for patients undergoing BMT.
Methods:
A scoping review was conducted following Joanna Briggs Institute and PRISMA-ScR guidelines. The search, based on the PCC (Population, Concept, Context) framework, was conducted across 5 databases: MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Academic Search Complete, Scopus, and Web of Science. Studies published between 2014 and 2024 in English, Portuguese, or Spanish were considered.
Results:
Six studies were included. Key practices identified included structured medication administration protocols, infection prevention strategies, transfusion safety, graft infusion techniques, and the importance of professional training.
Conclusion:
Safe nursing practices are essential for minimizing risks and ensuring quality care in BMT. The findings highlight the relevance of evidence-based protocols and continuous education to support clinical decision-making and improve patient outcomes.
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