Review of advanced practice nurse role in infection throughout the hematopoietic stem cell transplant journey

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BACKGROUND: Prolonged periods of immunosuppression during hematopoietic stem cell transplant (HSCT) can result in serious infectious complications and contribute to transplant-related morbidity and mortality. Adherence to standardized pre and postinfection screening guidelines, prescribed medications, and early identification of infectious symptoms through comprehensive patient and family education are crucial to minimizing infectious complications. Advanced practice nurses (APNs) are key members of the multidisciplinary care team in the HSCT specialty, maintaining a specialized skillset and scope of practice which includes a holistic based, preventative medicine and risk mitigation approach.

METHODS: This review sought to describe the role of the APN in HSCT care and to further examine existing APN led models of care which focus on infection prevention and education throughout the HSCT treatment journey.

RESULTS: No studies specifically examined the APN role in infectious diseases risk assessment, screening, and management throughout the HSCT journey were identified throughout our review, however, there was considerable evidence to demonstrate the benefits of APN led care in the oncology and solid organ transplantation specialty which led to improvements in continuity of care, overall patient outcomes, and multidisciplinary team collaboration. The key themes identified in our review, were the role of the APN in the delivery of comprehensive patient and family education, the role of the APN in supporting, mentoring, and educating junior medical and nursing teams, the collaboration between the APN and the multidisciplinary care team, and the role of the APN in prompt recognition, triage, and management of treatment related complications, such as infection.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Transplant infectious disease : an official journal of the Transplantation Society - 26(2024), 2 vom: 23. Apr., Seite e14268

Sprache:

Englisch

Beteiligte Personen:

Gilsenan, Maddie [VerfasserIn]
Van Der Linde, Sam [VerfasserIn]
Hill, Geoff [VerfasserIn]
Lambros, Belinda [VerfasserIn]

Links:

Volltext

Themen:

Adult
Advanced practice nurse
Allogeneic
Autologous
Cellular therapy
Hematopoietic stem cell transplant
Infection screening
Infectious diseases
Journal Article
Nurse practitioner
Pediatric
Review
Risk assessment

Anmerkungen:

Date Completed 12.04.2024

Date Revised 12.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/tid.14268

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36966759X