The experiences of protective isolation in patients undergoing bone marrow or haematopoietic stem cell transplantation: systematic review and metasynthesis

European Journal of Cancer Care
V BiagioliMaria Grazia De Marinis

Abstract

Protective isolation is aimed at preventing infection in neutropenic patients, but it is implemented inconsistently across centres and is supported by recommendations with poor evidence. This review and metasynthesis explored the experiences and the psychological implications of protective isolation in patients with haematological malignancies undergoing bone marrow (BMT) or haematopoietic stem cell transplantation (HSCT). A systematic search of multiple databases for qualitative studies exploring BMT or HSCT patients' experiences of protective isolation was completed. The metasynthesis followed the meta-aggregative method from the Joanna Briggs Institute, with four procedural steps: (1) comprehensive search, (2) quality appraisal, (3) extraction of relevant findings and (4) synthesis of the identified findings. Twenty-six findings were extracted from 11 articles included in the review. The synthesising process yielded seven categories, aggregated into three synthesised findings: (1) isolation is a source of suffering, (2) isolation can lead to relating with oneself and (3) the person does not close the door to the outside world. This metasynthesis sheds light on patients' suffering from being isolated, and the possibility of o...Continue Reading

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Citations

Jun 6, 2015·Cell Stem Cell·Isabel Beerman, Derrick J Rossi
Apr 17, 2016·Cellular Signalling·Pedro Rojas-MoralesJosé Pedraza-Chaverri
Oct 5, 2016·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Valentina BiagioliMaria Grazia De Marinis
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Feb 25, 2017·Journal of Clinical Nursing·Valentina BiagioliMaria Grazia De Marinis
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Dec 9, 2020·European Journal of Cancer Care·Valentina BiagioliRosario Caruso
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