SUGGESTIONS FOR THE IMPROVEMENT OF GUIDANCE AT THE HOSPITAL DISCHARGE OF CHILDREN IN POST HEMATOPOIETIC STEM CELL TRANSPLANTATION

Abstract

Qualitative descriptive study with suggestions for the improvement of guidelines for hospital discharge of children in post- hematopoietic stem cell transplantation. The study was conducted in a public service specialized in bone marrow transplantation in southern Brazil, with 58 participants, including professionals of the multidisciplinary team and family caregivers, interviewed in the January 2014-March 2016 period. Thematic content analysis was used. The possibilities of improvement identified here are as follows: training of the professionals involved in care, construction and implementation of discharge planning by the multidisciplinary team, guidance provided also to the patients (children), use of various ways to guide and prepare the appropriate teaching materials. The discharge process is complex, and the staff that supports patients and caregivers is responsible for turning this moment of transition of care from hospital to home into a period of learning, assisting them in home care.

Keywords

• Hematopoietic stem cells transplantation
• Patient discharge
• Nurse
• Multidisciplinary team