University of Hertfordshire

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A qualitative exploration of the factors influencing the decision to transfuse elective platelets in cancer care. / Mcsporran, Wendy; Pattison, Natalie.

In: European Journal of Cancer Care, Vol. 30, No. 4, e13407, 01.07.2021.

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@article{83ee24cc93fd43239db2424f53a1e0ae,
title = "A qualitative exploration of the factors influencing the decision to transfuse elective platelets in cancer care",
abstract = "Objectives: To explore factors contributing to decisions to transfuse platelets in cancer care outside guidelines using case study methods. Methods: Two case studies were examined, using instrumental case study methodology, to qualitatively explore factors that influence the decision to transfuse platelets. Interviews (n=10) were conducted around cases in haematology and critical care. In-depth review of documentary evidence was undertaken and propositions were developed to provide rigour during the investigation. Thematic analysis and triangulation of documents was undertaken to find specific factors, and propositions analysed, as per instrumental case study methods. Results: Both cases emphasised how patient complexity, and individual response to platelet administration, was an influencing factor. Other themes included uncertainty of clinical situations coupled with uncertainty about platelet availability. Other factors worthy of further investigation include the concept of professional safety and the trustworthiness of platelet thresholds against platelet monitoring for bleeding episodes. Conclusion: The findings indicated several factors influence decisions to transfuse, including clinical context, and individual ability to trust guidelines and assume any perceived risks.",
keywords = "cancer, case study methods, clinical decisions, haemato-oncology, platelets, qualitative, transfusion",
author = "Wendy Mcsporran and Natalie Pattison",
note = "{\textcopyright} 2021 John Wiley & Sons, Inc. All rights reserved. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1111/ecc.13407 ",
year = "2021",
month = jul,
day = "1",
doi = "10.1111/ecc.13407",
language = "English",
volume = "30",
journal = "European Journal of Cancer Care",
issn = "0961-5423",
number = "4",

}

RIS

TY - JOUR

T1 - A qualitative exploration of the factors influencing the decision to transfuse elective platelets in cancer care

AU - Mcsporran, Wendy

AU - Pattison, Natalie

N1 - © 2021 John Wiley & Sons, Inc. All rights reserved. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1111/ecc.13407

PY - 2021/7/1

Y1 - 2021/7/1

N2 - Objectives: To explore factors contributing to decisions to transfuse platelets in cancer care outside guidelines using case study methods. Methods: Two case studies were examined, using instrumental case study methodology, to qualitatively explore factors that influence the decision to transfuse platelets. Interviews (n=10) were conducted around cases in haematology and critical care. In-depth review of documentary evidence was undertaken and propositions were developed to provide rigour during the investigation. Thematic analysis and triangulation of documents was undertaken to find specific factors, and propositions analysed, as per instrumental case study methods. Results: Both cases emphasised how patient complexity, and individual response to platelet administration, was an influencing factor. Other themes included uncertainty of clinical situations coupled with uncertainty about platelet availability. Other factors worthy of further investigation include the concept of professional safety and the trustworthiness of platelet thresholds against platelet monitoring for bleeding episodes. Conclusion: The findings indicated several factors influence decisions to transfuse, including clinical context, and individual ability to trust guidelines and assume any perceived risks.

AB - Objectives: To explore factors contributing to decisions to transfuse platelets in cancer care outside guidelines using case study methods. Methods: Two case studies were examined, using instrumental case study methodology, to qualitatively explore factors that influence the decision to transfuse platelets. Interviews (n=10) were conducted around cases in haematology and critical care. In-depth review of documentary evidence was undertaken and propositions were developed to provide rigour during the investigation. Thematic analysis and triangulation of documents was undertaken to find specific factors, and propositions analysed, as per instrumental case study methods. Results: Both cases emphasised how patient complexity, and individual response to platelet administration, was an influencing factor. Other themes included uncertainty of clinical situations coupled with uncertainty about platelet availability. Other factors worthy of further investigation include the concept of professional safety and the trustworthiness of platelet thresholds against platelet monitoring for bleeding episodes. Conclusion: The findings indicated several factors influence decisions to transfuse, including clinical context, and individual ability to trust guidelines and assume any perceived risks.

KW - cancer

KW - case study methods

KW - clinical decisions

KW - haemato-oncology

KW - platelets

KW - qualitative

KW - transfusion

UR - http://www.scopus.com/inward/record.url?scp=85102830872&partnerID=8YFLogxK

U2 - 10.1111/ecc.13407

DO - 10.1111/ecc.13407

M3 - Article

VL - 30

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

IS - 4

M1 - e13407

ER -