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Person-Centred Nursing in Allogeneic Stem Cell Transplantation Using a Conversation Tool : A Qualitative Study

Engberg de Carvalho, Cecilia LU orcid ; O'Sullivan, Anna ; Bergkvist, Karin ; Lundh Hagelin, Carina LU ; Winterling, Jeanette LU and Malmborg Kisch, Annika LU orcid (2025) In Scandinavian Journal of Caring Sciences 39(4).
Abstract

Background: Patients undergoing allogeneic haematopoietic stem cell transplantation (allo-HCT) often face complex and evolving needs throughout recovery. Person-centred nursing (PCN) is essential in this context yet remains underexplored in specialised care settings. In Sweden, the Assessment of Rehabilitation Needs Checklist (ARNC) is commonly used in cancer care, but its role in supporting person-centred conversations has not been investigated. Aim: The aim of this study was to investigate how the use of the ARNC as a conversation tool promotes PCN within the allo-HCT context. Methods: This qualitative study was conducted at two major allo-HCT centers in Sweden. Data were collected through semi-structured interviews with patients (n =... (More)

Background: Patients undergoing allogeneic haematopoietic stem cell transplantation (allo-HCT) often face complex and evolving needs throughout recovery. Person-centred nursing (PCN) is essential in this context yet remains underexplored in specialised care settings. In Sweden, the Assessment of Rehabilitation Needs Checklist (ARNC) is commonly used in cancer care, but its role in supporting person-centred conversations has not been investigated. Aim: The aim of this study was to investigate how the use of the ARNC as a conversation tool promotes PCN within the allo-HCT context. Methods: This qualitative study was conducted at two major allo-HCT centers in Sweden. Data were collected through semi-structured interviews with patients (n = 16), focus group discussions with registered nurses (RNs, n = 16), and from 30 memos written by RNs. Reflexive thematic analysis was used. Results: Three overarching themes were developed: (1) Letting the Story Emerge, (2) Unmet Needs and (3) Structural Gaps in Practice. The ARNC facilitated individualised conversations and helped identify unmet needs, including sensitive or previously unvoiced concerns. However, the lack of follow-up and organisational constraints, such as time pressure and fragmented care settings, limited its capacity to support shared care planning and sustained engagement. Conclusion: When used in dialogue, the ARNC has the potential to support person-centred nursing in allo-HCT by enabling narrative-based, needs-driven conversations. However, its effectiveness depends on structured follow-up and organisational conditions that promote relational care.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
allogeneic haematopoietic stem cell transplantation, cancer rehabilitation, needs assessment, nurse–patient communication, person-centred care, person-centred nursing, qualitative research
in
Scandinavian Journal of Caring Sciences
volume
39
issue
4
article number
e70153
publisher
Wiley-Blackwell
external identifiers
  • pmid:41199740
  • scopus:105021068632
ISSN
0283-9318
DOI
10.1111/scs.70153
language
English
LU publication?
yes
id
36ebb2a0-46d4-4189-a343-da33b01361ce
date added to LUP
2025-12-08 15:11:41
date last changed
2025-12-09 03:00:08
@article{36ebb2a0-46d4-4189-a343-da33b01361ce,
  abstract     = {{<p>Background: Patients undergoing allogeneic haematopoietic stem cell transplantation (allo-HCT) often face complex and evolving needs throughout recovery. Person-centred nursing (PCN) is essential in this context yet remains underexplored in specialised care settings. In Sweden, the Assessment of Rehabilitation Needs Checklist (ARNC) is commonly used in cancer care, but its role in supporting person-centred conversations has not been investigated. Aim: The aim of this study was to investigate how the use of the ARNC as a conversation tool promotes PCN within the allo-HCT context. Methods: This qualitative study was conducted at two major allo-HCT centers in Sweden. Data were collected through semi-structured interviews with patients (n = 16), focus group discussions with registered nurses (RNs, n = 16), and from 30 memos written by RNs. Reflexive thematic analysis was used. Results: Three overarching themes were developed: (1) Letting the Story Emerge, (2) Unmet Needs and (3) Structural Gaps in Practice. The ARNC facilitated individualised conversations and helped identify unmet needs, including sensitive or previously unvoiced concerns. However, the lack of follow-up and organisational constraints, such as time pressure and fragmented care settings, limited its capacity to support shared care planning and sustained engagement. Conclusion: When used in dialogue, the ARNC has the potential to support person-centred nursing in allo-HCT by enabling narrative-based, needs-driven conversations. However, its effectiveness depends on structured follow-up and organisational conditions that promote relational care.</p>}},
  author       = {{Engberg de Carvalho, Cecilia and O'Sullivan, Anna and Bergkvist, Karin and Lundh Hagelin, Carina and Winterling, Jeanette and Malmborg Kisch, Annika}},
  issn         = {{0283-9318}},
  keywords     = {{allogeneic haematopoietic stem cell transplantation; cancer rehabilitation; needs assessment; nurse–patient communication; person-centred care; person-centred nursing; qualitative research}},
  language     = {{eng}},
  number       = {{4}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Scandinavian Journal of Caring Sciences}},
  title        = {{Person-Centred Nursing in Allogeneic Stem Cell Transplantation Using a Conversation Tool : A Qualitative Study}},
  url          = {{http://dx.doi.org/10.1111/scs.70153}},
  doi          = {{10.1111/scs.70153}},
  volume       = {{39}},
  year         = {{2025}},
}