Person-Centred Nursing in Allogeneic Stem Cell Transplantation Using a Conversation Tool: A Qualitative Study.
Cecilia Engberg de Carvalho, Anna O'Sullivan, Karin Bergkvist and 3 others
PMID 41199740WHAT IT FOUND
Patients after stem cell transplant and nurses said the ARNC made it easier to raise needs such as anxiety, finances or sexuality.
But patients often did not know if anyone acted on their answers. Pair it with follow-up, documentation and shared care planning.
Key findings
01Patients and RNs described the ARNC as making it easier to identify individual needs and discuss concerns that might otherwise remain unspoken.
02Some patients completed the ARNC but received no follow-up, documentation or feedback, and this affected their sense of trust and continuity.
03Both RNs and patients said time constraints often prevented follow-up, and RNs said follow-up conversations were sometimes deprioritized, including at night.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was qualitative and did not test whether the ARNC improved care, symptoms or patient outcomes. Findings come from two Swedish transplant centres, so they may not apply to other settings. The patient interviews included more men than women, and the final patient sample was 36 with 16 interviewed; one interview and six memos were excluded from analysis. The study did not include family caregivers or other healthcare professionals, although these groups are important in recovery. It did not examine patients with cognitive impairment, language barriers or limited health literacy. The ARNC had been recently introduced, so experiences may reflect early implementation rather than routine use. Lack of follow-up limited assessment of sustained outcomes, especially psychological well-being.
Declared interests
The authors declare no conflicts of interest. Funding came from Sjöbergstiftelsen and Vetenskapsrådet.
The easy way to misread this
Do not read this as evidence that the ARNC improves person-centred care or transplant outcomes. It reports how patients and RNs experienced the tool. Many patients did not know whether their concerns were read or acted on, and follow-up was inconsistent.