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

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        Case_studies_platelet_decisions_for_submission_V2_no_title_page_unmarked_2_.pdf (PDF, 351Kb)
        Author
        Mcsporran, Wendy
        Pattison, Natalie
        Attention
        2299/24931
        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.
        Publication date
        2021-07-01
        Published in
        European Journal of Cancer Care
        Published version
        https://doi.org/10.1111/ecc.13407
        Other links
        http://hdl.handle.net/2299/24931
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