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dc.contributor.authorMcsporran, Wendy
dc.contributor.authorPattison, Natalie
dc.date.accessioned2021-07-30T13:06:39Z
dc.date.available2021-07-30T13:06:39Z
dc.date.issued2021-07-01
dc.identifier.citationMcsporran , W & Pattison , N 2021 , ' A qualitative exploration of the factors influencing the decision to transfuse elective platelets in cancer care ' , European Journal of Cancer Care , vol. 30 , no. 4 , e13407 . https://doi.org/10.1111/ecc.13407
dc.identifier.issn0961-5423
dc.identifier.otherPURE: 18922719
dc.identifier.otherPURE UUID: 83ee24cc-93fd-4323-9db2-424f53a1e0ae
dc.identifier.otherScopus: 85102830872
dc.identifier.otherORCID: /0000-0002-6771-8733/work/97834578
dc.identifier.urihttp://hdl.handle.net/2299/24931
dc.description© 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
dc.description.abstractObjectives: 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.en
dc.format.extent24
dc.language.isoeng
dc.relation.ispartofEuropean Journal of Cancer Care
dc.subjectcancer
dc.subjectcase study methods
dc.subjectclinical decisions
dc.subjecthaemato-oncology
dc.subjectplatelets
dc.subjectqualitative
dc.subjecttransfusion
dc.subjectOncology
dc.titleA qualitative exploration of the factors influencing the decision to transfuse elective platelets in cancer careen
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.date.embargoedUntil2021-03-16
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85102830872&partnerID=8YFLogxK
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1111/ecc.13407
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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