Management issues in hematopoietic stem cell transplantation.
OBJECTIVE
To describe the leadership and management challenges of creating and maintaining a comprehensive hematopoietic stem cell transplant program.


METHODS
Research studies, review articles, databases, and web sites.


CONCLUSIONS
Nurses at all levels of practice must conceptualize and execute expert specialized care through all phases of transplantation. Attention must be paid to specialized functions such as care coordination and case management, as well as scope of practice. Focus must be given to quality assessment and improvement.


CONCLUSIONS
As the field of transplant grows and evolves, expert nursing leadership will be required to manage the continuum of care as patients move between health care settings. The increased emphasis on outpatient care, cost containment, and consumer and regulatory demand for quality will continue to challenge nurse leaders to manage creative enterprises.
Quality Management and Magnet Program, Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. ricer@mskcc.org
Robert David
RD
Rice
Gay
G
Bailey
D000553:Ambulatory Care / Q000458:organization & administration; D019090:Case Management / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000458:organization & administration*; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects / Q000451:nursing*; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators / Q000458:organization & administration*; D024802:Nurse's Role; D009730:Nursing Assessment / Q000458:organization & administration; D009859:Oncology Nursing / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D017009:Professional Autonomy; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D019984:Quality Indicators, Health Care / Q000458:organization & administration