title: Family members' life situation and experiences of different caring organisations during allogeneic haematopoietic stem cells transplantation-A qualitative study.
abstract: The aim of this study was to describe family members' life situation and experiences of care in two different care settings, the patient's home or in hospital during the acute post-transplantation phase after allogeneic haematopoietic stem cell transplantation (HSCT). Data were collected through semi-structured interviews with 14 family members (seven women and seven men). An inductive qualitative content analysis was used to analyse the data. The majority of the family members' (n = 10) had experiences from home care. The findings show the family members' voice of the uncertainty in different ways, related with the unknown prognosis of the HSCT, presented as Being me being us in an uncertain time. The data are classified into; To meet a caring organisation, To be in different care settings, To be a family member and To have a caring relationship. Positive experiences such as freedom and security from home care were identified. The competence and support from the healthcare professionals was profound. Different strategies such as adjusting, having hope and live in the present used to balance to live in an uncertain time. The healthcare professionals need to identify psychosocial problems, and integrate the psychosocial support for the family to alleviate or decrease anxiety during HSCT, regardless of the care setting.
authors.affiliation: Sophiahemmet University, Stockholm, Sweden.
authors.forename: K
authors.initials: K
authors.lastname: Bergkvist
authors.affiliation: The Red Cross University College, Stockholm, Sweden.
authors.forename: J
authors.initials: J
authors.lastname: Larsen
authors.affiliation: Sophiahemmet University, Stockholm, Sweden.|Department of Clinical Sciences and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
authors.forename: U-B
authors.initials: UB
authors.lastname: Johansson
authors.affiliation: Center for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Huddinge, Stockholm, Sweden.|Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden.
authors.forename: J
authors.initials: J
authors.lastname: Mattsson
authors.affiliation: Sophiahemmet University, Stockholm, Sweden.|Department of Clinical Sciences and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Fossum
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000517:prevention & control; D002983:Clinical Competence; D004645:Empathy; D005190:Family / Q000523:psychology*; D005195:Family Relations / Q000523:psychology; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation / Q000523:psychology*; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009738:Nursing Service, Hospital; D036301:Qualitative Research
keywords: allogeneic stem cell transplantation; experiences; family member; home care; hospital care; life situation