Management issues in hematopoietic stem cell transplantation.

OBJECTIVES: To describe the leadership and management challenges of creating and maintaining a comprehensive hematopoietic stem cell transplant program. DATA SOURCES: Research studies, review articles, databases, and web sites.
CONCLUSION: 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. IMPLICATIONS FOR NURSING PRACTICE: 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.