Adult cardiothoracic transplant nursing: An ISHLT consensus document on the current adult nursing practice in heart and lung transplantation

Coleman, Bernice; Blumenthal, Nancy P.; Currey, Judy; Dobbels, Fabienne; Velleca, A.; Grady, Kathleen L.; Kugler, Christiane; Murks, C.; Ohler, Linda; Sumbi, Christine; Luu, Minh B.; Dark, John H.; Kobashigawa, Jon A.; White‐Williams, Connie

doi:10.1016/j.healun.2014.11.017

Cited by 9 publications

(9 citation statements)

References 16 publications

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“…One of the most important goals of transplantation is to improve and promote health related quality of life . Our findings demonstrate that the recipients often had a very complicated recovery process characterised by the prevalence of many symptoms and setbacks, where the support of healthcare professionals in the promotion of well‐being and health is a key element.…”

Section: Discussionmentioning

confidence: 99%

Recovery, symptoms, and well‐being one to five years after lung transplantation – A multi‐centre study

Lundmark

Lennerling

Almgren

et al. 2018

Scandinavian Caring Sciences

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Background In recent years, survival after lung transplantation has remained largely unchanged despite improvements in short‐and intermediate‐term survival, indicating the need to identify factors associated with recovery and long‐term survival. Very little is known about how lung recipients recover after lung transplantation and whether such factors are related to symptom distress and well‐being. This constitutes the rationale of the study. Aim The aim was to explore symptom prevalence and distress as well as the degree of self‐reported perceived recovery and well‐being 1–5 years after adult lung transplantation. Method This multicentre, cross‐sectional nationwide study includes 117 lung recipients due for follow‐up at 1 year (n = 35), 2 years (n = 28), 3 years (n = 23), 4 years (n = 20) and 5 years (n = 11). Three different self‐assessment instruments were utilised; The Postoperative Recovery Profile, the Organ Transplant Symptom and Well‐Being Instrument, and the Psychological General Well‐Being Instrument. Ethical approval of the study was obtained. Results Few (5.7%) lung recipients were recovered 1–5 years after lung transplantation and 27.6% were not recovered at all. No relationship was identified between present lung function and self‐reported recovery or well‐being. There was a strong relationship between recovery and well‐being. It is possible to be partly recovered and experience good health. The most prevalent symptoms were tremor 66%, breathlessness 62%, and decreased libido 60%, while the symptoms perceived as most distressing were embarrassment about appearance, decreased libido, and poor appetite. Limitations The cross‐sectional design prevents identification of any causal relationships. Patient loss due to transplant mortality and inclusion difficulties resulted in a fairly small sample. Conclusion Our findings suggest the need for changes in follow‐up care such as systematic measurement of the degree of self‐reported recovery and symptoms. This entails self‐management support tailored to the recipients' symptom‐management and health‐management requirements.

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Section: Discussionmentioning

confidence: 99%

Recovery, symptoms, and well‐being one to five years after lung transplantation – A multi‐centre study

Lundmark

Lennerling

Almgren

et al. 2018

Scandinavian Caring Sciences

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“…The other hand, even in the US, CTCs practice in the range dictated by the condition of each facility, and depending on the situation, it was reported the boundary with APNs becomes unclear. [20] Therefore, it is a necessary future challenge to construct the educational system for CTCs who practice expertise as [autonomous judgment and timely response while assessing patient conditions] in the Japanese nursing system.…”

Section: Practice In Coordination During the Transplantation Processmentioning

confidence: 99%

“…[19] In addition, within the transplant team, CTCs, APNs, such as nurse practitioners, and clinical nurse specialists carry out multiple nursing roles to ensure safe care of patients, families, and donors on the basis of their individual required licensing state-mandated scope of practice. [20] However, in Japan, the educational system and definition of nursing practice abilities necessary for CTCs have yet to be established, and actual details depend on individual experience and recognition. Although the history of the CTC in Japan is shorter than that in the United States, we thought that CTCs in Japan were becoming expert by experience.…”

Section: Introductionmentioning

confidence: 99%

Expertise practice of clinical transplant coordinators in Japan

Hagiwara

Seto

Shimizu

2018

JNEP

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Objective: This study aimed to describe the expertise practice of nurse clinical transplant coordinators (CTCs) in organ transplantation medical care. Methods: To present the expertise practices of CTCs, we conducted a qualitative descriptive study using semistructured interviews. We performed an analysis according to analytical methods from the (Modified) Grounded Theory Approach (M-GTA) proposed by Kinoshita. Conclusions: CTC in Japan demonstrates expertise practice with decision support during transplant selection, coordination during the transplant process, and long-term continuing care. In addition, this study highlighted that CTCs in Japan had been conducting autonomous practice as a nurse and providing comprehensive care including patients, family members, and living donors. Our results clarified the experienced CTC's expertise practices in all organ transplants and can be used to improve and assess the quality of care given by Japanese CTCs in the transplant process.

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“…[3] Evidence show that complications are diversified for affecting different systems of the human body, and have a multifac-torial order. [4] Although advances have been made to control Surgical Site Infection (SSI), it remains a substantial cause of morbidity, prolonged hospitalization, and death. [5] The situation occurs more often when using immunosuppressive regimens.…”

Section: Introductionmentioning

confidence: 99%

Situation-specific theory of surgical site infection-related stimuli in patients undergoing heart transplantation

Lopes

Silva²,

Barbosa³

et al. 2019

JNEP

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Background and objective: Heart transplant is a life-saving treatment and currently is the definitive gold-standard in the treatment of refractory heart failure. Surgical site infection is a serious complication of heart transplantation. A nursing theory predicting consequences related to the management of risk factors for surgical site infection in patients undergoing heart transplantation can be useful to nursing practice. The objective of this study was to develop a situation-specific theory of surgical site infection-related stimuli in patients undergoing heart transplantation.Methods: It was adopted an integrative strategy to develop the theory. Multiple sources of knowledge were accessed. The Roy Adaptation Model was adopted as the foundation for the development of this situation-specific theory in a nursing perspective. A literature review on risk factors for surgical site infection in patients undergoing heart transplantation was conducted. By configuring those sources with practice expertise in a collaborative effort, risk factors for surgical site infection in patients undergoing heart transplantation were classified as contextual or residual stimuli, focal stimulus was defined, and seven theory propositions were developed.Results: Heart transplant surgery was considered as focal stimulus. The contextual stimuli were classified as preoperative, intraoperative, and postoperative contextual stimuli. The residual stimuli were classified as preoperative and intraoperative residual stimuli. No postoperative residual stimulus was identified. Ten theory propositions were created.Conclusions: The emerging theory can help nurses to prevent surgical site infections in patients undergoing heart transplantation. Further developments must be made in order to consider nurse-patient interactions during the prevention of surgical site infections.

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Adult cardiothoracic transplant nursing: An ISHLT consensus document on the current adult nursing practice in heart and lung transplantation

Cited by 9 publications

References 16 publications

Recovery, symptoms, and well‐being one to five years after lung transplantation – A multi‐centre study

Recovery, symptoms, and well‐being one to five years after lung transplantation – A multi‐centre study

Expertise practice of clinical transplant coordinators in Japan

Situation-specific theory of surgical site infection-related stimuli in patients undergoing heart transplantation

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