Clinical outcomes of a nurse-led post-discharge education program for heart-transplant recipients: A retrospective cohort study

Lee, Ji Hyeon; Kang, Seok Min; Kim, Young Ah; Chu, Sang Hui

doi:10.1016/j.apnr.2021.151427

Cited by 9 publications

(8 citation statements)

References 34 publications

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“…Nurse practitioners, who are assisted by interpreters when needed, meet with families during hospitalization to review the transplant binder, with more frequent meetings scheduled for patients identified as having lower health literacy rates. Previous studies in the transplant literature have suggested that multidisciplinary and structured transplant education can significantly improve post‐transplant outcomes 24,25 . These findings highlight the importance of providing targeted educational resources to patients and families throughout the transplant process.…”

Section: Discussionmentioning

confidence: 78%

“…Previous studies in the transplant literature have suggested that multidisciplinary and structured transplant education can significantly improve post-transplant outcomes. 24,25 These findings highlight the importance of providing targeted educational resources to patients and families throughout the transplant process.…”

Section: Importance Of Patient Education and Social Servicesmentioning

confidence: 96%

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The effect of socioeconomic status on pediatric heart transplant outcomes at a single institution between 2013 and 2022

Armstrong,

Liang,

Char

et al. 2024

Pediatric Transplantation

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BackgroundDisparities in pediatric heart transplant outcomes based on socioeconomic status (SES) have been previously observed. However, there is a need to reevaluate these associations in contemporary settings with advancements in transplant therapies and increased awareness of health disparities. This retrospective study aims to investigate the relationship between SES and outcomes for pediatric heart transplant patients.MethodsData were collected through a chart review of 176 pediatric patients who underwent first orthotopic heart transplantation (OHT) at a single center from 2013 to 2021. The Area Deprivation Index (ADI), a composite score based on U.S. census data, was used to quantify SES. Cox proportional hazards models and generalized linear models were employed to analyze the association between SES and graft failure, rejection rates, and hospitalization rates.ResultsThe analysis revealed no statistically significant differences in graft failure rates, rejection rates, or hospitalization rates between low‐SES and high‐SES pediatric heart transplant patients for our single‐center study.ConclusionThere may be patient education, policies, and social resources that can help mitigate SES‐based healthcare disparities. Additional multi‐center research is needed to identify post‐transplant care that promotes patient equity.

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Section: Discussionmentioning

confidence: 78%

Section: Importance Of Patient Education and Social Servicesmentioning

confidence: 96%

The effect of socioeconomic status on pediatric heart transplant outcomes at a single institution between 2013 and 2022

Armstrong,

Liang,

Char

et al. 2024

Pediatric Transplantation

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“…This model was concluded as an effective model of care which improved clinical outcomes following heart transplantation. A key contributing factor was the focus on promotion of health lifestyle behaviors, resulting in reduced unnecessary outpatient presentations, and reductions in delayed time to readmission in the 12 months following transplantation 37 …”

Section: Discussionmentioning

confidence: 99%

Review of advanced practice nurse role in infection throughout the hematopoietic stem cell transplant journey

Gilsenan,

Van Der Linde,

Hill

et al. 2024

Transplant Infectious Dis

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BackgroundProlonged periods of immunosuppression during hematopoietic stem cell transplant (HSCT) can result in serious infectious complications and contribute to transplant‐related morbidity and mortality. Adherence to standardized pre and postinfection screening guidelines, prescribed medications, and early identification of infectious symptoms through comprehensive patient and family education are crucial to minimizing infectious complications. Advanced practice nurses (APNs) are key members of the multidisciplinary care team in the HSCT specialty, maintaining a specialized skillset and scope of practice which includes a holistic based, preventative medicine and risk mitigation approach.MethodsThis review sought to describe the role of the APN in HSCT care and to further examine existing APN led models of care which focus on infection prevention and education throughout the HSCT treatment journey.ResultsNo studies specifically examined the APN role in infectious diseases risk assessment, screening, and management throughout the HSCT journey were identified throughout our review, however, there was considerable evidence to demonstrate the benefits of APN led care in the oncology and solid organ transplantation specialty which led to improvements in continuity of care, overall patient outcomes, and multidisciplinary team collaboration.The key themes identified in our review, were the role of the APN in the delivery of comprehensive patient and family education, the role of the APN in supporting, mentoring, and educating junior medical and nursing teams, the collaboration between the APN and the multidisciplinary care team, and the role of the APN in prompt recognition, triage, and management of treatment related complications, such as infection.

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“…Even in a recently published meta-analysis, the authors demonstrated that congestive heart failure patients who were assigned to a nurse-led intervention group had a significantly lower rate of re-hospitalization and mortality supporting its implementation [ 27 ]. In addition, a retrospective cohort study based on clinical outcomes of a nurse-led post discharge education program for 136 heart-transplantation patients showed a significant decline in outpatient visits with clinical problems, and a longer time interval until first unplanned re-hospitalization indicating an effective strategy of nurse-led educational programs after heart transplantation [ 28 ]. Even in patients with atrial fibrillation, nurse-led multidisciplinary team management has shown to reduce hospitalization due to a cardiac cause, and has significantly improved quality of life in patients with atrial fibrillation, suggesting that this innovative management approach should be implemented in clinical practice [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Nurse-led intervention in the management of patients with cardiovascular diseases: a brief literature review

Qiu

2024

BMC Nurs

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Coronary artery disease (CAD) is one among the major causes of mortality in patients all around the globe. It has been reported by the World Health Organization (WHO) that approximately 80% of cardiovascular diseases could be prevented through lifestyle modifications. Management of CAD involves the prevention and control of cardiovascular risk factors, invasive and non-invasive treatments including coronary revascularizations, adherence to proper medications and regular outpatient follow-ups. Nurse-led clinics were intended to mainly provide supportive, educational, preventive measures and psychological support to the patients, which were completely different from therapeutic clinics. Our review focuses on the involvement and implication of nurses in the primary and secondary prevention and management of cardiovascular diseases. Nurses have a vital role in Interventional cardiology. They also have major roles during the management of cardiac complications including congestive heart failure, atrial fibrillation and heart transplantation. Today, the implementation of a nurse-led tele-consultation strategy is also gaining positive views. Therefore, a nurse-led intervention for the management of patients with cardiovascular diseases should be implemented in clinical practice. Based on advances in therapy, more research should be carried out to further investigate the effect of nurse-led clinics during the long-term treatment and management of patients with cardiovascular diseases.

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Clinical outcomes of a nurse-led post-discharge education program for heart-transplant recipients: A retrospective cohort study

Cited by 9 publications

References 34 publications

The effect of socioeconomic status on pediatric heart transplant outcomes at a single institution between 2013 and 2022

The effect of socioeconomic status on pediatric heart transplant outcomes at a single institution between 2013 and 2022

Review of advanced practice nurse role in infection throughout the hematopoietic stem cell transplant journey

Nurse-led intervention in the management of patients with cardiovascular diseases: a brief literature review

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