Collaboration to Improve Education after Liver Transplant: The Experience at Portland Veterans Affairs Medical Center

Perez, Cynthia; Busch, Ann M. Herbage; Oyama, Katie; Jackson, N

doi:10.1177/152692480701700408

Cited by 2 publications

(4 citation statements)

References 8 publications

(6 reference statements)

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“…The caregiver can help to assure a clear understanding of the posttransplant plan of care and enhance readiness for discharge. 18,22 The study did not demonstrate a statistically significant difference in 30-day readmissions between the 2017 liver transplant recipients and the 2018 recipients. Although there was a decrease of 16.3% in 30-day readmissions from the 2017 cohort to the 2018 cohort, the sample size was too small to detect a statistically significant difference.…”

Section: Discussionmentioning

confidence: 67%

“…This individualization facilitated the importance of time-sensitive education as emphasized by Ko et al 23 The intervention focused on critical elements needed for patients to avoid unnecessary readmissions, including medications and the 1-page education sheet. In this way, information included met the minimum requirements and the medication teaching elements as stressed by Perez et al 18 A multimodal method was used to present small amounts of information with opportunities to reinforce key concepts during the clinical shift and hospitalization. Nurses verbally introduced content and employed the teach-back method to assure understanding.…”

Section: Discussionmentioning

confidence: 99%

“…16 Lower income, recent transplantation, the number of medications prescribed, and lower health literacy were associated with lower medication treatment knowledge scores. 17 Perez et al 18 advocated for medication teaching that includes dose, action, frequency, and adverse effects. Readmissions following liver transplantation were reduced by 15% when patients had adequate medication treatment knowledge and 13% when medications were taken as prescribed.…”

Section: Introductionmentioning

confidence: 99%

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Relationship of Nurse-Led Education Interventions to Liver Transplant Early Readmission

et al. 2020

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Introduction: Early hospital readmission following liver transplantation is associated with lower survival and worse long-term graft function. Language, cultural practices, and health literacy influence patient understanding of posttransplant care education. Complex medication regimes, changes in metabolism and nutrition absorption, and infection/rejection further complicate the prevention of readmission. Purpose: The purpose of this study was to compare the 30-day readmissions of single-organ liver transplant recipients for 1-year prior and 1-year following the implementation of nurse-led education. The study examined the demographics, clinical characteristics, and 30-day readmissions of 35 liver transplant recipients who participated in the newly designed nurse-led education and 51 liver transplant recipients who experienced the prior post-liver transplant education. Design: A single-center, correlational study with a convenience sample was conducted at a Hispanic-serving South Texas hospital. The new education intervention maintained the standard education and added twice-daily mutual patient-focused goal setting between the nurse and the recipient that aligned with readiness for discharge activities/goals, structured education using abbreviated handouts written at a second-grade level available in both English and Spanish, and the use of repetition through multimodal methods. Results: The odds for 30-day readmissions the year prior to the nurse-led patient education intervention were 2.088 times greater than the year following the implementation. Thirty-day readmissions were reduced by 16.3% from the 2017 cohort to the 2018 cohort. Discussion: Understanding unique risk factors facilitates structured patient education which can be individualized to the patient and caregiver including collaborative nurse–patient goals.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship of Nurse-Led Education Interventions to Liver Transplant Early Readmission

et al. 2020

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“…And also different from deceased donor transplant psychological problems such as anxiety and depression due to the feeling of guilt can be seen. The studies conducted so far have examined LT recipients' experiences 16,17,18,19,20,21,22,23 and contents and methods of education to be offered to the recipients 24,25 . To maintain liver function and avoid complications, LT recipients need to engage in a self-management behaviors 26,27 .…”

Section: Introductionmentioning

confidence: 99%

Living with a foreign organ: counselling needs of living liver transplant recipients

İşeri¹,

Yılmaz²

2018

Cukurova Medical Journal

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ÖzPurpose: Liver transplantation can be a lifesaving option for people with acute/chronic liver failure. Although liver transplantation has positive outcomes, the recipients experience many physical, psychological and social problems. It is of great importance to satisfy their needs for counselling so that they can overcome these problems. The aim of the study was to describe the counselling needs of living liver transplant recipients. Materials and Methods:A descriptive qualitative research design was used. The study was conducted between November 2012 and December 2012. In-depth interviews were performed with sixteen participants who had experiences of living liver transplantation. Data were analyzed with inductive content analysis. Results: The liver transplant recipients' counselling needs were categorized into two main themes: ''pretransplantation period counselling needs'' and ''posttransplant period counselling needs''. Subthemes were also identified and described. The first main theme had three subthemes (causes and symptoms of liver failure, treatment process, living donors) and the second main theme had four subthemes (medications used, possible complications, sexuality and body image and life after transplantation). Conclusions:The results indicate that the living liver transplant recipients' currently have insufficient knowledge about transplantation periods and they need counselling. Amaç: Karaciğer transplantasyonu son dönem akut ve kronik karaciğer yetmezliği olan hastalar için yaşam kurtaran bir tedavi yöntemidir. Karaciğer transplantasyonunun her ne kadar olumlu sonuçları olsa da alıcılar fiziksel, psikolojik ve sosyal açıdan birçok sorun yaşamaktadırlar. Bu nedenle alıcıların yaşanılan sorunlarla baş edebilmesi için danışmanlık gereksinimlerinin karşılanması oldukça önemlidir. Bu çalışmanın amacı canlıdan karaciğer transplantasyonu yapılan alıcıların danışmanlık gereksinimlerinin belirlenmesidir. Gereç ve Yöntem: Bu çalışma tanımlayıcı kalitatif bir araştırmadır. Çalışma Kasım-Aralık 2012 tarihlerinde yürütülmüştür. Veriler canlıdan karaciğer transplantasyonu olan 16 alıcı ile derinlemesine görüşme yöntemiyle toplanmıştır. Verilerin değerlendirilmesinde içerik analizi yöntemi ve tümevarımcı yaklaşım kullanılmıştır. Bulgular: Alıcıların danışmanlık gereksinimleri ''transplantasyon öncesine ilişkin danışmanlık gereksinimleri'' ve ''transplantasyon sonrasına ilişkin danışmanlık gereksinimleri'' olmak üzere iki ana temadan ve tanımlanan yedi alt temadan oluşmaktadır. Birinci ana temanın üç alt teması (karaciğer yetmezliğinin nedenleri ve belirtileri, tedavi süreci, vericiler); ikinci ana temanın (kullanılan ilaçlar, oluşabilecek komplikasyonlar, cinsel yaşam ve beden imajı ile yeni yaşamları) ise dört alt teması bulunmaktadır. Sonuç: Canlıdan karaciğer transplantasyonu olan alıcıların transplantasyondan önce ve sonrasında bilgilerinin yetersiz olduğu ve danışmanlık gereksinimlerinin olduğu saptanmıştır.

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Collaboration to Improve Education after Liver Transplant: The Experience at Portland Veterans Affairs Medical Center

Cited by 2 publications

References 8 publications

Relationship of Nurse-Led Education Interventions to Liver Transplant Early Readmission

Relationship of Nurse-Led Education Interventions to Liver Transplant Early Readmission

Living with a foreign organ: counselling needs of living liver transplant recipients

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