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

JOURNAL OF HEART AND LUNG TRANSPLANTATION

卷:34

Article

Coleman, Bernice¹  Blumenthal, Nancy²  Currey, Judy³  Dobbels, Fabienne⁴  Velleca, Angela⁵  Grady, Kathleen L.⁶  Kugler, Christiane⁷  Murks, Catherine⁸  Ohler, Linda⁹  Sumbi, Christine⁵  Luu, Minh⁵  Dark, John¹⁰  Kobashigawa, Jon⁵  White-Williams, Connie¹¹ 

[1] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[2] Univ Penn, Med Ctr, Lung Transplant Program, Philadelphia, PA 19104 USA

[3] Deakin Univ, Fac Hlth, Geelong, Vic 3217, Australia

[4] Univ Leuven, Ctr Hlth Serv & Nursing Res, Leuven, Belgium

[5] Cedars Sinai Heart Inst, Adv Heart Dis Sect, Los Angeles, CA USA

[6] Northwestern Univ, Dept Med, Chicago, IL 60611 USA

[7] Hannover Med Sch, Hannover Thorac Transplant Program, Hannover, Germany

[8] Univ Chicago, Dept Med, Chicago, IL 60637 USA

[9] VCU, Pauley Heart Ctr, Heart Transplant Program, Richmond, VA USA

[10] Freeman Rd Hosp, Dept Cardiothorac Surg, Newcastle Upon Tyne, Tyne & Wear, England

[11] Univ Alabama Birmingham, Div Cardiol, Birmingham, AL USA

关键词: cardiac transplantation;    education;    licensure;    nursing;    transplant coordinator;   

DOI  :  10.1016/j.healun.2014.11.017

来源: Elsevier

【 摘 要 】

BACKGROUND: The role of nurses in cardiothoracic transplantation has evolved over the last 25 years. Transplant nurses work in a variety of roles in collaboration with multidisciplinary teams to manage complex pre- and post-transplantation issues. There is lack of clarity and consistency regarding required qualifications to practice transplant nursing, delineation of roles and adequate levels of staffing. METHODS: A consensus conference with workgroup sessions, consisting of 77 nurse participants with clinical experience in cardiothoracic transplantation, was arranged. This was followed by subsequent discussion with the ISHLT Nursing, Health Science and Allied Health Council. Evidence and expert opinions regarding key issues were reviewed. A modified nominal group technique was used to reach consensus. RESULTS: Consensus reached included: (1) a minimum of 2 years nursing experience is required for transplant coordinators, nurse managers or advanced practice nurses; (2) a baccalaureate in nursing is the minimum education level required for a transplant coordinator; (3) transplant coordinator specific certification is recommended; (4) nurse practitioners, clinical nurse specialists and nurse managers should hold at least a master's degree; and (5) strategies to retain transplant nurses include engaging donor call teams, mentoring programs, having flexible hours and offering career advancement support. Future research should focus on the relationships between staffing levels, nurse education and patient outcomes. CONCLUSIONS: Delineation of roles and guidelines for education, certification, licensure and staffing levels of transplant nurses are needed to support all nurses working at the fullest extent of their education and licensure. This consensus document provides such recommendations and draws attention to areas for future research. (C) 2015 International Society for Heart and Lung Transplantation. All rights reserved.

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