The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience

Background/Objectives: Multidisciplinary TAVI programs are focused on improving patient-centred care. We compared outcomes in patients undergoing transcatheter aortic valve implantation (TAVI) within a multidisciplinary programme including a nurse with those of patients in the standard programme. Me...

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Autores: González Cebrián, Miryam, Alonso Fernández Gatta, Marta, Hernández Martos, Ángel Víctor, Alonso Meléndez, Sara, Carreño Sánchez, Rosa, González Egido, Elena Olaya, Tapia Majado, Beatriz de, Calvo, Elena, Cruz González, Ignacio, Sánchez Fernández, Pedro Luis
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/222277
Acceso en línea:https://hdl.handle.net/2445/222277
Access Level:acceso abierto
Palabra clave:Infermeria cardiovascular
Pròtesis valvulars cardíaques
Cardiovascular disease nursing
Heart valve prosthesis
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spelling The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experienceGonzález Cebrián, MiryamAlonso Fernández Gatta, MartaHernández Martos, Ángel VíctorAlonso Meléndez, SaraCarreño Sánchez, RosaGonzález Egido, Elena OlayaTapia Majado, Beatriz deCalvo, ElenaCruz González, IgnacioSánchez Fernández, Pedro LuisInfermeria cardiovascularPròtesis valvulars cardíaquesCardiovascular disease nursingHeart valve prosthesisBackground/Objectives: Multidisciplinary TAVI programs are focused on improving patient-centred care. We compared outcomes in patients undergoing transcatheter aortic valve implantation (TAVI) within a multidisciplinary programme including a nurse with those of patients in the standard programme. Methods: This single-centre observational retrospective study includes patients with severe aortic valve disease and a TAVI indication, with the goal of comparing a nurse programme with standard practice. In the TAVI nursing programme, the nurse has several key roles: patient and family education, comprehensive assessment and procedure planification, patient and family accompaniment, complications detection during admission and follow-up, and patient experience evaluation in the post-procedure period. Results: 154 patients were included: 87 in the nurse programme and 67 in standard practice groups, respectively. Men comprised 52.6%, with an average age of 81 years. Both groups achieved high procedure success without differences in mortality during admission and follow-up (median 13.4 months). The nurse programme group showed better functional class more frequently and had significantly fewer emergency department visits (11.8% vs. 31.3%) and less frequency of readmission (1.2% vs. 23.4%). The TAVI nurse group reported significantly higher overall satisfaction with the process (9.8 vs. 8.9 scores), with the information received and the nurse treatment being the best rated items. Conclusions: A multidisciplinary programme for patients undergoing TAVI, coordinated by nurses and based on comprehensive attention that places the patients at the centre of the process, is feasible and shows high patient satisfaction.MDPI2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/222277Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/jcm14113944Journal of Clinical Medicine, 2025, vol. 14, num. 11, 3944https://doi.org/10.3390/jcm14113944cc-by (c) González Cebrián, Miryam et al., 2025http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2222772026-05-27T06:46:51Z
dc.title.none.fl_str_mv The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
title The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
spellingShingle The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
González Cebrián, Miryam
Infermeria cardiovascular
Pròtesis valvulars cardíaques
Cardiovascular disease nursing
Heart valve prosthesis
title_short The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
title_full The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
title_fullStr The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
title_full_unstemmed The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
title_sort The role of a nurse in a programme for patients undergoing transcatheter aortic valve implantation: impact on outcomes and patient experience
dc.creator.none.fl_str_mv González Cebrián, Miryam
Alonso Fernández Gatta, Marta
Hernández Martos, Ángel Víctor
Alonso Meléndez, Sara
Carreño Sánchez, Rosa
González Egido, Elena Olaya
Tapia Majado, Beatriz de
Calvo, Elena
Cruz González, Ignacio
Sánchez Fernández, Pedro Luis
author González Cebrián, Miryam
author_facet González Cebrián, Miryam
Alonso Fernández Gatta, Marta
Hernández Martos, Ángel Víctor
Alonso Meléndez, Sara
Carreño Sánchez, Rosa
González Egido, Elena Olaya
Tapia Majado, Beatriz de
Calvo, Elena
Cruz González, Ignacio
Sánchez Fernández, Pedro Luis
author_role author
author2 Alonso Fernández Gatta, Marta
Hernández Martos, Ángel Víctor
Alonso Meléndez, Sara
Carreño Sánchez, Rosa
González Egido, Elena Olaya
Tapia Majado, Beatriz de
Calvo, Elena
Cruz González, Ignacio
Sánchez Fernández, Pedro Luis
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Infermeria cardiovascular
Pròtesis valvulars cardíaques
Cardiovascular disease nursing
Heart valve prosthesis
topic Infermeria cardiovascular
Pròtesis valvulars cardíaques
Cardiovascular disease nursing
Heart valve prosthesis
description Background/Objectives: Multidisciplinary TAVI programs are focused on improving patient-centred care. We compared outcomes in patients undergoing transcatheter aortic valve implantation (TAVI) within a multidisciplinary programme including a nurse with those of patients in the standard programme. Methods: This single-centre observational retrospective study includes patients with severe aortic valve disease and a TAVI indication, with the goal of comparing a nurse programme with standard practice. In the TAVI nursing programme, the nurse has several key roles: patient and family education, comprehensive assessment and procedure planification, patient and family accompaniment, complications detection during admission and follow-up, and patient experience evaluation in the post-procedure period. Results: 154 patients were included: 87 in the nurse programme and 67 in standard practice groups, respectively. Men comprised 52.6%, with an average age of 81 years. Both groups achieved high procedure success without differences in mortality during admission and follow-up (median 13.4 months). The nurse programme group showed better functional class more frequently and had significantly fewer emergency department visits (11.8% vs. 31.3%) and less frequency of readmission (1.2% vs. 23.4%). The TAVI nurse group reported significantly higher overall satisfaction with the process (9.8 vs. 8.9 scores), with the information received and the nurse treatment being the best rated items. Conclusions: A multidisciplinary programme for patients undergoing TAVI, coordinated by nurses and based on comprehensive attention that places the patients at the centre of the process, is feasible and shows high patient satisfaction.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/222277
url https://hdl.handle.net/2445/222277
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/jcm14113944
Journal of Clinical Medicine, 2025, vol. 14, num. 11, 3944
https://doi.org/10.3390/jcm14113944
dc.rights.none.fl_str_mv cc-by (c) González Cebrián, Miryam et al., 2025
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) González Cebrián, Miryam et al., 2025
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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