‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantation
Background: Internationally, transcatheter aortic valve implantation (TAVI) is the most common approach for treating aortic stenosis. There is growing evidence to support the implementation of a streamlined clinical pathway to optimise outcomes, improve capacity and facilitate safe early discharge...
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| Format: | Article |
| Language: | English |
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Australian College of Perioperative Nurses
2024-02-01
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| Series: | Journal of Perioperative Nursing |
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| Online Access: | https://journal.acorn.org.au/index.php/jpn/article/view/96 |
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| author | Celeste Percy Fuchsia Howard Bobby Lee Janarthanan Sathananthan David Wood John Webb Sandra Lauck |
| author_facet | Celeste Percy Fuchsia Howard Bobby Lee Janarthanan Sathananthan David Wood John Webb Sandra Lauck |
| author_sort | Celeste Percy |
| collection | DOAJ |
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Background: Internationally, transcatheter aortic valve implantation (TAVI) is the most common approach for treating aortic stenosis. There is growing evidence to support the implementation of a streamlined clinical pathway to optimise outcomes, improve capacity and facilitate safe early discharge home. Best practices that are emerging include adopting a minimalist approach and transition from general anaesthesia to conscious sedation or local anesthesia only. We aimed to explore what could be learned from patients’ experiences
of their care in this rapidly evolving context.
Methods: We conducted a qualitative study of patients in the first week after TAVI to explore their perspectives of the procedure and elicit their recommendations. We used interpretive description as the methodological approach to not only inform data collection and analysis but also to generate evidence to inform practice.
Results: We recruited 15 participants, five women and ten men, with a mean age of 83 years (±5.4) who had transfemoral TAVI with minimal sedation (n=14) in a hybrid operating room (n=6) or a cardiac catheter laboratory (n=9) and were discharged home without complications the day after their procedure. The overarching theme of ‘I want to be a member of my heart team during my procedure’ emerged, and was illustrated by three themes: ‘Who am I to
them?’ (situating self in relation to the team), ‘How can I be a good patient?’ (knowing expectations of me) and ‘How do I manage this complex wave of emotions?’ (interpreting team signals). Participants provided unique recommendations, including patient participation during safety checkpoints, communication protocols, education and raised awareness of patients’ needs during minimalist TAVI.
Conclusions: The rapid emergence of minimalist approaches for the treatment of valvular heart disease warrants tailored strategies to integrate patients’ needs. Further research is needed to ensure the adoption of patient-centred practices during TAVI.
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| format | Article |
| id | doaj-art-37f80d6428fc4a9898164d35f396c89f |
| institution | Kabale University |
| issn | 2209-1084 2209-1092 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | Australian College of Perioperative Nurses |
| record_format | Article |
| series | Journal of Perioperative Nursing |
| spelling | doaj-art-37f80d6428fc4a9898164d35f396c89f2025-08-20T03:53:42ZengAustralian College of Perioperative NursesJournal of Perioperative Nursing2209-10842209-10922024-02-0137110.26550/2209-1092.1285‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantationCeleste Percy0Fuchsia Howard1Bobby Lee2Janarthanan Sathananthan3David Wood4John Webb5Sandra Lauck6University of British ColumbiaUniversity of British ColumbiaUniversity of British ColumbiaUniversity of British ColumbiaUniversity of British ColumbiaUniversity of British ColumbiaUniversity of British Columbia Background: Internationally, transcatheter aortic valve implantation (TAVI) is the most common approach for treating aortic stenosis. There is growing evidence to support the implementation of a streamlined clinical pathway to optimise outcomes, improve capacity and facilitate safe early discharge home. Best practices that are emerging include adopting a minimalist approach and transition from general anaesthesia to conscious sedation or local anesthesia only. We aimed to explore what could be learned from patients’ experiences of their care in this rapidly evolving context. Methods: We conducted a qualitative study of patients in the first week after TAVI to explore their perspectives of the procedure and elicit their recommendations. We used interpretive description as the methodological approach to not only inform data collection and analysis but also to generate evidence to inform practice. Results: We recruited 15 participants, five women and ten men, with a mean age of 83 years (±5.4) who had transfemoral TAVI with minimal sedation (n=14) in a hybrid operating room (n=6) or a cardiac catheter laboratory (n=9) and were discharged home without complications the day after their procedure. The overarching theme of ‘I want to be a member of my heart team during my procedure’ emerged, and was illustrated by three themes: ‘Who am I to them?’ (situating self in relation to the team), ‘How can I be a good patient?’ (knowing expectations of me) and ‘How do I manage this complex wave of emotions?’ (interpreting team signals). Participants provided unique recommendations, including patient participation during safety checkpoints, communication protocols, education and raised awareness of patients’ needs during minimalist TAVI. Conclusions: The rapid emergence of minimalist approaches for the treatment of valvular heart disease warrants tailored strategies to integrate patients’ needs. Further research is needed to ensure the adoption of patient-centred practices during TAVI. https://journal.acorn.org.au/index.php/jpn/article/view/96transcatheter aortic valve replacementperi-procedure nursingminimalist approachanaesthesiapatient experiencequalitative |
| spellingShingle | Celeste Percy Fuchsia Howard Bobby Lee Janarthanan Sathananthan David Wood John Webb Sandra Lauck ‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantation Journal of Perioperative Nursing transcatheter aortic valve replacement peri-procedure nursing minimalist approach anaesthesia patient experience qualitative |
| title | ‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantation |
| title_full | ‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantation |
| title_fullStr | ‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantation |
| title_full_unstemmed | ‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantation |
| title_short | ‘I want to be a member of my heart team’: Insights from patients’ experiences of minimalist transcatheter aortic valve implantation |
| title_sort | i want to be a member of my heart team insights from patients experiences of minimalist transcatheter aortic valve implantation |
| topic | transcatheter aortic valve replacement peri-procedure nursing minimalist approach anaesthesia patient experience qualitative |
| url | https://journal.acorn.org.au/index.php/jpn/article/view/96 |
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