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Launching a New Strategy for Multidisciplinary Management of Single-Ventricle Heart Defects
Jo Ann M Davis1,2,3, Holly Miller-Tate4,5,6, Karen M Texter4,5,6
1Jo Ann M. Davis is the single ventricle advanced practice nurse at Nationwide Children's Hospital in Columbus, Ohio. joann.davis@nationwidechildrens.org.
Insights
Children with single-ventricle heart defects need coordinated care. This study details a synchronized, multidisciplinary team approach to improve support for these children and their families.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Healthcare Coordination
Background:
- Single-ventricle heart defects, including hypoplastic left heart syndrome, present lifelong mortality and comorbidity risks.
- Affected children face complex challenges beyond cardiac issues, such as growth, feeding, and neurodevelopmental problems.
- Prenatal diagnosis of complex heart defects necessitates seamless pre- and postnatal care coordination.
Purpose of the Study:
- To describe the development and implementation of a synchronized, multidisciplinary team.
- To enhance support for children with single-ventricle heart defects and their families.
- To improve program coordination and efficiency through nursing leadership.
Main Methods:
- Development of a synchronized, multidisciplinary team model.
- Implementation of coordinated care strategies.
- Focus on nursing leadership for program efficiency.
Main Results:
- Establishment of a synchronized, multidisciplinary team.
- Improved coordination of care for patients with single-ventricle heart defects.
- Enhanced support systems for affected children and families.
Conclusions:
- A synchronized, multidisciplinary team approach is crucial for managing single-ventricle heart defects.
- Nursing leadership plays a key role in optimizing care coordination.
- This model aims to help children with complex heart conditions maximize their potential.
Abstract:
Children born with single-ventricle heart defects, particularly hypoplastic left heart syndrome, have a lifetime high risk of mortality and comorbidities. They have complex medical challenges in addition to their cardiac needs, including growth and feeding complications and neurodevelopmental issues. These concerns require a coordinated effort among specialties to help patients maximize their potential. Additionally, because many complex heart defects are diagnosed prenatally, coordination of care between the pre- and postnatal care teams is imperative. Nursing leadership improves program coordination and efficiency. The purpose of this article is to describe the development and implementation of our hospital's synchronized, multidisciplinary team to support children with single-ventricle heart defects and their families. (Critical Care Nurse. 2018;38[1]:60-71).
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