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Related Experiment Videos

Nurses' Competence Caring for Hospitalized Patients With Ventricular Assist Devices.

Jesus M Casida1, Martha Abshire, Brian Widmar

  • 1Jesus M. Casida, PhD, RN, APN-C, is a faculty associate at Johns Hopkins University, Baltimore, Maryland. His program of research focuses on the self-management of patients with VADs. Martha Abshire, PhD, RN, is an assistant professor at the Johns Hopkins School of Nursing, Baltimore, Maryland. Her research focuses on improving psychosocial outcomes for patients and caregivers managing advanced heart failure. Brian Widmar, PhD, RN, ACNP-BC, is assistant professor and director of the Adult-Gerontology Acute Care Nurse Practitioner program at Vanderbilt University School of Nursing, Nashville, Tennessee. He is also an acute care nurse practitioner in the Heart Transplant Program at Vanderbilt University Medical Center. Pamela Combs, PhD, RN, is internationally known for her leadership and expertise in the management of patients with VADs. Currently, she is clinical research nurse at the University of Chicago's Department of Cardiac Surgery, Illinois. Regi Freeman, MSN, RN, ACNS-BC, is a board-certified adult health clinical nurse specialist in the cardiovascular intensive care unit (CVICU) at Michigan Medicine, Ann Arbor. The CVICU is a 32-bed high-acuity intensive care unit caring for complex surgical procedures, mechanical circulatory support, and extracorporeal membrane oxygenation. Ms Freeman has published multiple articles and also presented nationally. Linda Baas, PhD, RN, is professor emeritus at the University of Cincinnati College of Nursing, Ohio. She served as president of the American Association of Heart Failure Nurses in 2012-2013.

Dimensions of Critical Care Nursing : DCCN
|December 1, 2018
PubMed
Summary

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Critical care nurses demonstrate higher competence in managing ventricular assist devices (VADs) compared to progressive care nurses. This study explored how nurses perceive their VAD technology competence and utilize resources for patient care.

Area of Science:

  • Nursing
  • Cardiovascular Technology
  • Patient Care

Background:

  • High-quality patient care for advanced heart failure necessitates specialized nursing for ventricular assist devices (VADs).
  • Limited empirical data exists on the development of VAD patient care competence among bedside nurses.

Purpose of the Study:

  • To investigate nurses' perceptions of their competence in VAD technology.
  • To understand how nurses utilize resources to enhance their skills in managing VAD patients.

Main Methods:

  • An exploratory correlational study surveyed 237 nurses from critical-care and progressive care units.
  • The VAD Innovation in Nursing Appraisal Scale assessed nurses' knowledge, adoption, and communication regarding VAD technology.

Main Results:

Related Experiment Videos

  • Nurses reported moderate to high levels of VAD knowledge, adoption, and communication.
  • Critical-care nurses showed higher VAD knowledge and adoption compared to progressive care nurses.
  • Seeking VAD competence information via mass media was more common among critical-care nurses.

Conclusions:

  • Critical-care nurses exhibit greater self-reported competence in VAD care than progressive care nurses.
  • Further research is recommended to validate these findings and correlate nurse competence with VAD patient outcomes.