"When I do have some time, rather than spend it polishing silver, I want to spend it with my grandkids": a qualitative exploration of patient values following left ventricular assist device implantation.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	"When I do have some time, rather than spend it polishing silver, I want to spend it with my grandkids": a qualitative exploration of patient values following left ventricular assist device implantation.
Συγγραφείς:	Bechthold AC; School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South NB 350, Birmingham, AL, 35294, USA. abechth@uab.edu., McIlvennan CK; Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO, USA., Matlock DD; Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Ejem DB; School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South NB 350, Birmingham, AL, 35294, USA., Wells RD; School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South NB 350, Birmingham, AL, 35294, USA., LeJeune J; Cardiology Clinic, UAB Hospital, Birmingham, AL, USA., Bakitas MA; School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South NB 350, Birmingham, AL, 35294, USA., Odom JN; School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South NB 350, Birmingham, AL, 35294, USA.
Πηγή:	BMC palliative care [BMC Palliat Care] 2024 May 22; Vol. 23 (1), pp. 128. Date of Electronic Publication: 2024 May 22.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: BioMed Central Country of Publication: England NLM ID: 101088685 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-684X (Electronic) Linking ISSN: 1472684X NLM ISO Abbreviation: BMC Palliat Care Subsets: MEDLINE
Imprint Name(s):	Original Publication: London : BioMed Central, [2002-
Ιατρικοί όροι (MeSH):	Heart-Assist Devices/psychology , Qualitative Research, Humans ; Male ; Middle Aged ; Female ; Adult ; Aged ; Adaptation, Psychological
Περίληψη:	Background: Values are broadly understood to have implications for how individuals make decisions and cope with serious illness stressors, yet it remains uncertain how patients and their family and friend caregivers discuss, reflect upon, and act on their values in the post-left ventricular assist device (LVAD) implantation context. This study aimed to explore the values elicitation experiences of patients with an LVAD in the post-implantation period. Methods: Qualitative descriptive study of LVAD recipients. Socio-demographics and patient resource use were analyzed using descriptive statistics and semi-structured interview data using thematic analysis. Adult (> 18 years) patients with an LVAD receiving care at an outpatient clinic in the Southeastern United States. Results: Interviewed patients (n = 27) were 30-76 years, 59% male, 67% non-Hispanic Black, 70% married/living with a partner, and 70% urban-dwelling. Three broad themes of patient values elicitation experiences emerged: 1) LVAD implantation prompts deep reflection about life and what is important, 2) patient values are communicated in various circumstances to convey personal goals and priorities to caregivers and clinicians, and 3) patients leverage their values for strength and guidance in navigating life post-LVAD implantation. LVAD implantation was an impactful experience often leading to reevaluation of patients' values; these values became instrumental to making health decisions and coping with stressors during the post-LVAD implantation period. Patient values arose within broad, informal exchanges and focused, decision-making conversations with their caregiver and the healthcare team. Conclusions: Clinicians should consider assessing the values of patients post-implantation to facilitate shared understanding of their goals/priorities and identify potential changes in their coping. (© 2024. The Author(s).)
References:	Res Nurs Health. 2020 Aug;43(4):396-406. (PMID: 32627852) Front Cardiovasc Med. 2022 Jun 29;9:879378. (PMID: 35845069) Geriatr Nurs. 2018 Jul - Aug;39(4):443-449. (PMID: 29452768) Med Decis Making. 2023 May;43(4):508-520. (PMID: 37057380) DIS (Des Interact Syst Conf). 2017 Jun;2017:1165-1174. (PMID: 28890950) Am J Hosp Palliat Care. 2022 Mar;39(3):353-360. (PMID: 34080439) JMIR Cardio. 2020 Sep 4;4(1):e18101. (PMID: 32885785) J Heart Lung Transplant. 2019 Apr;38(4):352-363. (PMID: 30945637) J Heart Lung Transplant. 2023 Jul;42(7):e1-e222. (PMID: 37245143) Pers Soc Psychol Rev. 2021 Nov;25(4):295-316. (PMID: 34047241) Am J Hosp Palliat Care. 2023 Jan;40(1):27-33. (PMID: 35440184) Artif Organs. 2022 Jun;46(6):1165-1180. (PMID: 34932234) J Card Surg. 2020 Oct;35(10):2633-2639. (PMID: 32667085) BMC Palliat Care. 2022 Mar 6;21(1):29. (PMID: 35249532) J Palliat Med. 2017 Sep;20(9):977-983. (PMID: 28504892) J Gen Intern Med. 2017 Dec;32(12):1278-1284. (PMID: 28849368) Nurs Forum. 2022 Sep;57(5):885-892. (PMID: 35430733) JAMA Intern Med. 2018 Apr 01;178(4):520-529. (PMID: 29482225) J Cardiovasc Nurs. 2020 Nov/Dec;35(6):E89-E98. (PMID: 33045155) Geriatr Nurs. 2022 Nov-Dec;48:51-57. (PMID: 36126441) Eur J Prev Cardiol. 2021 Dec 29;28(15):1682-1690. (PMID: 33571994) J Gen Intern Med. 2012 Jan;27(1):45-50. (PMID: 21870192) Nat Hum Behav. 2017 Sep;1(9):630-639. (PMID: 31024134) Annu Rev Psychol. 2022 Jan 4;73:517-546. (PMID: 34665670) Heart Lung. 2014 Jan-Feb;43(1):32-40. (PMID: 24239297) Med Decis Making. 2022 Apr;42(3):404-414. (PMID: 34296623) Ann Thorac Surg. 2019 Oct;108(4):1122-1126. (PMID: 31034824) Heart Lung. 2013 May-Jun;42(3):183-94. (PMID: 23312147) Intensive Crit Care Nurs. 2019 Apr;51:7-14. (PMID: 30473314) J Heart Lung Transplant. 2015 Sep;34(9):1182-9. (PMID: 26087668) Qual Quant. 2018;52(4):1893-1907. (PMID: 29937585) JAMA Netw Open. 2021 Mar 1;4(3):e211271. (PMID: 33760091) Acad Med. 2014 Sep;89(9):1245-51. (PMID: 24979285) Eur J Cardiovasc Nurs. 2016 Feb;15(1):12-9. (PMID: 25681369) J Cardiovasc Nurs. 2022 Nov-Dec 01;37(6):515-529. (PMID: 35482335)
Grant Information:	UL1 TR001866 United States TR NCATS NIH HHS
Contributed Indexing:	Keywords: Beliefs; Communication; Goals; Patient-centered care; Qualitative research; Self-care, values; Shared decision-making; Ventricular assist devices
Entry Date(s):	Date Created: 20240522 Date Completed: 20240522 Latest Revision: 20260910
Update Code:	20260910
PubMed Central ID:	PMC11110360
DOI:	10.1186/s12904-024-01454-y
PMID:	38778297
Βάση Δεδομένων:	MEDLINE

Full Text Finder

Περιγραφή
ISSN:	1472-684X
DOI:	10.1186/s12904-024-01454-y