Academic Journal
"We Don't Really Know Each Other": A Mixed Methods Study Exploring Patient-Clinician Values-Centered Discussions Following Ventricular Assist Device Implantation.
| Τίτλος: | "We Don't Really Know Each Other": A Mixed Methods Study Exploring Patient-Clinician Values-Centered Discussions Following Ventricular Assist Device Implantation. |
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| Συγγραφείς: | Bechthold AC; Avery C. Bechthold, PhD, RN, Assistant Professor, College of Nursing, University of Tennessee-Knoxville, Knoxville, Tennessee, USA., Wells RD; Rachel D. Wells, PhD, RN, Assistant Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., McIlvennan CK; Colleen K. McIlvennan, PhD, DNP, ANP, Professor, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA., Abshire Saylor M; Martha Abshire Saylor, PhD, RN, Assistant Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA., Matlock DD; Daniel D. Matlock, MD, MPH, Professor, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA., LeJeune J; Jesse Lejeune, MSN, CRNP, RN, Nurse Practitioner, UAB Hospital, Birmingham, Alabama, USA., Odom JN; J. Nicholas Odom, PhD, RN, Associate Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. |
| Πηγή: | The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2026 Sep-Oct 01; Vol. 41 (5), pp. E409-E417. Date of Electronic Publication: 2026 Feb 03. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8703516 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5049 (Electronic) Linking ISSN: 08894655 NLM ISO Abbreviation: J Cardiovasc Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [Frederick, MD : Aspen Publishers, c1986- |
| Ιατρικοί όροι (MeSH): | Heart-Assist Devices*/psychology , Communication*, Humans ; Male ; Female ; Adult ; Middle Aged ; Cross-Sectional Studies ; Aged ; Surveys and Questionnaires ; Patient-Centered Care ; Trust |
| Περίληψη: | Background: Providing care aligned with patient values is key to high-quality cardiovascular care. However, it is unclear how recipients of a ventricular assist device (VAD) engage in values-centered discussions during the postimplantation period. Objective: To understand how recipients of a VAD engage in conversations focused on clarifying what matters most. Methods: Sequential explanatory mixed methods study. Adult recipients of a VAD were recruited from a Southeastern U.S. outpatient clinic. Participants completed a cross-sectional survey characterizing values discussions (with whom, who is present, timing, frequency, location, feelings). A subset completed a semi-structured interview to provide a richer understanding of survey findings. Results: Survey respondents (response rate 31%; N = 32) were 37 to 77 years, mostly male (59%) and non-Hispanic Black (53%). Qualitative analysis (n = 12) identified 3 themes: (1) Relational trust and emotional safety, (2) Timing and readiness, and (3) Contextual fit and communication environment. Synthesis of findings revealed congruence between survey and interview data. Patients indicated comfort with trusted, approachable individuals who were willing/able to offer support (with whom/who is present); acceptance and clarity about their new reality/identity (timing), trusting relationships built over time (frequency), and in-person interactions (location) were key; negative experiences emerged from frustration, conflict, negative attitudes, and lack of understanding (feelings). Conclusions: Findings highlight the importance of relational trust, emotional readiness, and a supportive communication environment in facilitating values-centered discussions and offer practical guidance for nurses to foster meaningful, values-centered discussions by prioritizing continuity, accessibility, and emotional safety in their interactions. (Copyright © 2026 Wolters Kluwer Health, LLC. All rights reserved.) |
| Competing Interests: | The authors have no conflicts of interest to disclose. |
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| Contributed Indexing: | Keywords: communication; patient preference; patient-centered care; values elicitation; ventricular assist devices |
| Entry Date(s): | Date Created: 20260206 Date Completed: 20260811 Latest Revision: 20260811 |
| Update Code: | 20260812 |
| DOI: | 10.1097/JCN.0000000000001305 |
| PMID: | 41650333 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1550-5049 |
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| DOI: | 10.1097/JCN.0000000000001305 |