Journal Article Review Epublish
PubMed: 40648908 DOI: 10.3390/jcm14134535
Nursing Care Across the Clinical Continuum of TAVI: A Systematic Review of Multidisciplinary Roles.
J Clin Med 14(13)
Authors: Anna Jendrzejczak, Jadwiga Klukow, Joanna Czerwik-Marcinkowska, Wojciech Styk, Szymon Zmorzynski
Affiliations
- Chair of Nursing Management and Clinical Nursing, Institute of Clinical Sciences, Faculty of Health Sciences, Academy of Zamosc, 22-400 Zamosc, Poland.
- Institute of Biology, Jan Kochanowski University, 25-369 Kielce, Poland.
- Academic Laboratory of Psychological Tests, Medical University, 20-059 Lublin, Poland.
- Institute of Human Sciences, Faculty of Health Sciences, Academy of Zamosc, Pereca Street 2, 22-400 Zamosc, Poland.
Abstract
Background/Objectives: Aortic stenosis is a common heart disease, particularly among elderly patients. Transcatheter aortic valve implantation (TAVI) offers a minimally invasive alternative method to surgical valve replacement for high-risk patients. Although clinical guidelines for TAVI are well established, standardized nursing care pathways are lacking. This systematic review aims to clarify the nursing role in the pre-, peri-, and postoperative phases of TAVI. Methods: This review was conducted in accordance with the PRISMA guidelines. After applying the eligibility criteria, ten studies were selected from five databases: PubMed, Scopus, CINAHL, Web of Science, and the Cochrane Library. The work was registered in the PROSPERO database with the ID number CRD420251061863. Results: The analysis revealed the following: (1) a strong emphasis on preoperative patient education, often led by nurse coordinators; (2) perioperative nursing roles in conscious sedation protocols and early mobilization; (3) a lack of standardized rehabilitative protocols, especially in the preoperative phase; and (4) an emerging but insufficiently evaluated role of the TAVI nurse coordinator in multidisciplinary care. Most studies concentrated on postoperative care, outcomes, follow-up, and rehabilitation, but the small sample sizes limited the strength of the conclusions. Conclusions: Nurses play a vital role in multidisciplinary TAVI teams. There is an urgent need for evidence-based nursing guidelines to standardize care, improve clinical outcomes, and address the needs of TAVI patients. This review highlights the pivotal contribution of nursing to the success of TAVI.
MeSH
Nurses, Perioperative Period, Aortic Valve Stenosis, Nursing Care, Nursing, Preoperative Period, Transcatheter Aortic Valve Replacement, Postoperative Period, Patient Education As Topic