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"I will do all in my power to maintain and elevate the standard of my profession." — Florence Nightingale
As I conclude my term of office as ITNS President, I have been reflecting on this quote by Florence Nightingale ... specifically in regards to how ITNS has elevated the standard of transplant nursing practice over the past 10 years. ITNS was the driving force behind the development of the Certified Clinical Transplant Nurse (CCTN) examination. In 2008, a cadre of ITNS members then authored the first edition of the Core Curriculum for Transplant Nurses, a study guide for both the CCTN and Certified Clinical Transplant Coordinator exams. In 2009, ITNS collaborated with the American Nurses Association in publishing the first edition of the Scope and Standards of Transplant Nursing Practice. This was followed in 2011 by the publication of the Introduction to Transplant Nursing: Core Competencies for transplant nursing practice. 2016 witnessed three key events: the publication of the second edition of the Scope and Standards of Transplant Nursing Practice, the second edition of the Core Curriculum, and the publication of the first Clinical Ladder for Transplant Coordinators. ITNS members were also influential developers of and participants in the Building Research Initiative Group: Chronic Illness Management and Adherence in Transplantation (BRIGHT) study — an international, intercontinental cross-sectional survey of heart transplant recipients, outpatient clinicians, and transplant center directors from 36 transplant programs in 11 countries that examined multi-level factors associated with immunosuppressive medication non-adherence.
It truly does “take a village” and as I reflect on these incredible achievements over the past decade, I thank all of the many, many ITNS members who have contributed to the advancement of transplant nursing practice. Although your names are too numerous to mention here, please know that Florence Nightingale would be so proud of you!
ITNS congratulates Dr. Stacee Lerret on her recent induction as a fellow of the American Academy of Nursing. Among her many achievements, Dr. Lerret was honored for her research which addresses interventions to improve transitions of care for complex pediatric chronic illness populations Dr. Lerret’s combined expertise in clinical practice, education and research have influenced nurses both nationally and internationally. Dr. Lerret is pictured receiving her certificate from Dr. Karen Cox and with fellow ITNS and Academy members Ann Busch and Dr. Cynthia Russell.
A Guide to Your Health Care After Heart Transplantation
This pamphlet provides important information about care for patients and their families as they prepare for discharge from the hospital. Sections in the pamphlet include medications, lifestyle, routine screenings and examinations, understanding your emotions, your transplant team, and more!
You can download the Patient Education pamphlets for free on the ITNS website.
Hospital Use of Patient Education Pamphlets: If you would like to print copies of this patient education pamphlet for distribution at your hospital, we sell the print-ready file in the ITNS Online Store. The listing is to purchase unrestricted permission to photocopy or print a patient education handbook for educational use.
ITNS would like to thank CareDX, the makers of AlloMap®, for their generous contribution to this educational endeavor.
MedPage Today
Donor lung age did not appear to significantly influence five-year survival among younger recipients of double-lung transplants, but older donor lungs were linked to an increased risk for death among younger single-lung recipients in a newly published retrospective review.
The analysis of data from a large U.S. thoracic transplant database revealed that just 2% of transplant recipients age 50 or younger received lungs from donors older than age 60, and just 4% of all transplants involved lungs from older donors.
READ MORE
FierceHealthcare
The percentage of registered nurses who plan to retire in less than a year is up significantly, a finding that indicates the long-predicted wave of retirements among baby boomer nurses is already underway, according to a new survey from staffing firm AMN Healthcare.
The 2017 survey of 3,347 nurses shows that 27% of the nurses who say they are planning to retire intend to do so in less than a year. In 2015, only 16% of nurses reported they planned to retire in less than a year.
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Medical Xpress
With a limited number of lungs available, deciding who gets a transplant can be a matter of life or death. New research from the University of Maryland School of Medicine (UMSOM) suggests that the system for choosing transplant recipients in chronic obstructive pulmonary disease (COPD) may underestimate how long a person might survive without a lung transplant and therefore, may mislead clinicians.
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Healio
Renal transplantation reduced the mortality risk compared with remaining on a waitlist among patients with end-stage renal disease due to granulomatosis with polyangiitis, according to findings presented at the American College of Rheumatology Annual Meeting.
Zachary S. Wallace, MD, suggested that previous data have not investigated whether transplantation or remaining waitlisted for transplantation carries the most optimal survival benefit among patients with end-stage renal disease due to granulomatosis with polyangiitis (GPA).
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Healio
Critical thinking is a valued and highly desired skill in nursing practice. Entry to practice competencies emphasize that RNs demonstrate critical thinking and critical inquiry to integrate new and ever-changing knowledge, as well as advances in technology, that affect nursing practice. Nursing graduates require critical thinking skills and dispositions to work effectively in acute, cognitively demanding, and rapidly changing health care systems. As a result, critical thinking is an emphasized outcome of baccalaureate nursing education.
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Healio
In recent years, mortality rates and progression of disease severity has decreased among patients with hepatitis C on the liver transplant waitlist, according to recently published data.
“The improvement in survival and disease progression in this population could be attributed to improvement in the management of cirrhosis complications, advances in the quality of medical care in general, access to LT, or perhaps a difference in the selection of patients referred and listed for LT; however, the difference between HCV and non-HCV patients points to factors that are specific to HCV,” Allison Kwong, MD, from the Stanford University School of Medicine, California, and colleagues wrote.
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Clinical Oncology News
The FDA approved letermovir for prophylaxis of cytomegalovirus (CMV) infection and disease in adult CMV-seropositive recipients [R+] of an allogeneic hematopoietic stem cell transplant (HSCT).
Letermovir is a member of a new class of nonnucleoside CMV inhibitors and inhibits viral replication by specifically targeting the viral terminase complex. Cross-resistance is not likely with drugs outside of this class.
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Becker's Hospital Review
PatientEngagementHIT compiled three tips for nurses to improve patient satisfaction and patient experience.
Here's what you should know:
1. Refine patient-provider communication. Nurses should work time into their care routine to try and connect with a patient. Fear can cause patients to retain important information and that's why it's quintessential for a nurse to connect with their patients.
READ MORE
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