Examining the critical role of advanced practice providers on a multidisciplinary transplant team

Chambers, Heather; Reinschmidt, Kristi; Agudelo, Eliana Z.; Brodahl, Katherine; Herriman, Emily; Hoy, Haley; Pont, Kylie; Seawright, A.H.; Stearns, Elizabeth; Torres, Ana-Marie; Weldon, Elaina; Blackstock, Daryle M.

doi:10.1111/ajt.16715

Cited by 12 publications

(8 citation statements)

References 25 publications

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“…Transplant surgery relies heavily on a multidisciplinary team approach. Advanced Practice Providers (APPs) – Nurse Practitioners (NPs) and Physician Assistants (PAs) – are playing in increasing role in the field [36]. Establishing a pipeline to ensure equitable representation amongst APPs in transplant surgery is important.…”

Section: Diversity In the Transplant Surgery Workforcementioning

confidence: 99%

Gender and racial disparities in the transplant surgery workforce

Valbuena

Obayemi²,

Purnell³

et al. 2021

Current Opinion in Organ Transplantation

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Purpose of review This review explores trends in the United States (US) transplant surgery workforce with a focus on historical demographics, post-fellowship job market, and quality of life reported by transplant surgeons. Ongoing efforts to improve women and racial/ethnic minority representation in transplant surgery are highlighted. Future directions to create a transplant workforce that reflects the diversity of the US population are discussed. Recent findings Representation of women and racial and ethnic minorities among transplant surgeons is minimal. Although recent data shows an improvement in the number of Black transplant surgeons from 2% to 5.5% and an increase in women to 12%, the White to Non-White transplant workforce ratio has increased 35% from 2000 to 2013. Transplant surgeons report an average of 4.3 call nights per week and less than five leisure days a month. Transplant ranks 1st among surgical sub-specialties in the prevalence of three well-studied facets of burnout. Concerns about lifestyle may contribute to the decreasing demand for advanced training in abdominal transplantation by US graduates. Summary Minimal improvements have been made in transplant surgery workforce diversity. Sustained and intentional recruitment and promotion efforts are needed to improve the representation of women and minority physicians and advanced practice providers in the field.

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Section: Diversity In the Transplant Surgery Workforcementioning

confidence: 99%

Gender and racial disparities in the transplant surgery workforce

Valbuena

Obayemi²,

Purnell³

et al. 2021

Current Opinion in Organ Transplantation

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“…Chambers et al performed a comprehensive review of APP job descriptions from transplant centers across the nation. The findings demonstrate the integral nature in which APPs are utilized across the transplant care spectrum with responsibilities ranging from direct patient care to program leadership [7 ▪▪ ]. Table 1 provides a summary of the conventional and evolving roles and responsibilities described collectively in the literature [5,7 ▪▪ ,8–16].…”

Section: Literature Reviewmentioning

confidence: 93%

“…The majority of articles, eight out of 12, were centered around the conventional roles and responsibilities of a transplant APP as part of the multidisciplinary team. In addition to providing medical care to patients pre and post transplant, the importance of APPs acting as liaisons between the transplant team and supporting services, as well as educating patients and families was highlighted [7 ▪▪ ,8]. The value of invested APPs should not to be overlooked given that many transplant centers exist within academic institutions with frequent rotation of residents and fellows.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The value of invested APPs should not to be overlooked given that many transplant centers exist within academic institutions with frequent rotation of residents and fellows. Providing a source of continuity and utilizing strong working relationships with collaborating services like the critical care teams, pharmacists, and nurses, can improve efficiency [7 ▪▪ ,9]. As the transplant population continues to grow, the functions that APPs perform are critical to keep up with increasing demands.…”

Section: Literature Reviewmentioning

confidence: 99%

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The evolving role of advanced practice providers in transplantation: a literature review

Nargiso¹,

Tristan²,

Ramos³

et al. 2021

Current Opinion in Organ Transplantation

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Purpose of review Solid organ transplantation is a life-saving procedure, often performed in critically ill patients, and advanced practice providers (APPs) have increasingly been incorporated into the multidisciplinary transplant team. A literature review was performed and reinforces the value of transplant APPs, details their evolving roles and responsibilities, and highlights innovative solutions created to address complex problems. Recent findings The literature review revealed a deficit of quality quantitative data supporting the utilization of APPs in transplantation. Thus, data regarding the value of APPs in critical care was also analyzed. Summary The limited data despite decades long integration of transplant APPs into the multidisciplinary team, suggests there are likely positive outcomes and innovations that go undocumented. Thus, there are missed opportunities for learning and improvement. Transplant programs investing time and mentorship to support APP research will identify strengths and weaknesses within our existing care models, discover cost saving innovations, and continue to optimize the role of APPs in delivering high quality care that is efficient and evidence based.

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“…Often, AHNP provided continuity of care by being the link between the patient and the transplant team, enabling holistic patient care beyond medical outcomes, and being aware of the impact of individual family environments on the ability to adapt to their chronic condition both pre-and posttransplant. 21 Mental health, cognitive and academic development, physical functioning, and nutrition, were addressed by specific AHNP with specialized knowledge and skills, which in turn, positively contributes to patient clinical outcomes and quality of life. 22,23 Each AHNP provided a unique and complementary role within the multidisciplinary team that enhances overall patient care, education, and treatment provision.…”

Section: Role Of Ahnpmentioning

confidence: 99%

Allied health and nursing practices in pediatric solid organ transplantation: An international survey

Gold,

Wray,

Kosmach‐Park

et al. 2023

Pediatric Transplantation

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IntroductionWith improved survival in pediatric solid organ transplantation (SOT) care has focused on optimizing functional, developmental, and psychosocial outcomes, roles often supported by Allied Health and Nursing professionals (AHNP). However, there is a scarcity of research examining frameworks of clinical practice.MethodsThe International Pediatric Transplant Association AHNP Committee developed and disseminated an online survey to transplant centers as a quality improvement project to explore AHNP practice issues. Participant responses were characterized using descriptive statistics, and free‐text comments were thematically analyzed. Responses were compared across professional groups; Group 1: Advanced Practice Providers, Group 2: Nursing, Group 3: Allied Health.ResultsThe survey was completed by 119 AHNP from across the globe, with responses predominantly (78%) from North America. Half of respondents had been working in pediatric transplant for 11+ years. Two‐thirds of respondents were formally funded to provide transplant care; however, of these not funded, over half (57%) were allied health, compared to just 6% of advance practice providers. Advanced practice/nursing groups typically provided care to one organ program, with allied health providing care for multiple organ programs. Resource constraints were barriers to practice across all groups and countries.ConclusionIn this preliminary survey exploring AHNP roles, professionals provided a range of specialized clinical care. Challenges to practice were funding and breadth of care, highlighting the need for additional resources, alongside the development of clinical practice guidelines for defining, and supporting the role of AHNP within pediatric SOT. Professional organizations, such as IPTA, can offer professional advocacy.

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Examining the critical role of advanced practice providers on a multidisciplinary transplant team

Cited by 12 publications

References 25 publications

Gender and racial disparities in the transplant surgery workforce

Gender and racial disparities in the transplant surgery workforce

The evolving role of advanced practice providers in transplantation: a literature review

Allied health and nursing practices in pediatric solid organ transplantation: An international survey

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