Innovative Care for Adult Congenital Heart Disease: Developing a Nurse-Led Clinic Model for Simple Lesions

The Journal for Nurse Practitioners Pub Date : 2025-06-27 DOI:10.1016/j.nurpra.2025.105452

Hajar Habibi, Ella McDonnell, Juliet Rocha, Clare Finlay, Carlo Tongol, Ee Ling Heng

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Abstract

This paper describes the development and implementation of a nurse-led simple lesion clinic (NLSLC) for adults with congenital heart disease (ACHD), designed to improve patient care and reduce demand on consultant-led services. Key challenges such as identifying suitable patients and securing consultant consensus were addressed through collaboration, trust-building, and the clinical expertise of clinical nurse specialists. Educational initiatives, including shadowing and mentorship, supported junior staff development. The NLSLC has enhanced patient engagement, streamlined care, and improved service efficiency. As the clinic evolves, the model demonstrates adaptability and relevance for replication in other ACHD centers and long-term care settings, particularly where nurse practitioners are integral to service delivery. Future directions include expanding clinic capacity and fostering broader collaboration with regional and national ACHD services to advance and standardize nurse-led care.

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成人先天性心脏病的创新护理：发展护士主导的简单病变临床模式

本文描述了针对成人先天性心脏病（ACHD）的护士主导的单纯性病变诊所（NLSLC）的发展和实施，旨在改善患者护理并减少对顾问主导服务的需求。通过合作、建立信任和临床护理专家的临床专业知识，确定合适的患者和确保咨询共识等关键挑战得到了解决。教育活动，包括见习和指导，支持初级员工的发展。NLSLC提高了患者参与度，简化了护理流程，提高了服务效率。随着诊所的发展，该模型证明了在其他ACHD中心和长期护理环境中复制的适应性和相关性，特别是在护士从业人员对服务提供不可或缺的地方。未来的方向包括扩大诊所能力，促进与地区和国家ACHD服务的更广泛合作，以推进和标准化护士主导的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Journal for Nurse Practitioners

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