Organ transplantation is a complex and highly regulated field. This review focuses on the role of nurses and transplant coordinators in solid organ transplantation, excluding both inpatient staff nursing and procurement activities. The literature describes a robust and autonomous transplant coordinator role; a key member of the multidisciplinary transplant team. Transplant coordinators facilitate patient care throughout all phases of transplantation. However, a lack of consensus on licensure and educational preparation of these important practitioners was evident from the review of literature. Synthesis of the data suggests that the role of transplant coordinator is not distinct but a description of a wide variety of functions, duties, and tasks that require varying levels of licensure and educational preparation. Greater clarity for both practitioners and consumers could be achieved by creating certification levels similar to nephrology nurses. As no transplant-specific staffing models or benchmarks were discovered, rigorous research regarding optimal staffing patterns is also recommended.
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References
1.
ZavalaEYCrandallB. The practice of transplant administration. Prog Transplant.2007;17(2):81.
2.
HauffHM. Where has all the staff gone? Strategies to recruit and retain quality staff. Prog Transplant.2007;17(2):89–93.
Centers for Medicare and Medicaid Services.42 CFR Parts 405, 482, 488, and 498 Medicare Program; Hospital Conditions of Participation: Requirements for Approval and Re-Approval of Transplant Centers to Perform Organ Transplants; Final Rule.http://www.cms.hhs.gov/CertificationandComplianc/downloads/Transplantfinal.pdf. Accessed May 27, 2008.
VincentMCRepperSMPetersTG. Education, pay, and job status: A national survey of transplant coordinators. Prog Transplant.2002;12(3):212–216.
14.
BeaverSGaustadKCrottyPDahlkeLPearsonLRichardsT. The clinical liver transplant coordinator: Commonalities and variations. J Transplant Coord.1995;5(2):55–58.
15.
DaskalakisRSumraniN. Prescriptive privileges for transplant coordinators. J Transplant Coord.1991;1(3):124–126.
16.
HaggertyLHarrisG. Extended role of the nurses. In: Sigardson-PoorKHaggertyL, eds. Nursing Care of the Transplant Recipient.1st ed.Philadelphia, PA: WB Saunders; 1990:389–392.
17.
EhlersSE. Financial aspects of organ transplantation. Nephrol Nurs J.2002;29(3):285–291.
18.
DomroseC. The waiting game: Nurses strive to educate families about new organ allocation policies. Healthweek (Tex).2000;5(14):10.
19.
BellJ. Clinical consult. Development of an ABO verification policy for solid organ transplants. Nephrol Nurs J.2004;31(2):218–220.
20.
ZarifianAO'RourkeM. Managing the kidney waiting list. Prog Transplant.2006;16(3):242–246.
21.
OhlerLDaineG. Risk management issues in transplantation. Prog Transplant.2001;11(1):9–11.
22.
McBrideLHKelleyCLonerganJMcCannB. The role of homecare in promoting compliance and positive patient outcomes. J Transplant Coord.1994;4(2):107–111.
23.
LumsdaineJAWigmoreSJWootonDStewartCAkyolMForsytheJL. Establishing a transplant coordinator-led living kidney donor follow-up clinic. Prog Transplant.2003;13(2):138–141.
24.
OhlerL. Dynamic high performance transplant teams: Trust, talent, and collaboration. J Transplant Coord.1999;9(1):9.
25.
SchwartzSETwiningLM. BK virus infection in kidney transplantation: A case for early intervention. Prog Transplant.2006;16(2):133–137.
HedgesCB. Recognizing the patient at risk for opportunistic infections. Medsurg Nurs.1994;3(6):445–452.
28.
AbellLPressBHoggLHarttDGuptaG. Intestinal transplantation in children: A new challenge for nursing. Paediatr Nurs.2007;19(2):20–22.
29.
EhlersSLRodrigueJRPattonPRLloyd-TurnerJKaplanBHowardRJ. Treating tobacco use and dependence in kidney transplant recipients: Development and implementation of a program. Prog Transplant.2006;16(1):33–37.
30.
ElmerDSHathawayDKGaberAO. Monitoring of pancreas allograft function with glucose disappearance rate (kg): Calculation and interpretation. J Transplant Coord.1994;4(1):7–11.
31.
WainwrightSPGouldD. Non-adherence with medications in organ transplant patients: A literature review. J Adv Nurs.1997;26(5):968–977.
32.
KaulVKhuranaSMunozS. Management of medication noncompliance in solid-organ transplant recipients. BioDrugs.2000;13(5):313–326.
33.
AchilleMAOuelletteAFournierSVachonMHébertM. Impact of stress, distress and feelings of indebtedness on adherence to immunosuppressants following kidney transplantation. Clin Transplant.2006;20(3):301–306.
34.
SiegalBGreensteinS. Compliance and noncompliance in kidney transplant patients: Cues for transplant coordinators. J Transplant Coord.1999;9(2):104–108.
35.
ShallcrossJ. Nursing management of patients for greater renal transplant success. Prof Nurse.2002;17(12):725–728.
36.
NewtonSE. Promoting adherence to transplant medication regimens: A review of behavioral analysis. J Transplant Coord.1999;9(1):13–16.
37.
WeeksSMBaroneGWGurleyBJKetelBLLightfootMLEzzSR. St John's Wort: A hidden risk for transplant patients. Prog Transplant.2001;11(2):116–120.
38.
EllingsonTWipke-TevisDMessinaCLivesayT. The use of over-the-counter medications by transplant recipients: A guideline. J Transplant Coord.1999;9(1):17–24.
39.
TuttleJKellermanSTauxeRV. The risks of raw shellfish: What every transplant patient should know. J Transplant Coord.1994;4(1):60–63.
40.
IrwinBC. Ethical problems in organ procurement and transplantation. ANNA J.1986;13(6):305–310.
41.
O'RourkeMArnottLGoldmanJS. Living liver donors: A coordinator's perspective. Prog Transplant.2003;13(2):82–87.
42.
ParisDSmithCCarlsonJ. A comparison of role expectations and communication styles between transplant coordinators and transplant staff nurses. J Transplant Coord.1998;8(2):119–124.
Health Resources and Service Administration.The Registered Nurse Population: Findings From the 2004 National Sample Survey of Registered Nurses.http://bhpr.hrsa.gov/healthworkforce/rnsurvey04/. Accessed May 27, 2008.
45.
KirchhoffKTDahlN. American association of critical-care nurses' national survey of facilities and units providing critical care. Am J Crit Care.2006;15(1):13–27.
DuttonSB. Certification of transplant coordinators by the American Board of Transplant Coordinators. J Transplant Coord.1996;6(4):210–214.
48.
CalkinJD. A model for advanced nursing practice. J Nurs Adm.1984;14(1):24–30.
49.
MorseCJ. Advance practice nursing in heart transplantation. Prog Cardiovasc Nurs.2001;16(1):21–24.
50.
MartinRK. Organ transplantation: The role of the acute care nurse practitioner across the spectrum of health care. AACN Clin Issues.1999;10(2):285–292.
51.
McNattGEEasomA. The role of the advanced practice nurse in the care of organ transplant recipients. Adv Ren Replace Ther.2000;7(2):172–176.
EckhoffDEMcGuireBMYoungC. Liver transplantation in the era of cost constraints. South Med J.2000;93(4):392–396.
55.
HardstaffRGreenKTalbotD. Noncompliance postrenal transplantation: Measuring the extent of the problem using electronic surveillance and nurse practitioner interviews. Transplant Proc.2002;34(5):1608–1609.
56.
ZerwicJJSherryDCSimmonsBWungSF. Noncompliance in heart transplantation: A role for the advanced practice nurse. Prog Cardiovasc Nurs.2003;18(3):141–146.
57.
RussellCL. Culturally responsive interventions to enhance immunosuppressive medication adherence in older African American kidney transplant recipients. Prog Transplant.2006;16(3):187–196.
