{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:10:16Z","timestamp":1790673016435,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To evaluate the implementation effectiveness of a multicomponent multidisciplinary Enhanced Recovery After Surgery pathway integrated with an information platform for patients undergoing transcatheter aortic valve implantation.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A single\u2010center quasi\u2010experimental study with a non\u2010concurrent historical control group.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A single\u2010center quasi\u2010experimental study with a non\u2010concurrent historical control group included 154 patients. Outcomes were assessed using a study\u2010specific transcatheter aortic valve implantation knowledge questionnaire, the Fried frailty phenotype, Barthel Index, 12\u2010Item Short Form Health Survey, 6\u2010min walk test, left ventricular ejection fraction and hospital length of stay. Between\u2010group comparisons used independent\u2010samples\n t<\/jats:italic>\n \u2010tests, Mann\u2013Whitney\n U<\/jats:italic>\n tests and\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n tests, as appropriate. Post hoc gamma regression and generalized estimating equations were used in sensitivity analyses addressing measurable temporal differences between treatment periods.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Patients treated after pathway implementation showed greater procedural knowledge, less postoperative frailty, greater functional independence, shorter hospitalization and more favourable functional and health\u2010status outcomes. The association with shorter hospitalization persisted after adjustment for measured patient and procedural characteristics, whereas the longitudinal difference in left ventricular systolic function was attenuated after adjustment.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Implementation of the multicomponent pathway was associated with better functional recovery and shorter hospitalization after transcatheter aortic valve implantation. Component\u2010specific effects and residual temporal confounding cannot be excluded.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession and\/or Patient Care<\/jats:title>\n Extending structured education and rehabilitation support from hospital to home may help nurses coordinate recovery and continuity of care after transcatheter aortic valve implantation.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n This study provides implementation evidence for a digitally supported multidisciplinary recovery pathway after transcatheter aortic valve implantation.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n The study was reported in accordance with the Transparent Reporting of Evaluations with Nonrandomized Designs statement.<\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n There was no patient or public contribution to the design, analysis, interpretation, or preparation of this study.<\/jats:p>\n 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