{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:25:55Z","timestamp":1782278755747,"version":"3.54.5"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Bethel University Professional Development Grant and Edgren Scholarship"},{"name":"Sigma Theta Tau Zeta Chapter Research Grant"},{"name":"National Center for Advancing Translational Science (NCATS) of the National Institutes of Health under the UCLA Clinical and Translational Science","award":["5UL1TR001881-08"],"award-info":[{"award-number":["5UL1TR001881-08"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Prog Transpl"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Durable left ventricular assist devices serve as a critical bridge to heart transplantation for patients with advanced heart failure. Yet the demands placed on care partners (CPs) are often underestimated, and their well-being in supporting postimplant recovery is frequently overlooked.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\/Approach<\/jats:title>\n                    <jats:p>This qualitative single-site study explored the struggles and support needs of 13 CPs who participated in audio-recorded interviews following device placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Data analysis, using inductive content analysis, revealed 6 major themes: feeling unprepared, being hypervigilant, feeling overwhelmed, the vanishing CP, lacking self-care, and needing connection with other CPs. Findings revealed that CPs often felt overlooked by healthcare teams, contributing to emotional distress and isolation, while inadequate education on perioperative complications and minimal peer support reinforced their sense of being unprepared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results underscored the integral role that CP well-being played in sustaining successful device management and ensuring patients remained eligible for heart transplantation. Psychosocial services, peer support, and structured educational programs may help mitigate the strain experienced by CPs and improve transplantation outcomes. Embedding CP needs into the transplant pathway, beginning at implantation, was essential to preventing burnout, maintaining candidacy, and improving overall posttransplant success. Refinements in CP-centered interventions may help reduce hospital readmissions, enhance device adherence, and support emotional resilience. By prioritizing CP support within advanced heart failure management, transplant programs can optimize both patient and CP well-being and foster positive outcomes. Such focus ensures bridging to transplantation and hope for families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15269248251343383","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T03:55:19Z","timestamp":1748318119000},"page":"88-96","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Understanding Care Partner Experiences in the First Month After Durable Left Ventricular Assist Device Implantation"],"prefix":"10.1177","volume":"35","author":[{"given":"Bernice","family":"Coleman","sequence":"first","affiliation":[{"name":"Nursing Research and Quality Improvement; Heart Transplantation, Mechanical Circulatory Support Programs; Biomedical Sciences and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bibiana","family":"Martinez","sequence":"additional","affiliation":[{"name":"Heluna Health, City of Industry, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lianna Z.","family":"Ansryan","sequence":"additional","affiliation":[{"name":"Geriatrics, University of California Los Angeles Health, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0281-0771","authenticated-orcid":false,"given":"Ariz Amoroso","family":"Guzman","sequence":"additional","affiliation":[{"name":"6NW Surgical\/Transplant PCU; Nursing Research and Quality Department, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Aronow","sequence":"additional","affiliation":[{"name":"Nursing Research and Quality Improvement, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Olanisa","sequence":"additional","affiliation":[{"name":"Department of Social Work, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Williams-Rivers","sequence":"additional","affiliation":[{"name":"Medical Nursing, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Chang","sequence":"additional","affiliation":[{"name":"Heart Transplant, End-Stage Heart Disease and MCS-VAD Program, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelita","family":"Runyan","sequence":"additional","affiliation":[{"name":"MCS-VAD and Total Artificial Heart, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Newman","family":"Huie","sequence":"additional","affiliation":[{"name":"MCS-VAD and Total Artificial Heart, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Pamu","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3755-1151","authenticated-orcid":false,"given":"Kristin E.","family":"Sandau","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004834"},{"key":"e_1_3_2_3_2","article-title":"Traumatic brains and broken hearts: mending the donor shortage in cardiac transplantation","author":"Thomas SS","unstructured":"Thomas SS, D\u2019Alessandro DA. 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