Publication Date
Spring 2026
Degree Type
Doctoral Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Ruth Rosenblum
Keywords
Heart Transplant, Patient Reported Outcome Measures, Quality of Life
Abstract
Despite growing evidence supporting Patient-Reported Outcome Measures (PROMs) in chronic disease management, no consistent application exists within the international heart transplant community. This Doctor of Nursing Practice project implemented the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) as a PROM within the a large volume heart transplant clinic, evaluating workflow feasibility, the association between Overall Summary Scores (OSS) and visit length, and clinician perceptions of PROM use. The KCCQ-12 was administered via a mobile health application with automated distribution. Workflow integration was assessed by calculating the percentage of scheduled visits with completed PROM documentation. Visit length was measured using electronic medical record clinic event logs. An anonymous mixed-methods survey was distributed to physicians and nurses after sixteen weeks Data was analyzed using Spearman and Pearson correlations, linear regression, and qualitative thematic analysis. PROMs were successfully integrated without significant workflow disruption. The provider survey (41.2% response rate) revealed six of seven respondents perceived no increase in visit length. Qualitative feedback highlighted value in longitudinal tracking and automated incorporation into clinic notes. Implementing the KCCQ-12 in heart transplant care is feasible and clinically relevant. PROMs can support efficient, patient-centered encounters, though clinician engagement remains important for broader adoption.
Recommended Citation
Côté, Nichole, "Patient Reported Outcome Measure Use In Heart Transplant Care" (2026). Doctoral Projects. 208.
DOI: https://doi.org/10.31979/etd.aya8-ry7m
https://scholarworks.sjsu.edu/etd_doctoral/208
