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6ER-038 Elaboration of a competency framework for patients undergoing percutaneous closure of patent foramen ovale or atrial septal defect
  1. N Guillon1,
  2. F Lindenberg1,
  3. P Guérin2,
  4. J Plessis2,
  5. A Fresselinat3,
  6. S Quéric2,
  7. A Aitgougam3,
  8. X Iriart4,
  9. J Clouet1,5,
  10. D Feldman1,
  11. F Nativel1,5
  1. 1Nantes Université- Chu Nantes, Pharmacie, Nantes, France
  2. 2Nantes Université- Chu Nantes, Service Cardiologie Interventionnelle, Nantes, France
  3. 3Chu Bordeaux, Pharmacie, Bordeaux, France
  4. 4Chu Bordeaux, Service Cardiologie Interventionnelle, Bordeaux, France
  5. 5Nantes Université, Ufr Des Sciences Pharmaceutiques Et Biologiques, Nantes, France


Background and Importance Patent foramen ovale (PFO) and atrial septal defect (ASD) are heart diseases characterised by persistent communication between the two atria. Percutaneous closure of PFO or ASD is required depending on the patient and is performed by interventional cardiologists. It requires the use of an occluder which is an implantable medical device (IMD). It ensures a complete closure of the interatrial shunt. After the intervention, there is still a risk associated with the procedure and drug treatments. These patients have a short hospital stay. Caregivers do not necessarily have the time to teach their patients the skills they need to live safely with their prosthesis in their daily lives when they return home.

Aim and Objectives The aim of this project is to elaborate a competency framework for patients undergoing percutaneous closure of PFO and ASD. This will serve as a support for the development of educational tools.

Material and Methods Multicentre meetings with healthcare professionals (pharmacists, interventional cardiologists, qualified nurses) from two university hospital centres and one patient were held to develop a competency framework. An information sheet and an interview guide were then produced to help patients acquire the skills considered a priority in the management of their disease. Interviews were conducted with 19 patients over a 3-month period to evaluate the interview guide and the first version of an information sheet.

Results The competency framework includes 89 skills for patients with FOP and 92 for patients with CIA. All patients surveyed were satisfied with the interviews and the first version of the information sheet. Most patients preferred to have the interview before the intervention, as it reassured them and gave them confidence for the rest of their treatment.

Conclusion and Relevance This competency framework could serve as a support for the development of therapeutic patient education programmes for these patients. Hospital pharmacists, who are responsible for the proper use of healthcare products including drugs and medical devices, could play a beneficial role in these programmes.

References and/or Acknowledgements The authors warmly thank the patient for her participation in this working group.

Conflict of Interest No conflict of interest.

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