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Randomised controlled trial
A single nurse-led educational session may facilitate transition from paediatric to adult healthcare for adolescents with heart disease
  1. Melissa McPheeters
  1. Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  1. Correspondence to: Dr Melissa McPheeters, Department of Health Policy, Vanderbilt University Medical Center, Suite 600, 2525 West End Avenue, Nashville, TN 37203, USA; Melissa.mcpheeters{at}

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Implications for practice and research

  • Nurse-led transition interventions can help young people with special healthcare needs be more educated and prepared for the self-management of their condition as adults.

  • A programme of research is needed to demonstrate the effects of such interventions on later health outcomes.


As children with special healthcare needs reach adulthood, they must transition from paediatric to adult care. There is increasing recognition that the approach to this transition, both in terms of preparing the patient and increasing the support available in the healthcare system, is critical.1 Potential risks associated with poor transition include loss of access to established services, incomplete transfer of information …

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