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Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association

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https://www.readbyqxmd.com/read/29281770/here-we-go-again-ama-seeks-to-restrict-nursing-practice
#1
Beth Ulrich
No abstract text is available yet for this article.
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304633/the-interdisciplinary-team-and-the-patient-working-together-to-achieve-buy-in-for-a-uf-rate-less-than-13-ml-kg-hr
#2
Amy Heerschap, Charilyn Fox, Dabucon Dharlyn, Ferdinand Tagpis, Jimuel Romero, Tara Pringle, Paul Lahren, Cedrina Myers, Robert Villa, Annette Wiles, Jonnell Myren, Sergio Infante
The Centers for Medicare & Medicaid Services (CMS) metric for reporting ultrafiltration (UF) recommends limiting UF at a range of 10 to 13 mL/Kg/Hr to avoid organ stunning. All organ stunning has an impact on patient quality of life (QoL). As this new standard of UF is implemented, the interdisciplinary team (IDT) and the patient must work together toward achieving a less than 13 mL/Kg/Hr UF buy-in. Understanding the CMS goals and target date of January 1, 2018, for data collection purposes was key to early initiation of staff and patient education...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304632/kidney-transplantation-in-older-adult-recipients
#3
Linda S Wright
No abstract text is available yet for this article.
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304631/using-creative-activities-to-improve-treatment-perceptions-of-patients-on-hemodialysis
#4
Guillermo Pedreira-Robles, Ana Vasco-Gómez, Yaiza Martínez-Delgado, Cristina Herrera-Morales, Ernestina Junyent-Iglesias
Hemodialysis (HD) has a significant impact on health-related quality of life (HRQoL). We performed an observational study to assess the mental and physical status of 41 patients on chronic HD treatment. We planned and launched a program of recreational and therapeutic intradialysis activities to reduce patients' boredom due to inactivity. Patients' mental and physical status was reassessed at 12 months. Our initial attempt to introduce these recreational activities as intradialysis therapy has been rated positively by all patients...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304630/effects-of-application-of-elastic-compression-stockings-on-blood-pressure-pulse-rate-and-hypotensive-symptoms-in-patients-with-intradialytic-hypotension
#5
Hyun-Jung Kim, Hee-Jung Kim
This study was conducted to identify the effect of elastic compression stockings on hypotension in patients with intradialytic hypotension. Subjects of this study were 59 patients (29 in the experimental group, 30 in the control group). Elastic compression stockings were applied to patients in the experimental group during hemodialysis. To evaluate effects of treatment, systolic blood pressure, diastolic blood pressure, pulse rate, and hypotension symptom scores were measured. Results indicated the decrease in systolic blood pressure in the experimental group was less than that in the control group...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304629/care-coordination-between-the-nephrology-nurse-and-the-payor-working-together-to-bridge-the-gaps-in-care-for-patients-with-kidney-disease
#6
Angie Kurosaka
Integrated care management is a key buzz phrase in health care. Most providers, nurse practitioners, nurses, and payors believe their area of expertise, such as direct patient care or insurance companies, has integrated nursing plans and forgotten about opportunities to collaborate outside of their immediate area. However, collaboration between nurses in dialysis clinics, physicians, nurse practitioners, and case managers from payors, such as insurance companies, is often missing. This collaboration can result in better patient outcomes and in meeting goals for the patient, the provider, and the payor, including maximizing value-based purchasing opportunities...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304628/a-window-into-the-world-of-nephrology-nursing-nephrology-nurses-views-of-the-health-and-safety-of-their-work-environments-the-impact-on-patient-care-and-opportunities-for-improvement
#7
Tamara Kear, Beth Ulrich
In January 2018, the American Nephrology Nurses Association and Nephrology News and Issues conducted a national study, The Health and Safety of Nephrology Nurses and the Environments in Which They Work. This article presents initial qualitative results from that study - in the words of nephrology nurses. Based on responses of participants, themes and subthemes were identified: staffing, nursing practice (time to provide nursing care, nursing work hours, level of practice, nurses responsibility for the practice of others), work environment conditions (physical environments, psychological environments, civility/ incivility, environmental health, and work spaces), respect, recognition, interprofessional collaboration and support, and career and job satisfaction...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304627/use-of-ultrasound-guidance-during-cannulation-of-arteriovenous-fistulas
#8
Alice Luehr
Individuals who require renal replacement therapy overwhelmingly choose outpatient hemodialysis. Appropriate cannulation techniques are an essential element in access preservation and in the prevention of access-related complications. Missed cannulations can result in damage of arteriovenous fistulas (AVFs) and arteriovenous grafts (AVGs). Ultrasound-guided cannulation is an effective technique for the placement of peripheral intravenous (IV) catheters and central venous catheters (CVCs) for hemodialysis. The purposes of this project were to determine if ultrasound-guided cannulation of AVFs decreased the number of missed cannulations, to determine staff and patient perceptions regarding cannulation, and to implement a quality incentive program (QIP) to implement an evidence-based ultrasound-guided policy and procedure, training program, and competency evaluation at a hospital-based dialysis facility...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304626/make-your-wishes-about-you-my-way-using-motivational-interviewing-to-foster-advance-care-planning-for-patients-with-chronic-kidney-disease
#9
Elizabeth Anderson, Annette Aldous, Dale Lupu
Advance care planning for persons with chronic kidney disease is under-utilized despite evidence it can improve care at the end of life. Motivational interviewing and Stages of Change Theory can help healthcare professionals elicit behavior change. This article outlines an approach to advance care planning using motivational interviewing with a healthcare coach to assist patients in expressing their unique values and wishes regarding care at the end of life. This Make Your Wishes About You (MY WAY) approach to advance care planning for patients with chronic kidney disease includes patient education material and a coach training curriculum freely available from the Coalition for Supportive Care of Kidney Patients...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304625/workplace-violence-are-you-prepared
#10
Lynda K Ball
No abstract text is available yet for this article.
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304624/speaking-up-for-nurses-and-patients
#11
Beth Ulrich
No abstract text is available yet for this article.
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303649/hand-washing-adherence-is-that-really-our-goal
#12
Norma J Gomez
No abstract text is available yet for this article.
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303648/focusing-on-the-fundamentals-reading-qualitative-research-with-a-critical-eye
#13
Kim Schafer Astroth
No abstract text is available yet for this article.
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303647/positive-coping-and-self-assessed-levels-of-health-and-burden-in-unpaid-caregivers-of-patients-with-end-stage-renal-disease-receiving-hemodialysis-therapy
#14
Joanne Affinito, Kem Louie
Caregiver burden has negative consequences on the perceived health and quality of life of caregivers. There is limited research on the positive aspects of caregiving. A descriptive convenience sample of 89 caregivers of patients on hemodialysis responded to an online survey distributed on the National Kidney Foundation's email list. Participants completed the Self-Assessed Health Measure (SAH), Positive Aspects of Caregiving (PAC), and the Caregiving Stress Appraisal (CAS) survey instruments. Caregivers with higher self-assessed levels of health, who view their caregiver role positively, experienced lesser degrees of burden (Pearson r=-0...
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303646/exploring-subjective-frames-of-patients-on-hemodialysis-on-acquiring-resilience-a-q-methodology-study
#15
Eun Young Kim, Ye-Na Lee, Sung Ok Chang
This study explored subjectivity frames of reference of resilience of patients on hemodialysis by using Q methodology. Participants included 35 patients on hemodialysis. Data were obtained from October to December 2016 and were analyzed by the PQ method. Five factors were identified: 1) finding the value of life by focusing on the meaning of a new life through hemodialysis, 2) compromising actively with the situation of hemodialysis, 3) internalizing sadness and emphasizing the meaning of life itself, 4) finding a support system to help overcome hemodialysis, and 5) building the will to live by getting strength from family...
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303645/the-patient-experience-of-waiting-on-the-deceased-donor-kidney-transplant-list-while-receiving-dialysis
#16
Brittany Koons, Suzanne C Smeltzer
End stage renal disease (ESRD) is a global health problem, and the gold standard treatment is kidney transplantation. However, due to the global shortage of organs, many patients with ESRD rely on dialysis for survival while waiting several years for a kidney transplant. An integrative review of qualitative studies was conducted on the experience of patients with ESRD who require either peritoneal dialysis or hemodialysis while waiting for a deceased donor kidney transplant. Eight international studies were selected for review...
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303644/symptoms-coping-and-quality-of-life-of-people-with-chronic-kidney-disease
#17
Kara Schick-Makaroff, Anita E Molzahn, Mary Kalfoss
The purpose of this study was to explore how symptoms affect quality of life (QOL) for people living with chronic kidney disease (CKD) and kidney transplants, and to determine the relationship among various coping styles, symptoms, and QOL. An online survey was conducted; 42 people with CKD or a kidney transplant completed all parts of the survey. We found strong significant relationships between symptoms and QOL ratings. Problem-focused coping strategies were the most frequently employed, but there were few significant relationships between symptoms and coping, or between problem focused coping strategies and QOL...
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303643/reaching-consensus-on-outcomes-for-successful-cannulation-of-an-arteriovenous-fistula-patient-and-healthcare-provider-perspectives
#18
Barbara Wilson, Lori Harwood
There is a lack of consensus on what constitutes successful arteriovenous fistula (AVF) cannulation. The purpose of this study was to describe outcomes of successful cannulation of the AVF from both patient and healthcare provider perspectives. This was a mixed method study. Results reflecting the patient's description of success through interviews were reported previously. A sample of nursing and physician experts in vascular access completed a one-time survey. Results from healthcare providers suggest they consider cannulator ability to assess the AVF, knowledge of AVF anatomy, and patient-centered care as most important to cannulation success...
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303642/the-value-of-certification
#19
Lynda K Ball
No abstract text is available yet for this article.
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303641/listening
#20
Beth Ulrich
No abstract text is available yet for this article.
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
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