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Nursing Nephrology

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https://www.readbyqxmd.com/read/27915328/critical-care-nephrology-a-multidisciplinary-approach
#1
Lilia Rizo-Topete, Claudio Ronco
Acute kidney injury (AKI) is a serious medical condition affecting millions of people. Patients in intensive care unit (ICU) who develop AKI have increased morbidity and mortality, prolonged length of stay in ICU and hospital and increased costs, especially when they require renal replacement therapy. In the latter case, morbidity and mortality increase further. In order to meet the needs of the critically ill patients, a multidisciplinary care team is required, combining the efforts of physicians and nurses from different disciplines as well as nephrologists and intensivists...
December 3, 2016: Blood Purification
https://www.readbyqxmd.com/read/27796027/-census-of-the-renal-and-dialysis-units-by-italian-society-of-nephrology-structure-and-organization-for-renal-patient-assistance-in-italy-2014-2015
#2
Giuseppe Quintaliani, Marina Di Luca, Anteo Di Napoli, Giusto Viglino, Maurizio Postorino, Alessandro Amore, Simeone Andrulli, Antonio Bellasi, Giuliano Brunori, Erasmo Buongiorno, Santina Castellino, Alessandro D'Amelio, Luca De Nicola, Loreto Gesualdo, Domenico Di Landro, Sandro Feriozzi, Giovanni Strippoli, Ugo Teatini, Antonio Santoro
BACKGROUND: Given the public health challenge and burden of chronic kidney disease, the Italian Society of Nephrology (SIN) promoted a census of the renal and dialysis units to analyse structural and human resources, organizational aspects, activities and workload referring to the year 2014. METHODS: An online questionnaire, including 64 items exploring structural and human resources, organization aspects, activities and epidemiological data referred to 2014, was sent to chiefs of any renal or dialysis unit...
September 2016: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/27501635/the-role-of-nephrology-nurses-in-the-selection-of-the-peritoneal-dialysis-catheter-and-exit-site-location
#3
Jennifer Payton
No abstract text is available yet for this article.
May 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/27501634/living-with-a-change-in-dialysis-modalities-a-case-study
#4
Angela Phillips
Nephrology nurses play a major role in every aspect of caring for patients on dialysis. It is always challenging to witness patients and families struggling through dialysis modality changes coupled with end-of-life decisions. Open discussions and care provided by an interdisciplinary team approach provides the foundational structure for quality care necessary for this population. In the case of Mr. T., a dialysis modality change was a necessary change in his life. The FNP PCP played a significant role in coordinating his care to achieve the desired outcomes and ensure there was a coordinated team approach...
May 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/27501633/the-nephrology-clinical-research-nurse-role-potential-role-conflicts
#5
Lisa Micklos
Clinical research nursing is becoming more visible to nephrology professionals. As more nephrology practices and units are participating in clinical trials, clinical research nursing is gaining interest as a career niche among nephrology nurses. This unique specialty requires that nephrology clinical nurse nurses (CRNs) reconcile the roles of nurse as caregiver and nurse as researcher, which may result in a role conflict. Nephrology nurses should be aware that they may experience this role conflict when transitioning from patient care to a position as a clinical research nurse...
May 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/27501629/improving-the-care-of-patients-with-chronic-kidney-disease-using-group-visits-a-pilot-study-to-reflect-an-emphasis-on-the-patients-rather-than-the-disease
#6
Vicki Montoya, Mary Lou Sole, Anne E Norris
This two-group, repeated-measures experimental study assessed the efficacy of a nurse practitioner-facilitated chronic kidney disease (CKD) group visit (GV) model versus usual nephrology care for patients with Stage 4 CKD. The study enrolled patients from two sites of an outpatient nephrology practice (n = 30) and randomized subjects to usual care (n = 14) or to the GV model (n = 16). Data regarding CKD knowledge, self-efficacy/disease self-management, and physiologic measures were collected at baseline, 6 months, and 9 months...
May 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/27469153/nephrology-in-africa-challenges-of-practice-in-resource-limited-environment
#7
Saraladevi Naicker
Chronic kidney disease (CKD), a major public health problem, is especially challenging for patients and healthcare personnel in Africa, a region with poor economic resources and a massive shortage of health-care workers. The burden of kidney disease is increased in poorly-resourced regions due to increased exposure to infections, poverty, poor access to healthcare, and genetic predisposition to kidney disease, contributing further to the problems when managing CKD and acute kidney injury. The vast majority of patients do not have access to renal replacement therapy...
2016: Clinical Nephrology
https://www.readbyqxmd.com/read/27382861/education-certification-and-professional-membership-can-help-with-career-goals
#8
Cindy A Richards
For the professional nephrology nurse, the interplay of certification, education, and professional association membership go hand-in-hand. The association provides the foundation, networking, and educational opportunities; certification validates skills and expertise; and education challenges and inspires the nurse to keep moving forward.
May 2016: Nephrology News & Issues
https://www.readbyqxmd.com/read/27377350/incorporating-geriatric-assessment-into-a-nephrology-clinic-preliminary-data-from-two-models-of-care
#9
Rasheeda K Hall, Carol Haines, Steven M Gorbatkin, Lynn Schlanger, Hesham Shaban, Jane O Schell, Susan B Gurley, Cathleen S Colón-Emeric, C Barrett Bowling
Older adults with advanced chronic kidney disease (CKD) experience functional impairment that can complicate CKD management. Failure to recognize functional impairment may put these individuals at risk of further functional decline, nursing home placement, and missed opportunities for timely goals-of-care conversations. Routine geriatric assessment could be a useful tool for identifying older adults with CKD who are at risk of functional decline and provide contextual information to guide clinical decision-making...
October 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27254963/nephrology-nursing-and-education
#10
Cindy Richards
Professional nephrology nurses are responsible for their ongoing education and competency in their area of practice. ANNA has an additional opportunity for education for nephrology nurses at the 47th National Symposium to be held May 1-4, 2016, in Louisville, Kentucky. The Janel Parker Memorial Opening Session keynote speaker for the meeting will be Suzanne Miyamoto, PhD, RN, Senior Director of Government Affairs and Health Policy with the American Association of Colleges of Nursing. Her topic will be "Are We Practicing to the Fullest Extent? Licensure, Certification, and Education?" This session will help address educational competence in nephrology nursing...
March 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/27215125/-balint-group-as-a-means-for-burnout-prevention-and-improvement-of-therapist-patient-relationship-in-a-general-hospital-the-soroka-experience
#11
REVIEW
Yuval Shorer, Stanley Rabin, Moshe Zlotnik, Nurit Cohen, Meir Nadav, Asher Shiber
Balint group (BG) is an experiential discussion group which deals with the various aspects of the therapist-patient relationship. BG was found to be effective for stress and burnout prevention among medical professionals. Burnout is expressed by emotional fatigue, de-personalization and sense of failure. Recent articles found connections between burnout and personal and systemic factors such as: workload, work conflicts, and work-life conflicts. Burnout can lead to medical mistakes, loss of empathy for the patient, coronary disease, and leaving work...
February 2016: Harefuah
https://www.readbyqxmd.com/read/27191662/low-dose-versus-high-dose-heparin-locks-for-hemodialysis-catheters-a-systematic-review-and-meta-analysis
#12
Xin Han, Xiaoli Yang, Bihong Huang, Li Yuan, Yanpei Cao
BACKGROUND: Low-dose heparin lock has been suggested as an effective and safe catheter lock in hemodialysis. However, whether a low-dose lock is superior to a high-dose heparin lock in preventing catheter-related infections and maintaining catheter patency is inconclusive. STUDY DESIGN: A systematic review and meta-analysis was performed by searching in NGC (National Guideline Clearinghouse), Cochrane Library, Joanna Briggs Institute Library, MEDLINE, EMbase, RNAO (Registered Nurses' Association of Ontario), Nursing Consult, PubMed, OVID, China Biology Medicine disc (CBMdisc), China National Knowledge Infrastructure (CNKI), Chongqing VIP (CQVIP), Wanfang Data Knowledge Service Platform, and major nephrology journals...
July 2016: Clinical Nephrology
https://www.readbyqxmd.com/read/27025152/children-and-adolescents-with-chronic-kidney-disease-a-population-at-risk-for-more-than-just-kidney-disease
#13
Michelle M Kelly
Health-related quality of life (HRQOL) of children and adolescents with chronic health conditions is a multifactorial concept that combines a child's perception and adaptation to physical, social, emotional, and school environments regardless of particular medical diagnosis. Children with chronic kidney disease (CKD) experience non-kidney specific co-morbidities, including depression, body image alterations, and sleep disturbance, that impair their daily lives. This article reviews the pediatric nephrology literature to highlight the evidence identifying these riskr to HRQOL and suggesting ways in which nurses in both nephrology and primary care are poised to identify and modify these risk factors...
January 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/27025144/nephrology-nursing-across-the-life-span
#14
Cindy Richards
No abstract text is available yet for this article.
January 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/27025143/pediatric-nephrology-nursing-a-very-special-specialty
#15
EDITORIAL
Beth Ulrich
No abstract text is available yet for this article.
January 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/26968338/end-of-life-care-decisions-for-haemodialysis-patients-we-only-tend-to-have-that-discussion-with-them-when-they-start-deteriorating
#16
Sophia Lazenby, Adrian Edwards, Raymond Samuriwo, Stephen Riley, Mary Ann Murray, Andrew Carson-Stevens
BACKGROUND: Haemodialysis patients receive very little involvement in their end-of-life care decisions. Issues relating to death and dying are commonly avoided until late in their illness. This study aimed to explore the experiences and perceptions of doctors and nurses in nephrology for involving haemodialysis patients in end-of-life care decisions. METHODS: A semi-structured qualitative interview study with 15 doctors and five nurses and thematic analysis of their accounts was conducted...
March 10, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/26915511/assessment-of-an-established-dialysis-nurse-practitioner-model-of-care-using-mixed-methods-research
#17
Melissa Stanley, Linda Worrall-Carter, Muhammad Aziz Rahman, Samantha McEvedy, Robyn Langham
AIMS AND OBJECTIVES: To assess a dialysis nurse practitioner (NP) model of care by examining satisfaction, quality of life (QOL) and clinical outcomes of haemodialysis patients and explore experiences of dialysis nurses. DESIGN: Mixed methods. METHODS: Database analyses of dialysis indices amongst a sample (n = 45) of haemodialysis patients; a survey (n = 27) examining patient experience, satisfaction and QOL; and in-depth interviews with a sample (n = 10) of nurses...
October 2015: Contemporary Nurse
https://www.readbyqxmd.com/read/26875233/does-hemodialysis-dialysate-potassium-composition-matter
#18
REVIEW
Mary S Haras
Dyskalemia is known to cause cardiac arrhythmias and cardiac arrest. In persons undergoing hemodialysis, potassium dialysate composition has been identified as a contributingfactor in addition to co-morbidities, medications, dietary potassium intake, and stage of kidney disease. Current evidence recommends a thorough evaluation of all factors affecting potassium balance, and lower potassium concentration should be used cautiously in patients who are likely to develop cardiac arrhythmias. Nephrology nurses play a key role inpatient assessment and edu- cation related to potassium balance...
November 2015: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/26875232/-black-appearing-peritoneal-effluent
#19
Carol M Headley, Adnan Naseer, Manjunath Ramaiah, Barry Wall, Geeta Gyamlani
When encountering unusually appearing dialysate effluent from a patient doing peri- toneal dialysis, it is important to review the patient's recent exposures. In the case of "black"-appearing dialysate effluent, consideration needs to be given to the possibility of someone having undergone a colonoscopy and having tattooing with India ink. Nephrology nurses are frequently the first to be notified when there has been a change in the character of a patient's peritoneal dialysis dialysate effluent. This article describes a case of "black"-appearing dialysate and includes some of the potential differentials that were considered in the evaluation process...
November 2015: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/26875231/changing-nephrology-nurses-beliefs-about-the-value-of-evidence-based-practice-and-their-ability-to-implement-in-clinical-practice
#20
COMPARATIVE STUDY
Debra Hain, Mary S Haras
A rapidly evolving healthcare environment demands sound research evidence to inform clinical practice and improve patient outcomes. Over the past several decades, nurses have generated new knowledge by conducting research studies, but it takes time for this evidence to be implemented in practice. As nurses strive to be leaders and active participants in healthcare redesign, it is essential that they possess the requisite knowledge and skills to engage in evidence-based practice (EBP). Professional nursing organizations can make substantial contributions to the move healthcare quality forward by providing EBP workshops similar to those conducted by the American Nephrology Nurses'Association...
November 2015: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
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