| 1. |
- Lennerling, Annette, 1963, et al.
(författare)
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Donors self-reported experiences of live kidney donation--a prospective study.
- 2012
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Ingår i: Journal of renal care. - : Wiley. - 1755-6686 .- 1755-6678. ; 38:4, s. 207-12
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Tidskriftsartikel (refereegranskat)abstract
- Many reports on living kidney donation describe rapid recovery. In our experience rehabilitation is rather slow. This study aimed to explore self-reported health status among living donors (LDs) three to four weeks and six months post-donation with a longitudinal design. In this study. LDs (n = 112) reported their physical and mental health by responding to a questionnaire before surgery, after three to four weeks and after six months. Points could range from 1 (normal) to 5 (severe trouble), total score 7-35. Age (n = 112) was 50 years (median) and 52% were females. Before surgery, the total score was 9 (7-21). After three to four weeks, the score was 15 (7-31), with a rise in all measured variables. Women noted higher score rises than men (p = 0.01). The majority showed complete recovery after six months. It is clear that professional nursing support in the recuperation period is needed. Nursing interventions should aim at preventing delay and setbacks in the donors' recovery process.
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| 2. |
- Lindberg, Magnus, et al.
(författare)
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Competencies for practice in renal care : a national delphi study
- 2012
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Ingår i: Journal of Renal Care. - : Wiley. - 1755-6678 .- 1755-6686. ; 38:2, s. 69-75
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe essential competencies relevant for professional renal nursing in Sweden. A Delphi study with four rounds was conducted from November 2008 to April 2009. A national sample of renal nurses was used to achieve consensus about the core competencies required. The 43 competencies were reviewed for face validity by external experts representing general nursing, renal nursing, stakeholders and nephrologists. The core competencies were categorised in nine areas according to their structure; nursing and medical science, information and teaching, examinations and therapies, promoting health and preventing ill health, palliative care, safety and quality, care environment, research and development and management and cooperation in the patient care pathway. Altogether these categories represent a national description of competence in renal nursing.
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| 3. |
- Lindberg, Maria, et al.
(författare)
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Haemodialysis nurses knowledge about methicillin-resistant Staphylococcus aureus
- 2012
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Ingår i: Journal of renal care. - : Wiley. - 1755-6686 .- 1755-6678. ; 38:2, s. 82-85
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Tidskriftsartikel (refereegranskat)abstract
- Healthcare workers may lack knowledge about antibiotic-resistant bacteria and thereby increase the spread of such organisms. The aim of the present study was to describe the relationship between self-rated knowledge and actual knowledge about methicillin-resistant Staphylococcus aureus (MRSA) among 326 Swedish haemodialysis nurses. Data were collected through a postal questionnaire. The findings suggest that ongoing education about MRSA should be provided to haemodialysis nurses, but also that standardised evaluation of adequate knowledge, skills and competencies' regarding safe practices is warranted. Future research should focus on effective mechanisms to ensure that haemodialysis nurses provide safe MRSA care.
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| 4. |
- Lindberg, Magnus, et al.
(författare)
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Self-efficacy in relation to limited fluid intake amongst portuguese haemodialysis patients
- 2010
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Ingår i: Journal of renal care. - : Wiley. - 1755-6678 .- 1755-6686. ; 36:3, s. 133-138
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Tidskriftsartikel (refereegranskat)abstract
- Self-efficacy is a temporary and influenceable characteristic, related to situations and tasks, mediating health-promoting behaviours. This study aimed to evaluate psychometric properties of a Portuguese version of the Fluid Intake Appraisal Inventory, and to describe self-efficacy in relation to limited fluid intake amongst Portuguese haemodialysis patients. Respondents were recruited from three dialysis units, and 113 of 155 eligible patients gave their informed consent. The translated scale was distributed and collected by the head nurses. Interdialytic weight gain was calculated as percentage of dry weight. Satisfactory psychometric properties were estimated in the Portuguese context. The participants' self-efficacy in relation to low fluid intake was asymmetrically distributed; the majority had moderately to high self-efficacy while some patients had very low self-efficacy to limited fluid intake. There was a significant difference in self-efficacy to fluid restrictions; patients with a weight gain of 3.5% or less presented higher self-efficacy scores than did patients exceeding the cutoff point.
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| 5. |
- McQuarrie, EP, et al.
(författare)
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Cardiovascular disease in renal transplant recipients
- 2010
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Ingår i: Journal of Renal Care. - : Wiley. - 1755-6678 .- 1755-6686. ; 36:Suppl 1, s. 136-145
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Forskningsöversikt (refereegranskat)abstract
- Renal transplant recipients have a markedly increased risk of premature cardiovascular disease (CVD) compared with the general population, although considerably lower than that of patients receiving maintenance haemodialysis. CVD in transplant recipients is poorly characterised and differs from the nonrenal population, with a much higher proportion of fatal to nonfatal cardiac events. In addition to traditional ischaemic heart disease risk factors such as age, gender, diabetes and smoking, there are additional factors to consider in this population such as the importance of hypertension, left ventricular hypertrophy and uraemic cardiomyopathy. There are factors specific to transplantation such immunosuppressive therapies and graft dysfunction which contribute to this altered risk profile. However, understanding and treatment is limited by the absence of large randomised intervention trials addressing risk factor modification, with the exception of the ALERT study. The approach to managing these patients should begin early and be multifactorial in nature.
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| 6. |
- Winters, A Marian, et al.
(författare)
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Validation of a Dutch self-efficacy scale for adherence to fluid allowance among patients on haemodialysis
- 2013
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Ingår i: Journal of Renal Care. - : Wiley. - 1755-6678 .- 1755-6686. ; 39:1, s. 31-38
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Tidskriftsartikel (refereegranskat)abstract
- Many haemodialysis patients have problems limiting their fluid intake, and this might be influenced by their self-efficacy. Thus interventions to improve patients' self-efficacy might lead to an improvement in their adherence to fluid restriction. The fluid intake appraisal inventory (FIAI) evaluates patients' self-efficacy with regard to fluid intake. The aim of this study was to translate and validate the FIAI for use in the Netherlands. Four translators, seven experts, and four haemodialysis patients participated in the translation part of the study. Thirty-three patients from one dialysis centre in the Netherlands completed the Dutch FIAI. The instrument had good content validity (interdialytic weight gain was found to be negatively correlated with self-efficacy), internal consistency (Cronbach's alpha = 0.982), and stability (Spearman's rho = 0.823). These findings indicate that the Dutch FIAI can be used in clinical practice as a self-efficacy screening instrument for adult haemodialysis patients on fluid restriction.
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| 7. |
- Erlingmark, Julia, et al.
(författare)
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Nurse staffing and renal anaemia outcomes in haemodialysis care
- 2016
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Ingår i: Journal of Renal Care. - : Wiley. - 1755-6678 .- 1755-6686. ; 42:3, s. 185-189
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Tidskriftsartikel (refereegranskat)abstract
- Background: Current trends in renal anaemia management place greater emphasis, and thus increased workload, on the role of the nurse in haemodialysis settings. However, there is little evidence that demonstrates the relationship between nurse staffing and patient outcomes.Objectives: To describe nurse staffing in haemodialysis settings, its relationship with target levels of renal anaemia management and to describe target level achievement for different ways of organising anaemia management.Design: Cross-sectional audit.Participants: Forty (out of 78) haemodialysis centres in Sweden reported quality assurance data.Measurements: The numbers of bedside registered nurses, licensed nurse assistants and patients undergoing haemodialysis during a predefined morning shift; type of anaemia management and achieved target levels of anaemia management.Results: The mean patient:registered nurse ratio was 2.4 and the mean patient:nurse assistant ratio was 12.8. There were no significant relationships between registered nurse staffing and target level achievement. On average, 45.6% of the patients had haemoglobin within the target levels at centres applying nurse-driven anaemia management, compared with 47.3% at physician-driven centres.Conclusions: These cross-sectional data suggest that renal anaemia outcomes are unrelated to the patient:registered nurse ratio. There is, however, room for improvement in renal anaemia management in the units included in this study, particularly the achievement of target levels of haemoglobin and transferrin saturation.
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| 8. |
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| 9. |
- Goovaerts, Tony, et al.
(författare)
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Continuing education : preparing patients to choose a renal replacement therapy.
- 2015
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Ingår i: Journal of Renal Care. - : Wiley. - 1755-6678 .- 1755-6686. ; 41:1, s. 62-75
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Patients with progressive chronic kidney disease face a series of treatment decisions that will impact the quality of life of themselves and their family. Renal replacement therapy option education (RRTOE), generally provided by nurses, is recommended by international guidelinesOBJECTIVES: To provide nurses with advice and guidance on running RRTOE.DESIGN: A consensus conference.PARTICIPANTS: Four nurses, 5 nephrologists and 1 clinical psychologist (9 renal units; 6 European countries) from units that had extensive experience in RRTOE or were performing research in this field.APPROACH: Experts brainstormed and discussed quality standards for the education team, processes, content/topics, media/material/funding and quality measurements for RRTOE.RESULTS: Conclusions and recommendations from these discussions that are particularly pertinent to nurses are presented in this paper.CONCLUSIONS: Through careful planning and smooth interdisciplinary cooperation, it is possible to implement an education and support programme that helps patients choose a form of RRT that is most suited to their needs. This may result in benefits in quality of life and clinical outcomes.APPLICATION TO PRACTICE: There are large differences between renal units in terms of resources available and the demographics of the catchment area. Therefore, nurses should carefully consider how best to adapt the advice offered here to their own situation. Throughout this process, it is crucial to keep in mind the ultimate goal - providing patients with the knowledge and skill to make a modality choice that will enhance their quality of life to the greatest degree.
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| 10. |
- Jönsson, Anneli, et al.
(författare)
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Persons' experiences of suffering from nephrotic syndrome.
- 2020
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Ingår i: Journal of Renal Care. - : Wiley. - 1755-6678 .- 1755-6686. ; 46:1, s. 45-51
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundLittle is known about health and wellbeing among patients with nephrotic syndrome (NS), despite it being a serious condition in patients with renal failure. In order to promote health, it is important that both healthcare professionals and patients are aware of the signs and symptoms of the disease.ObjectivesThe aim was to explore patients’ experience of suffering from nephrotic syndrome.DesignAn inductive, qualitative method.ParticipantsTen adult patients with either newly diagnosed or a relapse of NS treated in a University hospital, south of Sweden from February 2016 to February 2019.MeasurementsData were collected using open‐ended interviews and analysed by means of Lindseth and Norberg's phenomenological‐hermeneutical method.ResultsSuffering from NS meant being a stranger in an unfamiliar world of symptoms, signs and medical treatment without professional guidance or piloting, illustrated by four themes: Feeling ill and well at the same time, Being passively adherent, Being in uncertainty, and Trying to comprehend and cope.Implications for practiceThe result provides an in‐depth understanding of the illness experience among patients with NS and constitutes a foundation for clinical guidelines on treatment, follow‐up and health promotion.ConclusionPatients with NS end up in a state of ambiguity due to a profound knowledge deficit that causes uncertainty and a lack of self‐management. The experienced lack of professional self‐management support is partly compensated for by social support from relatives, enabling those with NS to manage everyday life in a reasonable way.
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