Nephrology nurses' perspectives working with patients experiencing needle-related distress

IF 1.5 4区医学 Q3 NURSING Journal of renal care Pub Date : 2023-11-17 DOI:10.1111/jorc.12483

Emily Duncanson MPsych(Hlth), Richard K. Le Leu PhD, Anna Chur-Hansen PhD, Tahlia Masotti BPsych(Hons), Kathryn L. Collins MPsych(Clin), Anne L. J. Burke PhD, Luke P. Macauley BPsych(Hons), Stephen McDonald PhD, Shilpanjali Jesudason PhD

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Abstract

Background

A key skill of nephrology nursing is cannulation of patients receiving haemodialysis. Traumatic and unsuccessful cannulation experiences, particularly in the initial weeks of haemodialysis, may contribute to the onset of needle distress for patients.

Objectives

To identify the key knowledge, skills and attitudes of nephrology nurses working with haemodialysis patients and the competencies relevant to nephrology nursing working with patients with needle-related distress.

Design

A qualitative study involving semistructured interviews. Interviews were audio-recorded, transcribed and deductive, and inductive thematic analysis applied.

Participants

Nephrology nurses (n = 17) were interviewed from a tertiary kidney service in South Australia. Nurses had varying roles and years of experience (range 1–30 years) working with dialysis patients within the service.

Results

Two overarching themes, (1) Flexibility in Practice and Care and (2) Responsibility of Nephrology Nursing, were identified as relevant across all knowledge, skills and attitudes of nephrology nurses working with patients with needle-related distress. Thirty-six knowledge, skills and attitudes were identified; 12 related to knowledge, 14 related to skills and 10 were identified as attitudes and were summarised under seven broad competencies.

Conclusion

This study identifies potential knowledge, skills and attitudes and competencies required for nephrology nurses working with patients with needle-related distress. It highlights strategies that may prevent the onset and worsening of needle-related distress, as well as reduce it. It also brings to light that nurses desire additional education regarding strategies to improve the patient experience of cannulation and nurse confidence and skill in this area.

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肾科护士的观点与患者经历针相关的痛苦。

背景:肾内科护理的一项关键技能是血液透析患者的插管。创伤性和不成功的插管经历，特别是在血液透析的最初几周，可能会导致患者出现针痛。目的:了解血液透析患者肾科护士的关键知识、技能和态度，以及与针相关窘迫患者肾科护理相关的能力。设计:涉及半结构化访谈的定性研究。采访录音，转录和演绎，并归纳主题分析应用。参与者:来自南澳大利亚三级肾脏服务的肾脏病科护士(n = 17)进行了访谈。护士有不同的角色和多年的经验(范围1-30年)与透析患者在服务。结果:两个总体主题，(1)实践和护理的灵活性和(2)肾病护理的责任，被确定为与所有知识，技能和态度相关的肾病科护士与针头相关的痛苦患者工作。确定了36种知识、技能和态度;12项与知识有关，14项与技能有关，10项被确定为态度，并总结为七大能力。结论:本研究确定了与针头相关窘迫患者打交道的肾病科护士所需要的潜在知识、技能、态度和能力。它强调了可能预防针头相关痛苦的发生和恶化的策略，以及减少它。它还揭示了护士希望额外的教育策略，以改善病人的经验插管和护士的信心和技能在这一领域。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.