Pub Date : 2022-03-01DOI: 10.33235/rsaj.18.1.23-29
Henry H. L. Wu, R. Chinnadurai
{"title":"Indications and timing of renal replacement therapy initiation in the intensive care unit: An updated review","authors":"Henry H. L. Wu, R. Chinnadurai","doi":"10.33235/rsaj.18.1.23-29","DOIUrl":"https://doi.org/10.33235/rsaj.18.1.23-29","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41408783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-01DOI: 10.33235/rsaj.18.1.30-33
Kathy Hill, L. Tootell, Margaret Pummeroy, Irene Atkins, Andie Xu
{"title":"Blood glucose sampling for haemodialysis","authors":"Kathy Hill, L. Tootell, Margaret Pummeroy, Irene Atkins, Andie Xu","doi":"10.33235/rsaj.18.1.30-33","DOIUrl":"https://doi.org/10.33235/rsaj.18.1.30-33","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49199148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.33235/rsaj.17.2.28-35
Ulrich Steinwandel, N. Gibson, James Rippey, J. Rosman
{"title":"Does point-of-care ultrasound of vascular access improve the communication between clinicians? A scoping review","authors":"Ulrich Steinwandel, N. Gibson, James Rippey, J. Rosman","doi":"10.33235/rsaj.17.2.28-35","DOIUrl":"https://doi.org/10.33235/rsaj.17.2.28-35","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43546826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.33235/rsaj.17.2.46-53
K. Lambert, Ally Mooyman, P. Burns, J. Mullan
{"title":"Prevalence of pain and analgesic use in people with chronic kidney disease","authors":"K. Lambert, Ally Mooyman, P. Burns, J. Mullan","doi":"10.33235/rsaj.17.2.46-53","DOIUrl":"https://doi.org/10.33235/rsaj.17.2.46-53","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47296492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-01DOI: 10.33235/rsaj.17.2.39-45
Kathy Hill, K. Neylon, Kate Gunn, S. Jesudason, G. Sharplin, A. Britton, Fiona Donnelly, Irene Atkins, M. Eckert
Background The prevalence of kidney disease continues to increase, as does the acuity of kidney care. Patients with kidney failure are older, sicker and less mobile. Health systems are under more pressure to manage growing care needs and capacity constraints. This is likely to have an impact on nursing workforce experiences. Aims The aim of this research was to examine nephrology nursing in South Australia to understand the impact of increasing acuity and organisational factors that may support and sustain the workforce. Methods An exploratory semi-structured qualitative approach, facilitating eight focus groups with 36 nephrology nurses across six public metropolitan renal units was applied. Data were thematically analysed. Findings Three central themes relating to nursing culture, patient acuity and organisational factors that impact the nursing workforce were identified. Sub-themes identified were pride and passion, teamwork and collegiality, increasing patient acuity and the lack of clinical rationalisation in kidney care, the value of a 'flat' hierarchy, and vulnerability during the COVID-19 pandemic. Consequently, we identified a disconnect between institutional expectations and what the participants considered pragmatic reality. Participants reported sustained workplace pressure, a 'triage' approach to care, and a sense of work left undone. Conclusion Nephrology nurses experience a gap between 'supply and demand' on their time, resources and workload. These findings highlight the need for further exploration of the root causes and the development of new systems to provide quality, safe and rewarding care for patients and to reduce the risk of workforce moral distress and burnout.
{"title":"Sustaining the renal nursing workforce","authors":"Kathy Hill, K. Neylon, Kate Gunn, S. Jesudason, G. Sharplin, A. Britton, Fiona Donnelly, Irene Atkins, M. Eckert","doi":"10.33235/rsaj.17.2.39-45","DOIUrl":"https://doi.org/10.33235/rsaj.17.2.39-45","url":null,"abstract":"Background The prevalence of kidney disease continues to increase, as does the acuity of kidney care. Patients with kidney failure are older, sicker and less mobile. Health systems are under more pressure to manage growing care needs and capacity constraints. This is likely to have an impact on nursing workforce experiences. Aims The aim of this research was to examine nephrology nursing in South Australia to understand the impact of increasing acuity and organisational factors that may support and sustain the workforce. Methods An exploratory semi-structured qualitative approach, facilitating eight focus groups with 36 nephrology nurses across six public metropolitan renal units was applied. Data were thematically analysed. Findings Three central themes relating to nursing culture, patient acuity and organisational factors that impact the nursing workforce were identified. Sub-themes identified were pride and passion, teamwork and collegiality, increasing patient acuity and the lack of clinical rationalisation in kidney care, the value of a 'flat' hierarchy, and vulnerability during the COVID-19 pandemic. Consequently, we identified a disconnect between institutional expectations and what the participants considered pragmatic reality. Participants reported sustained workplace pressure, a 'triage' approach to care, and a sense of work left undone. Conclusion Nephrology nurses experience a gap between 'supply and demand' on their time, resources and workload. These findings highlight the need for further exploration of the root causes and the development of new systems to provide quality, safe and rewarding care for patients and to reduce the risk of workforce moral distress and burnout.","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47800416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-01DOI: 10.33235/rsaj.17.2.20-27
Josephine Chow, Allyson Calvin, Angelina Villarba, C. Armstrong, Dana Windebank, Nutan Maurya, P. Woodward, Jerome Pong, G. Brunier
Objective The spread of the coronavirus disease (COVID-19) pandemic has created an opportunity to re-evaluate and refine existing models of healthcare delivery for patients receiving dialysis at home. This study aims to explore the experiences of home dialysis nurses during the pandemic. Methods This was an observational study via survey. Participants were recruited through the home dialysis nursing networks in Australia and the province of Ontario, Canada. Results A total of 45 nurses responded to the survey, 53% (n=24) from Australia and 47% (n=21) from Ontario, Canada. The nurses identified that most units had moved to 'virtual' patient visits, only seeing those patients with urgent issues in person. They also reported problems with delivery of supplies for patients, implementation of social distancing during training, difficulties for patients with navigation of telehealth platforms for `virtual' clinic visits, and staffing shortages with staff needing to stay home with any suspected COVID-19 symptoms or contact. The nurses perceived that being flexible in their roles and working hours were helpful during the pandemic, while being ready to adapt at short notice was also important. Conclusion During the COVID-19 pandemic, patients receiving home dialysis have benefited from fewer healthcare facility visits and a greater ability to adhere to social distancing measures, thus limiting exposure to COVID-19 infection. Yet, patients may face challenges relating to delay or back order of dialysis supplies and social isolation, and may struggle with telehealth platforms. Our learning experience from this pandemic will help us identify the challenges encountered and measures taken to address them.
{"title":"Impact of coronavirus disease (COVID-19) on home dialysis: Experiences of home dialysis nurses in Australia and Canada","authors":"Josephine Chow, Allyson Calvin, Angelina Villarba, C. Armstrong, Dana Windebank, Nutan Maurya, P. Woodward, Jerome Pong, G. Brunier","doi":"10.33235/rsaj.17.2.20-27","DOIUrl":"https://doi.org/10.33235/rsaj.17.2.20-27","url":null,"abstract":"Objective The spread of the coronavirus disease (COVID-19) pandemic has created an opportunity to re-evaluate and refine existing models of healthcare delivery for patients receiving dialysis at home. This study aims to explore the experiences of home dialysis nurses during the pandemic. Methods This was an observational study via survey. Participants were recruited through the home dialysis nursing networks in Australia and the province of Ontario, Canada. Results A total of 45 nurses responded to the survey, 53% (n=24) from Australia and 47% (n=21) from Ontario, Canada. The nurses identified that most units had moved to 'virtual' patient visits, only seeing those patients with urgent issues in person. They also reported problems with delivery of supplies for patients, implementation of social distancing during training, difficulties for patients with navigation of telehealth platforms for `virtual' clinic visits, and staffing shortages with staff needing to stay home with any suspected COVID-19 symptoms or contact. The nurses perceived that being flexible in their roles and working hours were helpful during the pandemic, while being ready to adapt at short notice was also important. Conclusion During the COVID-19 pandemic, patients receiving home dialysis have benefited from fewer healthcare facility visits and a greater ability to adhere to social distancing measures, thus limiting exposure to COVID-19 infection. Yet, patients may face challenges relating to delay or back order of dialysis supplies and social isolation, and may struggle with telehealth platforms. Our learning experience from this pandemic will help us identify the challenges encountered and measures taken to address them.","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43800186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-15DOI: 10.33235/rsaj.16.3.106-110
Laura E Lunardi, Kristen Bull, S. Crail, Kathy Hill
{"title":"Planning for end of life care in dialysis","authors":"Laura E Lunardi, Kristen Bull, S. Crail, Kathy Hill","doi":"10.33235/rsaj.16.3.106-110","DOIUrl":"https://doi.org/10.33235/rsaj.16.3.106-110","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47678020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-15DOI: 10.33235/rsaj.16.3.98-105
K. Choy, Michael McVeigh, S. Holgate, L. Delmenico, D. Friedman
{"title":"Rhabdomyolysis cases and acute kidney injury: a 10-year experience at a regional tertiary centre","authors":"K. Choy, Michael McVeigh, S. Holgate, L. Delmenico, D. Friedman","doi":"10.33235/rsaj.16.3.98-105","DOIUrl":"https://doi.org/10.33235/rsaj.16.3.98-105","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42723661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-15DOI: 10.33235/rsaj.16.3.94-97
K. Schuck
{"title":"The Australian clinical renal physiologist workforce: a pathway to practice regulation","authors":"K. Schuck","doi":"10.33235/rsaj.16.3.94-97","DOIUrl":"https://doi.org/10.33235/rsaj.16.3.94-97","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49058262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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