Pub Date : 2020-12-15DOI: 10.33235/rsaj.16.3.88-93
E. Brioni, C. Magnaghi, C. Pool, Donato Leopaldi, R. Franchetti, Elisa Granellini, M. Pegoraro, M. Gambirasio, Paolo Mazzacani, Fiorenzo Manara, M. Parisotto
COVID-19 is a new crown virus of the beta coronavirus genus that originated in bats The virus first emerged in China in December 2019 and has since spread rapidly to other areas of the world;in Italy the region most affected was Lombardy The infection caused by the virus manifests itself in most cases as an infection of the lower respiratory tract that leads to fever, cough and dyspnoea, while more serious cases can lead to respiratory failure and/or multi-organ failure Patients undergoing renal replacement therapy have a fragility related to the overlap of multiple pathologies, and the sharing of the same microclimate during dialysis sessions significantly increases the risk of transmission and spread of the infection among patients and among healthcare professionals The frequency of exposure of dialysis patients to infectious diseases also increases the risk of poor nutrition in a vicious circle of malnutrition-infection-malnutrition Therefore, prevention, protection, screening and isolation measures can minimise the risk of transmission for patients and for healthcare professionals Working together on the further development of tools such as telemedicine, robotics, video communications, international protocols and best practice sharing can improve the efficiency and maybe the weapons the world needs to combat coronavirus
{"title":"COVID-19: a nursing overview from the front line. The experience of dialysis units in Lombardy, Italy","authors":"E. Brioni, C. Magnaghi, C. Pool, Donato Leopaldi, R. Franchetti, Elisa Granellini, M. Pegoraro, M. Gambirasio, Paolo Mazzacani, Fiorenzo Manara, M. Parisotto","doi":"10.33235/rsaj.16.3.88-93","DOIUrl":"https://doi.org/10.33235/rsaj.16.3.88-93","url":null,"abstract":"COVID-19 is a new crown virus of the beta coronavirus genus that originated in bats The virus first emerged in China in December 2019 and has since spread rapidly to other areas of the world;in Italy the region most affected was Lombardy The infection caused by the virus manifests itself in most cases as an infection of the lower respiratory tract that leads to fever, cough and dyspnoea, while more serious cases can lead to respiratory failure and/or multi-organ failure Patients undergoing renal replacement therapy have a fragility related to the overlap of multiple pathologies, and the sharing of the same microclimate during dialysis sessions significantly increases the risk of transmission and spread of the infection among patients and among healthcare professionals The frequency of exposure of dialysis patients to infectious diseases also increases the risk of poor nutrition in a vicious circle of malnutrition-infection-malnutrition Therefore, prevention, protection, screening and isolation measures can minimise the risk of transmission for patients and for healthcare professionals Working together on the further development of tools such as telemedicine, robotics, video communications, international protocols and best practice sharing can improve the efficiency and maybe the weapons the world needs to combat coronavirus","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":"48961990","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.16.3.86-87
Jane vanderJeugd
{"title":"Kidney transplantation vs COVID-19 in Australia","authors":"Jane vanderJeugd","doi":"10.33235/rsaj.16.3.86-87","DOIUrl":"https://doi.org/10.33235/rsaj.16.3.86-87","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":"46578086","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 : 2020-08-10DOI: 10.33235/rsaj.16.2.34-35
Fiona Donnelly
{"title":"Editorial","authors":"Fiona Donnelly","doi":"10.33235/rsaj.16.2.34-35","DOIUrl":"https://doi.org/10.33235/rsaj.16.2.34-35","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43758727","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 : 2020-03-10DOI: 10.33235/rsaj.16.1.13-19
A. Jacob, C. Vafeas, Laurita Stoneman, Elisabeth R Jacob
Background: This study explored the experience of nurses encountering challenging patient behaviour while working at a rural hospital-based haemodialysis unit. Methods: Focus groups were conducted with haemodialysis nurses at a rural hospital. Five participants across two focus groups were asked questions regarding their experiences of challenging patients, including impacts that the experiences may have had on their ongoing professional practice. Transcripts of the focus groups were analysed thematically. Findings: Three themes arose from the focus group discussion - experiencing challenging behaviour, long-term relationships with patients, and nursing professionalism. Participants described challenges arising when caring for patients who were aggressive, did not comply with self-management, or caused avoidable logistical challenges. Long-term caring relationships presented challenges as patients could become emotionally dependent upon one nurse, making it difficult to share workloads with other nurses. Participants reported decreased confidence, being near tears, being angry, and experiencing 'burnout' when caring for patients with difficult behaviour over extended periods. Participants managed challenging behaviours by identifying triggers, allocating staff to specific patients, and trying to understand the patient's motivation for action. 'Not taking work home' and 'not taking things personally' were ways in which nurses attempted to look after their own wellbeing, although this was not always possible. Participants stressed the importance of working as a team and having supportive management and inter-professional relationships. Significance: Participants' perceptions of working in the nursing profession were more related to their ability to work as a team and manage challenging behaviour exhibited by patients in a supportive environment than the presence of patients exhibiting challenging behaviour.
{"title":"Rural dialysis nurses’ experiences with challenging patients: a thematic qualitative analysis","authors":"A. Jacob, C. Vafeas, Laurita Stoneman, Elisabeth R Jacob","doi":"10.33235/rsaj.16.1.13-19","DOIUrl":"https://doi.org/10.33235/rsaj.16.1.13-19","url":null,"abstract":"Background: This study explored the experience of nurses encountering challenging patient behaviour while working at a rural hospital-based haemodialysis unit. Methods: Focus groups were conducted with haemodialysis nurses at a rural hospital. Five participants across two focus groups were asked questions regarding their experiences of challenging patients, including impacts that the experiences may have had on their ongoing professional practice. Transcripts of the focus groups were analysed thematically. Findings: Three themes arose from the focus group discussion - experiencing challenging behaviour, long-term relationships with patients, and nursing professionalism. Participants described challenges arising when caring for patients who were aggressive, did not comply with self-management, or caused avoidable logistical challenges. Long-term caring relationships presented challenges as patients could become emotionally dependent upon one nurse, making it difficult to share workloads with other nurses. Participants reported decreased confidence, being near tears, being angry, and experiencing 'burnout' when caring for patients with difficult behaviour over extended periods. Participants managed challenging behaviours by identifying triggers, allocating staff to specific patients, and trying to understand the patient's motivation for action. 'Not taking work home' and 'not taking things personally' were ways in which nurses attempted to look after their own wellbeing, although this was not always possible. Participants stressed the importance of working as a team and having supportive management and inter-professional relationships. Significance: Participants' perceptions of working in the nursing profession were more related to their ability to work as a team and manage challenging behaviour exhibited by patients in a supportive environment than the presence of patients exhibiting challenging behaviour.","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41648562","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}
{"title":"Challenges facing the renal nursing workforce","authors":"K. Hill, M. Arnold-Chamney","doi":"10.33235/rsaj.16.1.4-5","DOIUrl":"https://doi.org/10.33235/rsaj.16.1.4-5","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41934127","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 : 2019-11-08DOI: 10.33235/rsaj.15.3.105-111
T. Burns, Hayley Pippard, Kylie Turner, Januario Pedroche, Andrea Matisan, Mounata Gurung, T. Fernández
{"title":"The nurses’ experience of caring for a renal transplant recipient when admitted to hospital","authors":"T. Burns, Hayley Pippard, Kylie Turner, Januario Pedroche, Andrea Matisan, Mounata Gurung, T. Fernández","doi":"10.33235/rsaj.15.3.105-111","DOIUrl":"https://doi.org/10.33235/rsaj.15.3.105-111","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43336779","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 : 2019-11-08DOI: 10.33235/rsaj.15.3.78-91
Ashleigh Jaensch, K. Hill, Qunyan Xu
{"title":"Cannulation in haemodialysis: when the pointy end misses the mark","authors":"Ashleigh Jaensch, K. Hill, Qunyan Xu","doi":"10.33235/rsaj.15.3.78-91","DOIUrl":"https://doi.org/10.33235/rsaj.15.3.78-91","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48313580","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 : 2019-11-08DOI: 10.33235/rsaj.15.3.97-104
Jing Zhang, P. Bennett
{"title":"The perception of people with chronic kidney disease towards exercise and physical activity: a literature review","authors":"Jing Zhang, P. Bennett","doi":"10.33235/rsaj.15.3.97-104","DOIUrl":"https://doi.org/10.33235/rsaj.15.3.97-104","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48563140","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 : 2019-11-08DOI: 10.33235/rsaj.15.3.76-77
{"title":"How far we have come, both as a society and as an information sharer","authors":"","doi":"10.33235/rsaj.15.3.76-77","DOIUrl":"https://doi.org/10.33235/rsaj.15.3.76-77","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46083333","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 : 2019-11-01DOI: 10.33235/rsaj.15.3.92-96
J. Hughes, R. Kirkham, O. Min, H. Hall, B. Currie, S. Majoni
{"title":"Patient-identified health service transformation: an Aboriginal patient’s experience with extensive chronic tinea corporis and delayed kidney transplantation wait-listing","authors":"J. Hughes, R. Kirkham, O. Min, H. Hall, B. Currie, S. Majoni","doi":"10.33235/rsaj.15.3.92-96","DOIUrl":"https://doi.org/10.33235/rsaj.15.3.92-96","url":null,"abstract":"","PeriodicalId":42629,"journal":{"name":"Renal Society of Australasia Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43008267","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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