Nephrology Nursing Journal最新文献

Adults with chronic kidney disease (CKD) tend to have high amounts of sedentary time, but few studies have compared self-reported and device-measured sedentary time. This is an exploratory secondary analysis of a pilot sedentary-reducing intervention in adults with CKD (n = 18). Sedentary time was evaluated with the Sedentary Behavior Record and an inclinometer. At baseline, sedentary time was 793.9 (SD = 144.4) minutes/day via self-report and 725.0 (SD = 135.5) minutes/day via device (absolute percent error 20.4%). At end-of-study, sedentary time was 778.6 (SD = 157.1) minutes/day via self-report and 725.4 (SD = 144.9) minutes/day via device (absolute percent error 23.7%). In research with adults with CKD, it is reasonable to measure sedentary time via self-report and device to obtain unique, yet complementary, information about sedentary behavior.

Patients with acute kidney disease (AKD) may need treatment by hemodialysis and/or apheresis, which is often started in haste due to the life-threatening condition. To illuminate patients' lived experiences of being in acute need of such therapy due to AKD, we performed semi-structured interviews analyzed with qualitative content analysis. Eleven patients out of 104 were eligible and completed interviews. Six main categories were found - shock and emotional chaos, loneliness in an unfamiliar situation, a need for tailored information, emotional support from next of kin, the dialysis and/or apheresis experience varied, and the disease-conditioned life. An overarching theme emerged as, 'Will I survive? Will I be cured?' Clear and repeated information and personalized contact were requested to reduce anxiety and give hope during a time of crisis.

On September 27, 2025, the American Nephrology Nurses Association (ANNA) and the American Society of Nephrology (ASN) collaborated on a one-day meeting at ANNA's 2025 Nephrology Nursing Summit to bring nurses and physicians together to discuss important issues in nephrology. This article is based on the panel discussion on quality and safety. The recorded version of the panel discussion is available in ANNA's Online Library (https://library.annanurse.org/p/s/quality-and-safety-26209).

In the complex landscape of health care, the journey of a patient with end stage kidney disease (ESKD) is representative of the challenges common to those with chronic health conditions. This article delves into the fragmented nature of health care data and the pivotal role of health information exchange (HIE) in enhancing care coordination. While HIE has the potential to improve patient outcomes by facilitating the seamless transfer of information among providers, its success depends on having a strong operational framework in place. This article provides a foundational review of HIE, tracing its evolution, outlining its benefits and limitations, and forecasting its future direction. This article emphasizes the crucial role of HIE in patient care, offering practical advice for enhancing its application and adoption in everyday clinical settings. The discussion concludes by looking forward to the transformative capacity of data when harnessed effectively, suggesting that nurses can lead the way in using insights from HIE to advance the noble pursuit of helping others.

This study aimed to examine the effects of a video-based discharge education program on transplant knowledge and treatment plan adherence for kidney transplant recipients. Patients were educated using a video-based education program or given standard verbal education. Know ledge and adherence were assessed using a pre- and post-education knowledge test, medication adherence survey, and electronic medical record review of missed appointments and lab draw frequency. Both groups received an end-of-study survey. Patients in the video-based education group had higher average post-education test scores and medication adherence survey scores, as well as fewer missed lab draws. Neither group had missed clinic appointments. With more transplant surgeries performed every year, a video-based discharge education program could allow for standardization and efficiency in a growing patient population.

Chronic kidney disease (CKD) disproportionately affects communities with limited access to screening and preventive care. While programs such as the Kidney Early Evaluation Program (KEEP) and the Kidney Disease Screening and Awareness Program (KDSAP) have demonstrated the feasibility of community-based kidney health initiatives, a gap remains in nurse-led models that explicitly leverage the expertise of registered nurses (RNs) and nurse practitioners (NPs) combined with quality improvement principles. The Community Kidney Health Network (CKHN) was piloted to evaluate the feasibility and scalability of American Nephrology Nurses Association (ANNA)-led kidney health screenings in structurally disadvantaged areas. Three ANNA chapters (Pacific Northwest - Seattle, Hazel Taylor - Birmingham, and Alamo City - San Antonio) partnered with local organizations to conduct screenings. Participants received point-of-care testing (hemoglobin A1C, serum creatinine/estimated glomerular filtration rate [eGFR], urine albumin-creatinine ratio) and assessments for blood pressure, body mass index (BMI), and waist circumference. The Kidney Health Score (KHS), based on six risk factors, categorized risk. Among 51 adults, nearly all were "At-Risk" or higher, with elevated blood pressure and BMI most prevalent. Average supply cost was $30.76/person. Sites reported strong engagement, operational feasibility, and readiness to expand. This pilot demonstrates the acceptability, scalability, and community health leadership potential of RN/NP-led kidney health screenings.

Kidney transplantation offers individuals with end stage kidney disease the best chance for long-term survival without dialysis and at the lowest cost to the health care system. However, kidney transplantation comes with risks and complications. These complications can be categorized as short-term, long-term, infectious, and noninfectious. Short-term complications can occur immediately after transplant and for up to six months post-transplant. These complications can involve delayed graft function, infection, rejection, and technical surgical causes. Long-term complications occur six months and beyond post-transplant. It is important for the nephrology provider to partner with the transplant recipient to develop strategies to prevent, monitor, and treat kidney transplant complications.

Frailty is highly prevalent in patients with end stage kidney disease (ESKD) and predictive of morbidity. Nurses lack frailty education and face practical challenges to assessment, which prevent effective interventions to address frailty. A quality improvement project sought to determine if frailty education and utilization of a renal frailty index tool impacts telephonic case management nursing care of patients by improving knowledge, perception, identification, and assessment of frailty, thereby prompting nursing interventions. Positive impacts were seen across all outcomes influencing outreach and resource utilization by nurses. Limitations included a small sample size, time burden, and manual processes. Findings suggest the importance of embedding frailty care into daily practice, automation of frailty scoring, and expansion into advanced practice to improve quality of care and reduce cost of care.