Nephrology Nursing Journal最新文献

Kidney replacement therapy (KRT) is an essential treatment for children with acute kidney injury, fluid overload, and toxin removal. Successful provision of KRT is important; however, no standard nursing education currently exists. The top 50 pediatric nephrology programs from the 2023 U.S. News & World Report and eight Canadian centers were surveyed regarding their KRT programs. Most programs perform KRT in three or more intensive care units (n = 31, 58.5%), use two or more machines (n = 44, 83%), and use two or more anticoagulation strategies (n = 34, 86.8%). There are multiple programmatic models utilized to set up, manage, and troubleshoot KRT. In 96% of institutions, education and competencies are standardized, yet methods vary. The survey reveals significant practice variation across institutions; however, KRT nursing education should be standardized to increase safety and improve outcomes.

This study aimed to assess the perceived emotional intelligence (EI) of nephrology nurse preceptors before and after an educational intervention. Results showed a statistically significant increase in EI scores, with the Median Schute Self-Report Emotional Intelligence Test score rising from 128 to 132 (p = 0.022). This study supports integrating EI training in nephrology preceptor programs because EI preceptors positively influence novice nurses, leading to better outcomes and improved emotional regulation. An EI learning segment should be included in registered nurse nephrology preceptor programs.

A critical moment in patient-centered care for individuals with chronic kidney disease (CKD) is the initial diagnosis and education about treatment options. This article describes an innovative hospital-to-home hemodialysis (HHD) transition program designed to support patients newly started on dialysis, addressing both clinical and emotional needs. Through multidisciplinary collaboration, the program offers comprehensive training, psychosocial assessment, and ongoing support to empower patients. The case of Patient A, a 39-year-old teacher who experienced a 'crash start' and successfully transitioned to HHD, highlights the program's benefits, including increased autonomy and improved quality of life. This approach bypasses traditional in-center dialysis, promoting better outcomes and patient satisfaction in managing CKD.

The outpatient dialysis clinic is a unique setting for nurses because they are required to prepare medications for administration. Since there is no nationally approved curriculum for instruction, nurses often learn drug preparation and administration from a preceptor or co-worker, leading to a wide variability in medication preparation and administration procedures. This article explores the multiple opportunities to improve medication preparation for safe administration in outpatient dialysis units.

Registered nurses have a professional responsibility to disseminate knowledge that advances the field of nursing. This article reviews the main components of an abstract for research, quality improvement, and evidence-based practice studies, and offers guidance in writing high-quality abstracts that support this goal. An abstract is a clear and concise summary that highlights the importance of the work while following submission guidelines. Adherence to these guiding principles enables nephrology nurses and other health care professionals to foster a culture of inquiry among their peers, thereby promoting comprehensive engagement with research findings and facilitating the integration of emerging knowledge into clinical practice.

Burgeoning evidence suggests gastrointestinal (GI) microbiota regulate physiologic homeostasis in the human body and may influence adverse symptoms experienced by individuals receiving hemodialysis (HD). This study explores the epigenetic roles the GI microbiota play in this population. A cross-sectional descriptive correlational study was conducted. Survey data, stool, and blood specimens were collected from 20 patients at a local dialysis clinic. Statistically significant correlations were found between a subset of GI microbiota and miRNA that were different in groups with varying levels of fiber intake and physical activity, suggesting diet and exercise as potential modifiable factors to modulate the epigenetic role of GI microbiota. Findings may provide insights into additional therapeutic targets and allow nephrology nurses to play a critical role in optimizing individuals' lifestyle factors.

Many social determinants of health contribute to the increase in kidney disease incidence, including race, the patient's home address, economic means, educational attainment, and access to health care services. Integrating health equity requires team collaboration, provider, health financing resources, patient education and empowerment, and supporting health policies to enhance health care delivery and save lives.

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.