Nephrology Nursing Journal最新文献

Palliative care is an effective way to alleviate suffering and improve quality of life in older adults with end stage kidney disease (ESKD). The purpose of this scoping review was to identify gaps in available evidence about current and future needs for palliative care in community-residing older adults living in Thailand with advanced chronic kidney disease. Four essential elements (community, education, research, and nursing practice) were found related to older adults with ESKD, their families, and limited graduate palliative care education. Results support the need for graduate nursing education to meet the needs of a growing ESKD population in Thailand and other countries, including the United States.

This article describes observations and findings related to home dialysis therapy. Dialyzing at home provides many benefits, giving patients more flexibility and autonomy. Ensuring proper education and training, and home adaptation is critical for patient safety. Survey findings related to group training, home visits, medical records, and the use of patient care technicians in home dialysis are reviewed. Implications for nephrology nursing in each scenario are discussed, including survey guidance for transitional care dialysis.

Increasing global migration necessitates a larger, more diverse, and more culturally responsive nursing workforce. If health care organizations are to foster a culture of inclusion, they must employ strategies to retain the current nursing workforce and prepare for greater diversity in the future. Nurses are leaving the profession for many reasons. Nurses report too much stress and overwork, along with not feeling valued in their roles. Nursing leadership must work to address retention of the current workforce and implement additional strategies to support long-term pipelines for more diverse nurses. Interactive workshops and mentoring focused on foundational definitions and concepts are strategies to increase retention and preparation for future recruitment. This article discusses strategies to foster a greater sense of belonging in the workplace for all nurses. This article also discusses strategies that can be useful in retaining a nursing workforce and preparing for the future nursing workforce by fostering a culture of responsiveness that encourages a sense of belonging for all nurses.

Nephrology nurses struggle to support patients on hemodialysis who experience needle fear due to absence of adequate programs or guidelines. Therefore, we have designed an educational intervention for nurses to learn techniques and strategies to support patients with needle fear and review best cannulation practices with minimal trauma to improve patients' experience of dialysis. A pre-post design measured self-reported confidence in nurses' ability to support patients on dialysis who have a fear of needles. We found nurses can benefit from targeted educational interventions that provide information and strategies regarding needle fear management. Findings from this study have a potential to be transferred to other chronic disease settings with frequent needle use.

The outpatient dialysis setting presents unique challenges in the medication process. Dialysis staff conduct all steps in the medication process, including transcribing and verifying orders, preparing and administering medications, and monitoring for therapeutic and adverse effects. When addressing best medication practices, consideration should be given to education and resources provided to staff. This article explores the multiple strategies taken by a national dialysis network to support clinical staff and improve patient safety.