Publications by authors named "Bettie Hoekstra"

2 Publications

  • Page 1 of 1

Training and education, what has changed this last decade?

J Ren Care 2021 Jun 14. Epub 2021 Jun 14.

Special Interest Group Peritoneal Dialysis, V&VN Dialysis & Nephrology, Utrecht, The Netherlands.

Background: The Dutch manual for the best care regarding training and education of our patients, as created by the special interest group for peritoneal dialysis (SIG PD), was revised.

Objectives: The aim of this paper is to describe topics learned from the manual revision, supported by noticed response changes in surveys from 2009 to 2019.

Design: Quantitative nursing research, using similar surveys to compare training and education over the last decade. Additionally, a brief search for literature was performed.

Participants: Dutch dialysis nurses.

Approach: In 2009, nurses were approached through an online survey sent to all dialysis centres in the Netherlands. In 2019, a similar survey was distributed during our annual Dutch nephrology days. Both surveys were compared and conclusions were drawn.

Findings: Retrieved information was divided into basic topics and compared. More important, our findings show that even after a decade, there is still no special education for the nurses and patient training is given based on experience alone. Furthermore, multiple nurses are involved in patient training, with varying materials. There are more home visits with training at home and retraining is more suitable. A growth in assisted PD implies more involvement by community nurses. Also, more acute PD is seen, with a different structure of training.

Conclusions: The manual was revised with input from our nurses and new guidelines, so we can uplift the education of peritoneal dialysis for the benefit of our patients, caretakers, and community nurses. As SIG PD we can support the dialysis nurses.
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June 2021

Exit site care in the Netherlands: the use of guidelines in practice.

J Ren Care 2017 Sep 6;43(3):156-162. Epub 2017 Apr 6.

Meander Medical Centrum, Amersfoort, The Netherlands.

Background: The aim of this paper is to describe the quality of exit site care by evaluating the use of the Dutch exit site guideline over a period of 15 years.

Method: The special interest group (SIG) for peritoneal dialysis (PD) analysed results of three surveys concerning general exit site care among members of the Dutch Association for nurses and carers (V&VN), the dialysis and nephrology section.

Results: In 2002 (when no guidelines were available) the survey showed huge diversity in practice, with no definition of the post-operative period after catheter placement and no uniform monitoring of the exit site. There was a difference in use of dressings and exit site care. In 2009, the survey showed that most dialysis centres worked with the first guideline of the V&VN (2006) and exit site classification (2006). However, at this time, there was still diversity in the way exit site care was undertaken. In 2016, there was widespread use of guidelines and classification alongside a more individual approach to practice. Differences occured in use of disinfectant, antimicrobial ointment, swimming and going to the sauna.

Conclusion: The exit site guideline has been widely used in the Netherlands, improving quality in care and utilising a more individual patient approach in care. However, there are still differences identified in practice for which the evidence-base and evaluation will be undertaken to supplement the guideline and attribute to exit site care practice.
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September 2017