1,229 results match your criteria nephrology nurses

High Moral Distress in Clinicians Involved in the Care of Undocumented Immigrants Needing Dialysis in the United States.

Health Equity 2021 15;5(1):484-492. Epub 2021 Jul 15.

Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indiana University Center for Aging Research, Regenstrief Institute, Inc, Indiana University Purdue University Indianapolis Research in Palliative and End-of-Life Communication and Training (RESPECT) Center, School of Nursing, Charles Warren Fairbanks Center for Medical Ethics IU Health, Indianapolis, Indiana, USA.

To understand clinicians' perspectives on dialysis care of undocumented immigrants. A 21-item Internet-based survey using Survey Monkey was sent to 765 physicians and nurses at a safety-net hospital located in Indianapolis, IN. Moral distress thermometer score was used to assess moral distress (MD). Read More

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Pediatric Nurse and Pharmacist Knowledge of Acute Kidney Injury.

Hosp Pediatr 2021 Jul 22. Epub 2021 Jul 22.

Division of Pediatric Nephrology, School of Medicine, Johns Hopkins University, Baltimore, Maryland

Objectives: In this study, we assessed the knowledge and experience of pediatric pharmacists and nurses at a US tertiary-care pediatric center regarding the risk factors for, recognition of, and best practices for managing an acute kidney injury (AKI) in children.

Methods: The authors developed a survey to assess the attitudes and knowledge of nurses and pharmacists regarding AKI in hospitalized children, which was reviewed by a small multidisciplinary group for content and length. The final 16-item survey consisted of demographic, self-assessment and attitude, and knowledge questions. Read More

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Current role of ultrasound in hemodialysis access evaluation.

J Vasc Access 2021 Jul 21:11297298211034638. Epub 2021 Jul 21.

Center for Vascular Access, General University Hospital, First Faculty of Medicine, Charles University, Prague, Czech Republic.

Physical examination (PE) is considered the backbone before vascular access (VA) placement, during maturation period and for follow-up. However, it may be inadequate in identifying suitable vasculature, mainly in comorbid patients, or in detecting complications. This review highlights the advantages of ultrasound imaging to manage VA before placement, during maturation and follow-up. Read More

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Organizational Commitment Is Negatively Associated with Burnout Among Nephrology Nurses.

Nephrol Nurs J 2021 May-Jun;48(3):253-259

Academic Coordinator, Health Administration Track, Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

This study examines the association between burnout and organizational commitment in nephrology nurses working in hemodialysis. A cross-sectional study of all nurses working in a hospital hemodialysis unit was conducted. Low to medium level of burnout and a high level of organizational commitment were documented. Read More

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Resilience, Mindfulness, and Self-Compassion: Tools for Nephrology Nurses.

Nephrol Nurs J 2021 May-Jun;48(3):241-249

She was a Social Worker, the Renal and Mental Health Programs, London Health Sciences Centre, London, Ontario, Canada.

Nephrology nurses are not immune to the effects of a stressful work environment. As a result, their emotional and psychological health can be at risk. In addition, there has been unprecedented stress and uncertainty working as nephrology nurses during the pandemic. Read More

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Mandatory Mask-Wearing and Hand Hygiene Associated With Decreased Infectious Diseases Among Patients Undergoing Regular Hemodialysis: A Historical-Control Study.

Front Public Health 2021 29;9:678738. Epub 2021 Jun 29.

Department of Medical Oncology and Guangdong Key Laboratory of Liver Disease Research, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Infections are the second leading cause of death among patients undergoing hemodialysis. However, preventive measures against infectious diseases are limited and have not been made mandatory for patients. To investigate the incidence of infectious diseases before and during the coronavirus disease (COVID-19) pandemic. Read More

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A Medical Student Initiative to Enhance the Pediatric Hemodialysis Experience.

Health Lit Res Pract 2021 Jan 26;5(1):e60-e69. Epub 2021 Jan 26.

Background: Children and young adults receiving hemodialysis (HD) face unique challenges including frequent school absenteeism, psychosocial issues, and social isolation, placing them at risk for decreased academic achievement and health literacy.

Objective: To address this, we implemented the Child and Adolescent Motivation and Enrichment Program (CHAMP) at Holtz Children's Hospital in Miami, FL. The objective of this study is to describe the organizational structure and program design of CHAMP and provide preliminary program opinions. Read More

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January 2021

Fighting the unbearable lightness of neglecting kidney health: the decade of the kidney.

Clin Kidney J 2021 Jul 20;14(7):1719-1730. Epub 2021 Apr 20.

IMEC Eindhoven, Eindhoven, the Netherlands.

A brief comprehensive overview is provided of the elements constituting the burden of kidney disease [chronic kidney disease (CKD) and acute kidney injury]. This publication can be used for advocacy, emphasizing the importance and urgency of reducing this heavy and rapidly growing burden. Kidney diseases contribute to significant physical limitations, loss of quality of life, emotional and cognitive disorders, social isolation and premature death. Read More

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Key elements in selection of pre-dialysis patients for home dialysis.

Perit Dial Int 2021 Jul 5:8968608211023263. Epub 2021 Jul 5.

Department of Nephrology, Amsterdam UMC, University of Amsterdam, Research Institute Amsterdam Cardiovascular Sciences, The Netherlands.

Background: Most pre-dialysis patients are medically eligible for home dialysis, and home dialysis has several advantages over incentre dialysis. However, accurately selecting patients for home dialysis appears to be difficult, since uptake of home dialysis remains low. The aim of this study was to investigate which medical or psychosocial elements contribute most to the selection of patients eligible for home dialysis. Read More

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Change of collective orientation through an interprofessional training with medical students and student nurses depending on presence and professional group.

BMC Med Educ 2021 Jul 3;21(1):365. Epub 2021 Jul 3.

Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Carl- Neuberg-Strasse 1, 30625, Hannover, Germany.

Background: Teamwork is an important success factors for patient treatment. The willingness of a healthcare provider to work in a team can be descripted with the construct of "Collective Orientation" (CO). The level of CO can be trained and is related to team performance. Read More

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The experiences of cooperation among healthcare workers who participated in COVID-19 aid mission in China: A qualitative study.

J Clin Nurs 2021 Jun 30. Epub 2021 Jun 30.

Guizhou Nursing Vocational College, Guiyang, China.

Aims And Objectives: To assist future offsite planning for pandemics, we documented lived experiences of cooperation among healthcare workers (HCWs) during the coronavirus disease (COVID-19) pandemic.

Background: The COVID-19 pandemic poses a global health crisis. Most recent studies on the COVID-19 focus on frontline HCWs' physio-psychological experiences, with few studies examining their experiences of cooperation. Read More

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Psychological impact and implementation of preventative measures in hemodialysis centers during the COVID-19 pandemic: a provincial questionnaire survey in China.

Int Urol Nephrol 2021 Jun 30. Epub 2021 Jun 30.

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No.106 Zhongshan Road 2, Guangzhou, 510080, Guangdong, China.

Objectives: This study investigated the psychological status of patients and staff, and the implementation of preventative measures in hemodialysis centers in Guangdong province, China, during the 2019 novel coronavirus disease (COVID-19) pandemic.

Methods: An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. Read More

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[A prospective randomized controlled study of the therapeutic effects of a self-developed novel low-temperature boric acid wet dressing on the face and neck wounds of patients with superficial burns].

Zhonghua Shao Shang Za Zhi 2021 Jun;37(6):582-585

Institute of Burn Research, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China.

To observe and explore the clinical therapeutic effects of a self-developed novel low-temperature boric acid wet dressing on the face and neck wounds of patients with superficial burns. A prospective randomized controlled study was conducted. One hundred cases of superficial burn (sunburn) patients who met the inclusion criteria were admitted to Department of Dermatology of Chongqing Hospital of Traditional Chinese Medicine from October 2016 to June 2018, the course of sunburn was less than 15 days. Read More

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The WISHED Randomized Controlled Trial: Impact of an Interactive Health Communication Application on Home Dialysis Use in People With Chronic Kidney Disease.

Can J Kidney Health Dis 2021 4;8:20543581211019631. Epub 2021 Jun 4.

Division of Nephrology, Department of Medicine, McMaster University, Hamilton, ON, Canada.

Background: While home dialysis therapies are more cost effective and may offer improved health-related quality of life, uptake compared to in-center hemodialysis remains low.

Objective: To test whether a web-based interactive health communication application (IHCA) compared to usual care would increase home dialysis use.

Design: Randomized control trial. Read More

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Nephrology and Palliative Care Collaboration in the Care of Patients With Advanced Kidney Disease: Results of a Clinician Survey.

Kidney Med 2021 May-Jun;3(3):368-377.e1. Epub 2021 Mar 31.

Palliative Care Services, University of Virginia Health, University of Virginia School of Medicine, Charlottesville, VA.

Rationale & Objective: Despite calls for integrating palliative care into chronic kidney disease (CKD) care, uptake remains low. The study aim was to describe clinicians' perceptions of the clinical and research priorities in CKD care and the main barriers to collaboration.

Study Design: This was a descriptive cross-sectional study using an online survey developed by clinicians and researchers as the primary data collection method. Read More

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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. Read More

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Overcoming barriers and building a strong peritoneal dialysis programme - Experience from three South Asian countries.

Perit Dial Int 2021 Jun 2:8968608211019986. Epub 2021 Jun 2.

Department of Nephrology, Teaching Hospital, Kandy, Sri Lanka.

The development of peritoneal dialysis (PD) programmes in lower-resource countries is challenging. This article describes the learning points of establishing PD programmes in three countries in South Asia (Nepal, Sri Lanka and Pakistan). The key barriers identified were government support (financial), maintaining stable supply of PD fluids, lack of nephrologist and nurse expertise, nephrology community bias against PD, lack of nephrology trainee awareness and exposure to this modality. Read More

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Effectiveness of an electronic hand hygiene monitoring system in increasing compliance and reducing healthcare-associated infections.

J Hosp Infect 2021 May 29;115:71-74. Epub 2021 May 29.

Department of Clinical Microbiology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.

During an interventional study in a nephrology department, we investigated the effect of an electronic hand hygiene monitoring system on the hand hygiene compliance of healthcare workers (N = 99) and hospital-acquired bloodstream infections. The hand hygiene compliance of the doctors and nurses improved significantly during the intervention phase when they received group and individual feedback based on actionable insights from the electronic hand hygiene monitoring system. The improvements in hand hygiene compliance were associated with a significant reduction in the number of hospital-acquired bloodstream infections. Read More

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Intervening on health literacy by knowledge translation processes in kidney transplantation: A feasibility study.

J Ren Care 2021 May 30. Epub 2021 May 30.

Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.

Background: Patients awaiting kidney transplantation need to be prepared ahead of the upcoming transplantation by developing targeted pre- and post-transplant knowledge. On this background, we designed a new health literacy intervention, including a film and a counselling session, based on motivational interviewing for dialysis patients provided by dialysis nurses.

Aim: To explore patients' and nurses' experiences of the feasibility and acceptability of the intervention, focusing on the patient as a prepared knowledge actor. Read More

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Nurses' recommendations to the psychoaffective dimensions of patients hospitalized in nephrology.

Rev Bras Enferm 2021 21;74(2):e20200821. Epub 2021 May 21.

Universidade Federal do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.

Objectives: to analyze nurses' recommendations on the psycho-affective dimensions of patients hospitalized in nephrology.

Methods: a qualitative, exploratory and descriptive study, carried out by applying a sociodemographic and training questionnaire, reading a clinical case and conducting a semi-structured interview. Fourteen nurses from a reference hospital in nephrology in the Southeast participated. Read More

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Female nurses have a higher prevalence of urinary tract symptoms and infection than other occupations in dialysis units.

J Bras Nefrol 2021 May 21. Epub 2021 May 21.

Fundação Pró-Rim, Joinville, SC, Brasil.

Introduction: Urinary tract symptoms and infection have been associated with occupational factors that impact hydration habits particularly in women. We compared self-reported urinary symptoms and infection and hydration habits between nurses and other occupations in dialysis units.

Methods: Cross-sectional study. Read More

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Prevention of infective complications in systemic lupus erythematosus: A systematic literature review for the APLAR consensus statements.

Int J Rheum Dis 2021 Jul 17;24(7):880-895. Epub 2021 May 17.

Division of Rheumatology, Department of Medicine, Tuen Mun Hospital, Hong Kong, Hong Kong.

Systemic lupus erythematosus (SLE) is a more common autoimmune rheumatic disease in the Asia-Pacific region. The prognosis of SLE remains unsatisfactory in some Asian countries because of delayed diagnosis, limited access to medications, increased complications and issues of tolerability and adherence to treatment. The Asia-Pacific League of Associations for Rheumatology SLE special interest group has recently published a set of consensus recommendations on the management of SLE for specialists, family physicians, specialty nurses, and other healthcare professionals in the Asia-Pacific region. Read More

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Long working hours and burnout in health care workers: Non-linear dose-response relationship and the effect mediated by sleeping hours-A cross-sectional study.

J Occup Health 2021 Jan;63(1):e12228

Division of Nephrology, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.

Objectives: Burnout among health care workers is highly prevalent and has profound impact on quality of care. Hospital on-duty schedules lead to long working hours and short sleeping hours; both are common factors associated with burnout. We examined the dose-response relationship and the potential mediating role of sleeping hours on the association between working hours and burnout among health care workers. Read More

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January 2021

Changes in healthcare workers' knowledge, attitudes, practices, and stress during the COVID-19 pandemic.

Medicine (Baltimore) 2021 May;100(18):e25825

College of Medicine, King Saud University.

Abstract: Coronavirus disease 2019 (COVID-19) has caused an unprecedented health crisis around the world, not least because of its heterogeneous clinical presentation and course. The new information on the pandemic emerging daily has made it challenging for healthcare workers (HCWs) to stay current with the latest knowledge, which could influence their attitudes and practices during patient care.This study is a follow-up evaluation of changes in HCWs' knowledge, attitudes, and practices as well as anxiety levels regarding COVID-19 since the beginning of the pandemic. Read More

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Promoting Patient and Nurse Safety in Acute Dialysis Units Through Advocacy and Collaboration.

Nephrol Nurs J 2021 Mar-Apr;48(2):155-167

Director, International Educators Group, Inc., Los Angeles, CA.

Hospitals face the increasing challenge of balancing the need to provide quality care with that of being cost-effective. While guidelines and benchmarks for quality care exist in many areas within the hospital, those guidelines can be lacking for the acute (inpatient) dialysis setting. Nephrology nurses working in this setting may provide hemodialysis, peritoneal dialysis, continuous kidney replacement therapy, and apheresis treatments at the patient's bedside and in an acute dialysis unit. Read More

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Describing nurses' awareness of biological risk in delivering care for renal-dialysis patients: an Italian pilot survey.

Acta Biomed 2021 03 25;92(S2):e2021003. Epub 2021 Mar 25.

School of Nursing, Vita-Salute San Raffaele University, Milan, Italy..

Background And Aim Of Work: Despite national descriptions of awareness, knowledge, and perceptions about the exposure to the biological risk among nurses employed in renal-dialysis care are pivotal to increase work safety, there is a paucity of data on these descriptions in the Italian context. This study aimed at describing Italian nurses' awareness and knowledge about biological risk in delivering care for renal-dialysis patients, and their experiences of biological accidents.

Methods: A pilot survey using cross-sectional data collection and convenience sampling procedure. Read More

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Hemodialysis shake-up on the front lines of the Covid-19 pandemic: the Treviglio Hospital experience.

G Ital Nefrol 2021 Apr 14;38(2). Epub 2021 Apr 14.

Nephrology and Dialysis Unit - Treviglio Hospital - ASST Bergamo Ovest, Italy.

The new coronavirus disease (Covid-19) pandemic in Italy formally started on 21st February 2020, when a 38-years old man was established as the first Italian citizen with Covid-19 in Codogno, Lombardy region. In a few days, the deadly coronavirus swept beyond expectations across the city of Bergamo and its province, claiming thousands of lives and putting the hospital in Treviglio under considerable strain. Since designated Covid-dialysis hospitals to centrally manage infected hemodialysis patients were not set up in the epidemic areas, we arranged to treat all our patients. Read More

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Performance of a pre-administration infection screening questionnaire in patients with rheumatoid arthritis administered biological disease-modifying antirheumatic drugs.

Int J Rheum Dis 2021 May 13;24(5):647-653. Epub 2021 Apr 13.

Immuno-Rheumatology Center, St. Luke's International Hospital, Tokyo, Japan.

Aim: Pre-administration screening of active infections is imperative for the safe use of biological disease-modifying antirheumatic drugs (bDMARDs) in patients with rheumatoid arthritis (RA). However, a standardized screening method is lacking. We therefore implemented a novel systematic screening method with a simple predetermined questionnaire on infections and assessed its effectiveness. Read More

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Vascular access cannulation and haemostasis: a national observational study of French practices.

Clin Kidney J 2021 Apr 2;14(4):1261-1268. Epub 2020 Oct 2.

Department of Nephrology and Renal Transplantation, Assistance Publique-Hôpitaux de Marseille, Hôpital de la Conception, Marseille, France.

Background: We report the results of an observational study of arteriovenous fistula (AVF) cannulation and haemostasis practices in France.

Methods: The study (sponsored by Brothier Pharmaceutical Inc.) was conducted in 150 dialysis units. Read More

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