Effect of Implementing a Designed Nursing Teaching Protocol on Nurse's Performance and Hemodialysis Patient outcomes
Abstract
Hemodialysis is a life saving method that can offer significant benefits for end stage renal diseases management, but it can have some serious complication if the patients didn't understand of its causes. The nurse plays a critical role in reducing complications of this method .This study aimed to assess nurse's performance regarding hemodialysis patients, design nursing teaching protocol for nurses working with hemodialysis patient, and evaluate the effect of implementing the designed teaching protocol on nurse's performance and patient outcomes. Research design: A quasi-experimental research design was utilized in this study. Sample: Convenient sample of (35) nurses and (60) Adult patients who are receiving hemodialysis aged from (18 to 65) years from both sexes. Setting: This study was conducted in the kidney dialysis unit at Assiut University Hospital. Tools: three tools utilize for data collection were a) Pre/Post test questionnaire sheet for the nurses) b) Observation checklist sheet. c) Patient assessment sheet. Results: Good improvement in the mean knowledge & practice scores were found after the implementing of designed teaching protocol. In conclusion: Improving nurses' performances can affect in minimize the incidence of hemodialysis complications. Recommendation: Provide written policy about the standardized nursing care that should be delivered to every patient in the unit.
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2. Agarwal, R., Peixoto, A. J., Santos, S. F. and Zoccali, C., (2006): Pre- and post dialysis blood pressures are imprecise estimates of interdialytic ambulatory blood pressure. Nephrol. 1, P.P 389–398.
3. Basile C., and Lomonte C., (2015): A neglected issue in dialysis practice: haemodialysate. Clinical kidney journal, vol. (8) No.(4) Pp. 393-399.
4. Brenner, B.M., Levine, S.A., (2008): The kidney, chapter 38 ,8 th, Elsevier, pp. 1957-1958.
5. Burrows-Hudson, S., and Prowant, B., (2005): American Nephrology Nurses Association Nephrology Nursing Standards of Practice and Guidelines for Care. Pp.71-72.
6. Canaud B, Leray H, Kerkeni N, Bosc JY, and Martin K., (2002): Effective flow performances and dialysis doses delivered with permanent catheters: comparative study of permanent catheters versus arteriovenous vascular accesses. Nephrol Dial Transplant; 17: P.P 1286-92.
7. Carroll, V. , and Susan.,A., (2005): Role of the environment of the operating suite in surgical wound infection. Lippincott Williams & Wilkins, Inc. Volume 14(4), P.p 229–233.
8. Charmaine E. Lok, Jessica M. S., Rose F., Christopher T. Chan, and Deborah LZ,. (2014 ):Frequent Hemodialysis Fistula Infectious Complications Vol.4 No.(3): P.P159–167.
9. Chen C.K.; Tsai Y.C., Hsu H.J., Wu, I.W., Sun C.Y., Chou C.C., Lee C.C., Tsai C.R., Wu, M.S., and Wang L.J., (2010): Depression and suicide risk in hemodialysis patients with chronic renal failure, Psychosomatics, Am J Kidney Disease, Vol. (5) No. (6) Pp. 528–528.
10. Davison S.N., (2016): End-of-life care preferences and needs: Perceptions of patients with chronic kidney disease, Clin. J. Am. Soc. Nephrol, vol. (5) No. (7) Pp. 195–204.
11. Frazao C.M., Araujo A.D., and Lira A.L., (2013): Implementation of nursing process to the patient submitted to hemodialysis, vol.( 7) Pp. 824–830.
12. Gill J.R., Storck K., and Kelly S., (2012): Fatal exsanguination from hemodialysis vascular access sites, Forensic Sci Med Pathol, vol.( 8) No.(1) Pp. 259–262
13. Hall, G., Bogan, A., and Dreis, S., (2004): New directions in dialysis patient training. Nephrology Nursing Journal: Journal of the American Nephrology Nurses Association, Vol.31, No. (2), P.P 149–163.
14. Judith Z., and Kallenbach., (2016): Review of Hemodialysis for Nurses and Dialysis personnel. Chapter1, (9th edition) . P. 5.
15. Rayner, H. C., Pisoni, R. L., and Gillespie, B. W., (2003): Creation, cannulation and survival of arteriovenous fistulae: Data from the Dialysis Outcomes and Practice Patterns Study. Kidney International, Vol.63, No. (1), P.P 323–30.
16. Kavurmacı M., Cantekin I., and Tan M., (2014): Burnout levels of hemodialysis nurses, vol. (36) No. (2) Pp. 1038–1042.
17. Kliger S., and Diamond L., (2012): Patient Safety in End Stage Renal Disease: How Do We Create a Safe Environment? Advances in Renal
Replacement Therapy, Kidney International Journal, vol. (8) No. (2) Pp. 131-7.
18. Marquis L. Bessie & Huston J. and Carol (2009): Leader ship roles & management functions in nursing, 6th ed., Lippincott, Hong Kong,
p. 371.
19. Marriner, A., T., (2009): Nursing management and leadership, chapter 15, 8th ed., Mosby, Elsevier, p 472.
20. Mitch W., Mock C., Goldman L., and Ausiello D., (2009): Chronic Kidney Disease. Chapter 2, (3rd edition). Philadelphia, Saunders Elsevier; Pp. 202-26.
21. Mohammad B., (2014): Measuring the Quality of Provided Services for Patients with Chronic Kidney Disease, Nephrourol Monthly Journal, vol. (6) No. (5) Pp. 10-13.
22. Mohammed, S., (2010): Effect of Rehabilitation program for patients undergoing hemodialysis upon their Psychosocial adjustment, Submitted for partial fulfillment of the requirements of the master degree in medical- surgical nursing, Faculty of Nursing, Assiut University.
23. Mostafa, A.,F., (2010): Measuring nurses' compliance with patients' safety measures during hemodialysis at El Minia Hospitals. Submitted for partial fulfillment of the requirements for the Master Degree in nursing Administration, Faculty of Nursing, El Minia University.
24. Murray A. M., Seliger S., Lakshminarayan K., Herzog C. A., and Solid C. A., (2013): Incidence of stroke before and after dialysis initiation in older patients, Journal of the American Society of Nephrology, vol. (4) No. (7) Pp. 1166-1173.
25. Ookalkar, Anil G. Joshi, Dhananjay S. and Ookalkar, (2009): "Quality improvement in haemodialysis process ", International Journal of Quality & Reliability Management, Vol. 26 Iss: 8, pp.817 – 830.
26. Perrone, R. D., Ruthazer, R., and Terrin, N. C. (2001): Survival after end-stage renal disease in autosomal dominant polycystic kidney disease: Contribution of extra renal complications to mortality. American Journal of Kidney Diseases, 38(4), 777–784.
27. Porth C., (2000): Pathophysiology: Concepts in altered health states. 5th edition, New York. Lippincott Co. P.P13-35
28. Preus A., Rowman and Littlefield.,A., (2015): Historical dictionary of Ancient Greek philosophy, What mean of dialysis, vol.(3) No(1) p. 5.
29. Sabet F.P., (2011): Life with hemodialysis unit: A phenomenological study, vol. (4) No. (1) Pp. 59–66.
30. Schilthuizen S.F., Batenburg L.F., Simonis F., Vercauteren F.F.,(2015): Device for the removal of toxic substances from blood, vol. (2) No. (1) Pp. 4-6.
31. Shams Eldeen R., (2000): Risk factors and economic burned of End stage renal disease, submitted for partial fulfillment doctoral degree in public health, Faculty of Medicine, Assiut University.
32. Sherman R. A., Daugirdas J. T., and Ing T. S., (2013): Complications during hemodialysis. Handbook of dialysis, Chapter 2, (4th edition). Sydney: Lippincott Williams &Wilkins. Pp. 170-191.
33. Soykan O., Schu C., and Chaffin K.A., (2014): Method and device to treat kidney disease, vol.(2) No.(2) Pp.11-13.
34. Ward A., and Taylor J., (2010): Improvements in technology: A path to safer and more effective hemodialysis, Blood Purification Journal, vol. (27) No. (1) Pp. 6-10.
35. Youssef, S., S., (2007): Microvascular free tissue transfer surgeries Impact of a designed teaching protocol on nurse's knowledge, practices and patient's outcome. Submitted for fulfillment of the requirements of Doctorate Degree in Adult Nursing, Faculty of Nursing, Assiut University.
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