1,721,176 research outputs found
Remembering the past : lessons for renal health care professionals (editorial)
No full textThere are many reasons to look back in time such as trying to learn from the past or to avoid repeating it. History also tells us where we have come from and how this has shaped the current environment in which we live, socialise and work. Renal health care has also been shaped by the past, and insights from the past can help us to face the challenges of the present, and in turn to see how the future might be
Lessons learnt : complementing good clinical renal questions with an appropriate research strategy
No full textThe purpose of this article is to present lessons learnt by nurses when conducting research to encourage colleagues to ask good clinical research questions. This is accomplished by presenting a study designed to challenge current practice which included research flaws. The longstanding practice of weighing renal patients at 0600 hours and then again prior to receiving haemodialysis was examined. Nurses believed that performing the assessment twice, often within a few hours, was unnecessary and that patients were angry when woken to be weighed. An observational study with convenience sampling collected data from 46 individuals requiring haemodialysis, who were repeatedly sampled to provide 139 episodes of data. Although the research hypotheses were rejected, invaluable experience was gained, with research and clinical practice lessons learnt, along with surprising findings
Chronic disease comorbidity: Challenging healthcare providers to innovate
No full textTypically those with chronic kidney disease (CKD) also have other chronic diseases, however, practitioners tend to focus on one disease or even one symptom at a time rather than focus on the whole person. This results in people attending a number of appointments with a range of healthcare providers. There is emerging evidence internationally that innovative nurse-led services directed towards people with multiple chronic diseases improves access to care, achieves clinical targets and patient-reported outcomes, reduces hospitalisations and emergency department presentations, and has high levels of patient satisfaction. This presentation will present evidence about new service delivery models and why nurses are in an ideal situation to provide a holistic approach to chronic disease comorbidity
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