Sleep Disturbances in Older Adults Receiving Dialysis
Nephrol Nurs J. 2023 Nov-Dec;50(6):467-478.ABSTRACTSleep disturbances are serious issues in individuals with end stage kidney disease because they are associated with worsening kidney function and other negative health outcomes, especially in older adults. Our analysis aimed to provide clinicians with the conceptual clarity required for managing sleep disturbances in older patients who are receiving dialysis. A literature review revealed three attributes that define this population's sleep disturbances: sleep initiation and maintenance difficulties, restless sleep and short sleep, and abnormal breathing during sleep. Con s...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Thanakrit Jeamjitvibool Mark B Lockwood Anne M Fink Source Type: research
Nephrology Nurses and Infection Preventionists: Working Together to Improve Quality Outcomes
Nephrol Nurs J. 2023 Nov-Dec;50(6):479-482.ABSTRACTTunneled central venous hemodialysis catheters have higher infection rates compared to other access devices. Recommendations for dressing changes of these catheters are to apply povidone iodine (PI) or a triple antibiotic ointment during catheter dressing changes. Growing evidence supports using chlorhexidine gluconate (CHG) dressings to prevent catheter-related bloodstream infections in patients with short-term central venous catheters. This quality improvement project studied whether dressing changes with PI ointment in tunneled dialysis catheters was equivalent to CHG-i...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Nichole Harward Sharon Sumner Katreena Merrill Source Type: research
Tunneled Dialysis Catheters: Perspective from a Single Interventional Radiology Center
This study examines the frequency and indications for TDC placement and removal by an interventional radiology service over a 5-year period. Indications for catheter placement (n = 289) included HD for patients with end stage kidney disease (65%) or acute kidney injury (AKI, 24%), and plasmapheresis (11%). Indications for catheter removal included infection (20%), dysfunction (33%), no longer needed (40%), and patient issues (7%). TDCs provide access for HD when a functioning arteriovenous access does not exist. Using a TDC in patients with AKI reduces catheter complications, such as mechanical dysfunction and infection, a...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Ellen McCormick Susie Q Lew Shawn Sarin Source Type: research
Pilot Intervention for Mindful Drinking and Eating for Patients on Hemodialysis with Fluid Restrictions: Lessons Learned
Nephrol Nurs J. 2023 Nov-Dec;50(6):491-496.ABSTRACTPatients requiring hemodialysis would benefit from evidence-based strategies that improve adherence to fluid restrictions while concurrently improving quality of life (QOL). This pilot study examined the effect of a four-week mindful drinking and eating intervention on interdialytic weight gain and QOL in patients on hemodialysis. Using paired t tests, no significant differences from pre- to post-test were found in interdialytic weight gain, a measure of fluid restriction adherence, or QOL in either the intervention (n = 18) or wait list control (n = 19) group. However, th...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Gayle M Timmerman Holli Temple Fallon Alexis Jones-Lemmons Source Type: research
Co-Occurrence of Prevalent Symptoms in Patients Receiving Hemodialysis - A Cross-Sectional Survey
Nephrol Nurs J. 2023 Nov-Dec;50(6):497-504.ABSTRACTPatients with chronic kidney disease undergoing hemodialysis generally have a significant symptom burden, which may interfere with their quality of life. The aim of this study was to identify the prevalence of fatigue, pain, anxiety, and depression in patients on hemodialysis and analyze their co-occurrence. A cross-sectional study used self-reported measures. A total of 242 patients aged 18 years or older were initially screened; 141 were included in the study; 129 answered the questionnaires (response rate 91%). Preva lences were 24.8% had moderate to severe fatigue, 38....
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Camilla Lykke Jonas S ørensen Ylian S Liem Inge Eidemak Sille Larsen Per Sj øgren Stig Molsted Louise Laursen Geana P Kurita Source Type: research
Nurturing a Spirit of Inquiry: Fundamentals of Evidence-Based Practice in Nursing
This article provides an overview of evidence-based practice and explores the essential elements for the development of a spirit of inquiry.PMID:38112679 (Source: Nephrology Nursing Journal)
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Tara O'Brien Annette Hood Tara Spalla King Bevra Brinkman Source Type: research
Publishing the Results of Your Master's Thesis, Dissertation, or DNP Project
Nephrol Nurs J. 2023 Nov-Dec;50(6):461.NO ABSTRACTPMID:38112672 (Source: Nephrology Nursing Journal)
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Beth Ulrich Source Type: research
Professional Identity in Nursing
Nephrol Nurs J. 2023 Nov-Dec;50(6):463-487.NO ABSTRACTPMID:38112673 (Source: Nephrology Nursing Journal)
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Jennifer Payton Source Type: research
Sleep Disturbances in Older Adults Receiving Dialysis
Nephrol Nurs J. 2023 Nov-Dec;50(6):467-478.ABSTRACTSleep disturbances are serious issues in individuals with end stage kidney disease because they are associated with worsening kidney function and other negative health outcomes, especially in older adults. Our analysis aimed to provide clinicians with the conceptual clarity required for managing sleep disturbances in older patients who are receiving dialysis. A literature review revealed three attributes that define this population's sleep disturbances: sleep initiation and maintenance difficulties, restless sleep and short sleep, and abnormal breathing during sleep. Con s...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Thanakrit Jeamjitvibool Mark B Lockwood Anne M Fink Source Type: research
Nephrology Nurses and Infection Preventionists: Working Together to Improve Quality Outcomes
Nephrol Nurs J. 2023 Nov-Dec;50(6):479-482.ABSTRACTTunneled central venous hemodialysis catheters have higher infection rates compared to other access devices. Recommendations for dressing changes of these catheters are to apply povidone iodine (PI) or a triple antibiotic ointment during catheter dressing changes. Growing evidence supports using chlorhexidine gluconate (CHG) dressings to prevent catheter-related bloodstream infections in patients with short-term central venous catheters. This quality improvement project studied whether dressing changes with PI ointment in tunneled dialysis catheters was equivalent to CHG-i...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Nichole Harward Sharon Sumner Katreena Merrill Source Type: research
Tunneled Dialysis Catheters: Perspective from a Single Interventional Radiology Center
This study examines the frequency and indications for TDC placement and removal by an interventional radiology service over a 5-year period. Indications for catheter placement (n = 289) included HD for patients with end stage kidney disease (65%) or acute kidney injury (AKI, 24%), and plasmapheresis (11%). Indications for catheter removal included infection (20%), dysfunction (33%), no longer needed (40%), and patient issues (7%). TDCs provide access for HD when a functioning arteriovenous access does not exist. Using a TDC in patients with AKI reduces catheter complications, such as mechanical dysfunction and infection, a...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Ellen McCormick Susie Q Lew Shawn Sarin Source Type: research
Pilot Intervention for Mindful Drinking and Eating for Patients on Hemodialysis with Fluid Restrictions: Lessons Learned
Nephrol Nurs J. 2023 Nov-Dec;50(6):491-496.ABSTRACTPatients requiring hemodialysis would benefit from evidence-based strategies that improve adherence to fluid restrictions while concurrently improving quality of life (QOL). This pilot study examined the effect of a four-week mindful drinking and eating intervention on interdialytic weight gain and QOL in patients on hemodialysis. Using paired t tests, no significant differences from pre- to post-test were found in interdialytic weight gain, a measure of fluid restriction adherence, or QOL in either the intervention (n = 18) or wait list control (n = 19) group. However, th...
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Gayle M Timmerman Holli Temple Fallon Alexis Jones-Lemmons Source Type: research
Co-Occurrence of Prevalent Symptoms in Patients Receiving Hemodialysis - A Cross-Sectional Survey
Nephrol Nurs J. 2023 Nov-Dec;50(6):497-504.ABSTRACTPatients with chronic kidney disease undergoing hemodialysis generally have a significant symptom burden, which may interfere with their quality of life. The aim of this study was to identify the prevalence of fatigue, pain, anxiety, and depression in patients on hemodialysis and analyze their co-occurrence. A cross-sectional study used self-reported measures. A total of 242 patients aged 18 years or older were initially screened; 141 were included in the study; 129 answered the questionnaires (response rate 91%). Preva lences were 24.8% had moderate to severe fatigue, 38....
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Camilla Lykke Jonas S ørensen Ylian S Liem Inge Eidemak Sille Larsen Per Sj øgren Stig Molsted Louise Laursen Geana P Kurita Source Type: research
Nurturing a Spirit of Inquiry: Fundamentals of Evidence-Based Practice in Nursing
This article provides an overview of evidence-based practice and explores the essential elements for the development of a spirit of inquiry.PMID:38112679 (Source: Nephrology Nursing Journal)
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Tara O'Brien Annette Hood Tara Spalla King Bevra Brinkman Source Type: research
Publishing the Results of Your Master's Thesis, Dissertation, or DNP Project
Nephrol Nurs J. 2023 Nov-Dec;50(6):461.NO ABSTRACTPMID:38112672 (Source: Nephrology Nursing Journal)
Source: Nephrology Nursing Journal - December 19, 2023 Category: Nursing Authors: Beth Ulrich Source Type: research
