Differences in care burden of patients undergoing dialysis in different centres in the netherlands

Kleijn, Ria de; Groot, Carin A. Uyl–de; Hagen, Chris; Diepenbroek, Adry; Jong, P.C.M. Pasker-de; Wee, Piet ter

doi:10.1111/jorc.12193

Cited by 3 publications

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References 12 publications

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“…We previously developed and validated an instrument (De Kleijn et al 2015) that can be used to measure the burden of nursing care for patients receiving haemodialysis. The instrument has been shown to be a good predictor of the time needed in various types of dialysis centres (De Kleijn et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Changing Nursing Care Time as an Effect of Changed Characteristics of the Dialysis Population

Kleijn

Groot

Hagen

et al. 2020

Journal of Renal Care

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Background: The population of dialysis patients is ageing. Dialysis nurses are confronted with geriatric patients with multiple comorbidities. Nurses are confronted with an increasing burden of care. Objectives: The present study focused on the question of whether, over time, the increasing age and comorbidities of the haemodialysis population increased nursing care time. Furthermore, we studied potential changes in the predictors of the required nursing time. Design: Observational study. Participants: A total of 980 dialysis patients from 12 dialysis centres were included. Measurements: Nurses filled out the classification tool for each patient and completed a form for reporting patient characteristics for groups of relevant haemodialysis patients at baseline and after 1 and four years. Changes in patient and dialysis characteristics were analysed, as well as the estimated nursing care time needed. Results: An increase in the nursing time needed for dialysis was largely due to decreased mobility, closing of the vascular access and a greater need for psychosocial attention and was most strongly present in incident dialysis patients. The time needed for dialysis decreased as patient participation increased and vascular access changed from catheters to fistulae. Over the four-year period, the average overall needed nursing care time per haemodialysis session did not change. Conclusions: Our study shows that the average nursing time needed per patient did not change in the four-year observation period. However, more time is required for incident patients; thus, if a centre has high patient turnover, more nursing care time is needed.

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Section: Introductionmentioning

confidence: 99%

Changing Nursing Care Time as an Effect of Changed Characteristics of the Dialysis Population

Kleijn

Groot

Hagen

et al. 2020

Journal of Renal Care

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Associations between materials used and work‐related musculoskeletal hand complaints among haemodialysis nurses

Westergren

Ludvigsen

Lindberg

2020

Journal of Renal Care

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SUMMARYBackgroundOne in every two haemodialysis nurses has reported musculoskeletal complaints concerning their hands, which is twice that reported for hospital nurses in general. It is possible that there is an association between the materials used by haemodialysis nurses and the occurrence of hand complaints.ObjectivesTo examine the association between the type of dialysis machine and disposables used with the occurrence of hand complaints among haemodialysis nurses. To compare occupational risks of developing work‐related musculoskeletal disorders based on the materials used for haemodialysis.DesignCross‐sectional.ParticipantsTwo hundred and eighty‐two nurses working in 27 haemodialysis centres in Sweden participated in a survey, and 19 nurses at five centres were observed during priming procedures.MeasurementsNurses supplied demographic data and answered the Nordic Musculoskeletal Questionnaire. Centre level data regarding machines and disposables used for haemodialysis during the past year were also collected.ResultsThere were no differences in the prevalence of hand complaints based on the type of haemodialysis machines, dialysers or tubing used. There were no differences found in physical exposure to the hands during priming, based on machine type used.ConclusionThe results of this study could not reveal any association between disposable materials used and the occurrence of hand complaints among haemodialysis nurses. Additionally, there were no occupational risks detected based on the types of machines used. Hence, the results of the present study strongly indicate that a deeper ergonomic analysis of the work environment is needed to understand the prevalence of hand complaints among nurses working in haemodialysis settings.

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Do differences in clinical conditions affect the nursing care time of dialysis patients?

Kleijn

Groot

Hagen

et al. 2021

Journal of Kidney Care

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■ dialysis ■ nursing care time ■ chronic kidney disease Do differences in clinical conditions affect the nursing care time of dialysis patients? T he number of patients in western societies with chronic kidney disease has slowly increased in recent years (Divo et al, 2014). However, the number of in-centre haemodialysis patients in the Netherlands has stabilised (Hoekstra et al, 2017;, partly due to a higher number of renal transplants in the Netherlands. As a result of increased renal transplants, the dialysis population has changed in recent years to an older population with multimorbidity, which means that nurses who work in dialysis centres are working with older patients who need more nursing care time (Kleijn et al, 2020). Furthermore, older patients (over 75 years) with end-stage renal disease are at increased risk for cognitive decline (Berkhout-Byrne et al, 2017) and, additionally, there is an increasing shortage of (renal) nurses.These challenges mean that generally applicable planning tools for nursing resources are needed.

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Differences in care burden of patients undergoing dialysis in different centres in the netherlands

Cited by 3 publications

References 12 publications

Changing Nursing Care Time as an Effect of Changed Characteristics of the Dialysis Population

Changing Nursing Care Time as an Effect of Changed Characteristics of the Dialysis Population

Associations between materials used and work‐related musculoskeletal hand complaints among haemodialysis nurses

Do differences in clinical conditions affect the nursing care time of dialysis patients?

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