Journal of renal care最新文献

{"title":"Reviewer Summary for Journal of Renal Care","authors":"","doi":"10.1111/jorc.70053","DOIUrl":"10.1111/jorc.70053","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing the Burden of Haemodialysis Treatment Interruptions Due to Machine Failures by Continuous Predictive Surveillance","authors":"Josipa Zabcic,&nbsp;Fernando Salgado,&nbsp;Alcides Vilar,&nbsp;Jorge Moutinho,&nbsp;Thiemo Daldrup,&nbsp;Carsten Hornig","doi":"10.1111/jorc.70054","DOIUrl":"10.1111/jorc.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Survival and well-being of patients on haemodialysis depend on the provision of regular and effective therapy. Interruptions that shorten a haemodialysis session have adverse effect on patient outcomes. With increasing demands for haemodialysis, machines nowadays are in constant use with usually two or three daily shifts throughout the week. Increased machine malfunction is therefore inevitable, resulting in inadequate treatment and considerable stress for patients and care staff. Unplanned service demands are increasingly a reality. Service technicians often need to be summoned at short notice, but without full knowledge of the nature of the failure, appropriate spare parts often are unavailable on site, meaning that additional visits to replace components need to be planned.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To mitigate these problems, the Clinics Predictive Maintenance tool was devised to monitor the ‘technical health’ of haemodialysis machines throughout their operational life. The tool enables continuous and remote assessment of haemodialysis machines to predict failures, thereby allowing technicians to proactively schedule onsite servicing to replace affected components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The Clinics Predictive Maintenance tool was assessed in a field study (1235 machines in 34 dialysis units of a provider network) in Portugal between 2019 and 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared to the pre-monitoring period, breakdown rates decreased while mean time between failures increased. Unplanned service actions were reduced by 27%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study shows that pre-emptive and timely servicing of haemodialysis equipment prevents disruptions of treatments by machine failures. The Clinics Predictive Maintenance tool enables staff to manage multiple patients and shifts throughout the day more effectively, mitigating potential risks associated with ineffective or improperly maintained equipment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Acceptability of a Co-Designed Self-Management Programme for People Living With Kidney Failure","authors":"Laura E. Lunardi,&nbsp;Richard K. Le Leu,&nbsp;Richard Bastin,&nbsp;Paul N. Bennett,&nbsp;Fiona Donnelly,&nbsp;Monique Borlace,&nbsp;Jie Zeng,&nbsp;David Myers,&nbsp;Merrilyn Bradbrook,&nbsp;David Bradbrook,&nbsp;Rhanee Lester,&nbsp;Effie Johns,&nbsp;Anne Britton,&nbsp;Shilpanjali Jesudason,&nbsp;Shyamsundar Muthuramalingam,&nbsp;Dorothea Dumuid,&nbsp;Lisa A. Matricciani","doi":"10.1111/jorc.70051","DOIUrl":"10.1111/jorc.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Effective self-management is critical in chronic kidney disease, yet many patients report low confidence and engagement in healthcare. Co-designed self-management programmes may strengthen uptake and sustainability, but few have been tested in kidney failure not yet on dialysis populations. This study evaluated the feasibility and acceptability of a self-management programme designed by and for people with chronic kidney disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a single-arm, pre–post feasibility study in adults with kidney failure (eGFR ≤ 15 mL/min/1.73 m²) not yet on dialysis at an Australian nephrology unit. Patients attending the clinic were invited to participate in a 12-week nurse-led self-management programme, co-designed in partnership with people with kidney disease. The programme included motivational interviewing, structured goal setting, and tailored education delivered via digital or paper format. Feasibility measures included participant recruitment and retention, programme adherence and acceptability, assessed through a post-programme evaluation survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 40 patients invited, 31 consented to enrol on the programme (recruitment rate 31/40, 78%). All but one participant completed the follow-up survey (30/31, retention rate 97%), achieving 100% programme adherence among completers. Most participants reported improvements in knowledge, greater confidence in self-management, and valued the nurse support. Participants highlighted the convenience of home-based learning but noted challenges with small-screen readability and requested additional video resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A co-designed, nurse-led self-management programme was feasible and highly acceptable for people with kidney failure not yet on dialysis. Findings support further evaluation in a larger controlled trial. Integration of this programme into routine care could strengthen patient readiness for kidney replacement therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12908431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146202061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Action Needed’—The Critical Role of Peer Reviewers for Evidence-Based Kidney Care","authors":"Jessica Baillie","doi":"10.1111/jorc.70050","DOIUrl":"10.1111/jorc.70050","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Isolation and Loneliness in People Living With Chronic Kidney Disease and Kidney Failure: A Mixed Method Systematic Review","authors":"Amanda L. McKie,&nbsp;Paul J. Buttel","doi":"10.1111/jorc.70049","DOIUrl":"10.1111/jorc.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People living with chronic kidney disease and kidney failure experience a wide range of challenging burdens, as many try to manage their condition effectively. Social isolation and loneliness are commonly associated with chronic kidney disease and kidney failure, and the restrictions of their disease make establishing social connections difficult. The impact of social isolation and loneliness can negatively affect a person's health and wellbeing in many ways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To conduct a mixed method systematic review of studies about social isolation and loneliness in people with chronic kidney disease and kidney failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Using the PRISMA guidelines, six databases (Medline, CINAHL, Cochrane Library, PsycINFO, Scopus and Google Scholar) were comprehensively searched using keywords from June 2005 to August 2025. Studies were quality assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven studies met the eligibility criteria (two quantitative and five qualitative research design). Four common factors emerged from the review of studies that included: coping, support, psychological outcomes and impacts that affect everyday life and daily routine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Social isolation and loneliness impact people living with chronic kidney disease and kidney failure in many ways across all areas of their lives. Negative emotions arose that made people question the point of continuing treatment as others experienced elevated levels of anxiety and depression associated with social isolation and loneliness. Support services and early interventions need to be considered to better manage social isolation and loneliness for people living with this chronic health condition.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12882110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Wearable Technologies on Disease Management and Psychosocial Adaptation in Hemodialysis Patients: A Systematic Review","authors":"Arzu Kavala,&nbsp;Tuğba ŞAHİN Tokatlioğlu","doi":"10.1111/jorc.70048","DOIUrl":"10.1111/jorc.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hemodialysis is a life-sustaining treatment for individuals with kidney failure; however, it is associated with substantial physical and psychosocial challenges that can negatively affect quality of life and self-management. Wearable health technologies have gained increasing attention as tools for continuous monitoring of physiological and behavioral indicators, with potential relevance for disease management and psychosocial adaptation in hemodialysis care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This systematic review aimed to evaluate the impact of wearable technologies on disease management and psychosocial adaptation among individuals receiving hemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Adults receiving maintenance hemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>A comprehensive literature search was conducted across five electronic databases. Study selection and screening were performed independently by two reviewers using a standardized review management system, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Following screening and eligibility assessment, eight studies were included in the review, comprising three randomized controlled trials, two cohort studies, two cross-sectional studies, and one quasi-experimental study. Wearable technologies were primarily used to monitor physical activity, electrolyte imbalance, fluid status, and oxygen saturation. Across the included studies, wearable-based applications were associated with improved monitoring capabilities and showed potential benefits for self-management behaviors and selected psychosocial outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Wearable technologies may serve as supportive tools for monitoring disease-related parameters and promoting self-management among individuals receiving hemodialysis. However, the current evidence remains limited and heterogeneous, highlighting the need for further high-quality studies to clarify their clinical and psychosocial impact.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of Self-Care Behaviours Related to Arteriovenous Fistula in Patients Undergoing Home and Clinical Haemodialysis","authors":"Eylem Topbaş,&nbsp;Zeynep Yancı,&nbsp;Perihan Eken,&nbsp;Tuğba Çepken","doi":"10.1111/jorc.70047","DOIUrl":"10.1111/jorc.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although substantial evidence addresses self-care behaviours related to arteriovenous fistula in patients undergoing clinical haemodialysis, research on individuals receiving home haemodialysis remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The objective of this study was to compare arteriovenous fistula-related self-care behaviours in patients receiving home haemodialysis and clinical haemodialysis, and to examine the factors associated with these behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Descriptive, cross-sectional research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>The study sample comprised 322 patients, including 131 undergoing home haemodialysis and 191 undergoing clinical haemodialysis, recruited from four dialysis centres.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected through a Personal Information Form and the Self-Care Behaviours Assessment Scale for Arteriovenous Fistula in Haemodialysis Patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age was 47.97 ± 14.44 years in the home haemodialysis group and 61.46 ± 11.04 years in the clinical haemodialysis group. Clinical haemodialysis patients demonstrated significantly higher total and subscale scores on the arteriovenous fistula-related self-care behaviour scale compared with home haemodialysis patients (<i>p</i> &lt; 0.05). Regression analysis indicated that, in the home haemodialysis group, duration of haemodialysis treatment and duration of arteriovenous fistula were significant predictors of self-care scores, whereas in the clinical haemodialysis group, the presence of fistula-related complications was the most influential factor (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients undergoing clinical haemodialysis demonstrated higher levels of arteriovenous fistula-related self-care behaviours compared with those undergoing home haemodialysis. These findings underscore the importance of identifying the educational needs of home haemodialysis patients and implementing individualised, sustainable educational interventions to enhance their self-care practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advance Care Planning Interventions for Adults With Chronic Kidney Disease: A Systematic Review","authors":"Juthamas Tiansaard,&nbsp;Melissa J. Bloomer,&nbsp;Louise Purtell,&nbsp;Ann Bonner","doi":"10.1111/jorc.70046","DOIUrl":"10.1111/jorc.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Advance care planning enables adults to express their goals and preferences for future care. Advance care planning has been widely recognised in oncology and palliative care for decades, but its use in kidney care is variable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine interventions that promote advance care planning among adults with chronic kidney disease, including those receiving kidney replacement therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A comprehensive search was conducted in six databases: PubMed, MEDLINE, CINAHL, PsycINFO, Scopus, and Embase. Studies published from databases inception to September 2024 were included. Two independent reviewers identified studies for full-text review and data extraction. Methodological quality was assessed using the Mixed Methods Appraisal Tool. The review protocol was registered in PROSPERO (CRD42024589958).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-seven studies were included: 22 were quantitative (10 randomised and 12 non-randomised), three were qualitative, and two were mixed-methods designs. Most studies were conducted in the United States of America. Five main strategies to promote advance care planning uptake and improve outcomes were educating and training kidney healthcare professionals; implementing advance care planning conversations; providing educational resources; offering peer facilitators; and integrating palliative care teams. The synthesis of qualitative findings indicated that advance care planning discussions instilled hopefulness about the future and did not induce anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Advance care planning conversations combined with educational resources and peer support facilitators are likely to improve rates of advance care planning completions in this population, although further evidence is needed. Kidney healthcare professionals should be trained to initiate these conversations with all patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12833587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preserving Residual Kidney Function in Haemodialysis: Current Practices, Challenges, and Perspectives From Renal Clinicians","authors":"Lijun Zhong,&nbsp;Ulrich Steinwandel,&nbsp;Hugh Davies,&nbsp;Sara Bayes,&nbsp;Jagadish Jamboti,&nbsp;Hemant Kulkarni,&nbsp;Doris Chan","doi":"10.1111/jorc.70045","DOIUrl":"10.1111/jorc.70045","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Residual kidney function in patients receiving haemodialysis is associated with improved survival, reduced cardiovascular risk and better quality of life. Yet, clinical guidelines on its preservation are limited, and local practices remain unclear.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore current practices, perceptions and challenges related to residual kidney function preservation among renal clinicians.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Descriptive cross-sectional survey.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Renal physicians and nurses working in hospital-based haemodialysis units across Western Australia.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Measurements&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Role-specific questionnaires were administered to renal physicians and nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Eighty-four completed responses were received (physicians &lt;i&gt;n&lt;/i&gt; = 25; nurses &lt;i&gt;n&lt;/i&gt; = 59). Over half of physicians (56%, &lt;i&gt;n&lt;/i&gt; = 14) reported residual kidney function was present in more than half of patients at haemodialysis initiation, while most nurses (64%, &lt;i&gt;n&lt;/i&gt; = 30) indicated it was often or always present. Assessment of this function was reported by 64% of physicians (&lt;i&gt;n&lt;/i&gt; = 16) and 61% of nurses (&lt;i&gt;n&lt;/i&gt; = 36), predominantly via patient self-reported urine output (physician 100%, &lt;i&gt;n&lt;/i&gt; = 16; nurses 86%, &lt;i&gt;n&lt;/i&gt; = 31). Most physicians (76%, &lt;i&gt;n&lt;/i&gt; = 19) and nearly all nurses (90%, &lt;i&gt;n&lt;/i&gt; = 53) believed preservation could improve patient outcomes. Key reported challenges included lack of consensus on optimal approaches (physicians 74%, &lt;i&gt;n&lt;/i&gt; = 17; nurses 54%, &lt;i&gt;n&lt;/i&gt; = 29), absence of clinical guidelines (nurses 61%, &lt;i&gt;n&lt;/i&gt; = 33), difficulty in accurate assessment (physicians 65%, &lt;i&gt;n&lt;/i&gt; = 15; nurses 52%, &lt;i&gt;n&lt;/i&gt; = 28), and limited patient awareness (physician 57%, &lt;i&gt;n&lt;/i&gt; = 13). Nurses identified staff education (83% &lt;i&gt;n&lt;/i&gt; = 49) and practice guidelines (81%, &lt;i&gt;n&lt;/i&gt; = 48) as key enablers to enhancing preservation efforts.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;While the clinical value of residual kidney function is widely recognised, its preservation in haemodialysis remains constrained by the lack of clinical consensus and guideline","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Haemodialysis Care in Indonesia: Perspectives of Dialysis Nurses","authors":"Fitri Mailani,&nbsp;Emil Huriani,&nbsp;Hema Malini,&nbsp;Setiawan Setiawan,&nbsp;Anisa Rahma Yuni","doi":"10.1111/jorc.70044","DOIUrl":"10.1111/jorc.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses play a crucial role in haemodialysis care, yet they often face complex responsibilities, heavy workloads, and emotional strain. Despite their central role, limited evidence exists regarding the barriers and facilitators that influence their experiences, particularly within Indonesia's public hospital settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to explore the facilitators and barriers encountered by nursing professionals in delivering haemodialysis care in Indonesia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive qualitative design was employed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Sixteen dialysis nurses were recruited through purposive sampling from three tertiary government hospitals in Indonesia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected through in-depth interviews and analyzed using Braun and Clarke's thematic analysis approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Three overarching themes emerged as facilitators: team collegiality, adequate equipment and clinical resources, and respect and remuneration, encompassing eight sub-themes. Four major themes were identified as barriers: limited specialised equipment; staffing constraints; patient barriers such as travel cost, cultural beliefs; and adherence to treatment and educational barriers, comprising ten sub-themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights the dual nature of facilitators and barriers influencing nursing practice in haemodialysis units. Understanding these factors is crucial for developing effective strategies to enhance workforce capacity, optimise resource allocation, and foster supportive work environments. Ultimately, addressing these barriers may improve both nurses' professional well-being and the quality of care provided to patients undergoing haemodialysis in Indonesia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}