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American Nurses Association 2025 Code of Ethics for Nurses: A Guide and a Moral Standard. 美国护士协会2025年护士道德准则：指南和道德标准。
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Beth Ulrich
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引用次数: 0
The Positive Impact of Patient Education on Tenapanor Adherence in the OPTIMIZE Study. 优化研究中患者教育对Tenapanor依从性的积极影响。
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Rory C Pace, David P Tietjen, David M Spiegel, Susan Edelstein, Yang Yang, David P Rosenbaum, Stephen Z Fadem
{"title":"The Positive Impact of Patient Education on Tenapanor Adherence in the OPTIMIZE Study.","authors":"Rory C Pace, David P Tietjen, David M Spiegel, Susan Edelstein, Yang Yang, David P Rosenbaum, Stephen Z Fadem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tenapanor is a first-in-class, minimally absorbed, smallmolecule phosphate absorption inhibitor that targets the primary paracellular pathway of phosphate absorption in the gastrointestinal tract. In BLOCK and PHREEDOM (phase 3 studies), tenapanor demonstrated acceptable safety in patients on maintenance hemodialysis and peritoneal dialysis. Diarrhea was the most common adverse event, reported in about 50% of patients. We examined the impact of patient education on tenapanor tolerability/ adherence during the OPTIMIZE study. After receiving diarrhea reduction education, patients took tenapanor 30 mg (twice daily, 10 weeks). In the BLOCK and PHREEDOM studies, patients received tenapanor for 8 and 26 weeks, respectively, without education. During the up-to- 10-week analysis period, diarrhea incidence was 39.3% in OPTIMIZE (<i>N</i> = 333) versus BLOCK (<i>N</i> = 71; 47.9%) and PHREEDOM (<i>N</i> = 419; 47.7%). In all studies, most diarrhea episodes (88.7% to 91.9%) were mild/moderate; the majority (75.7% to 79.6%) occurred within weeks 1 and 2. Patient education may help improve tenapanor adherence and reduce the incidence of bothersome loose stools.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"295-304"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585663","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}
引用次数: 0
Community-Based Screening for Unmet Social Needs and Kidney Disease Risk Factors: Findings from the DECK Pilot Observational Study. 基于社区的未满足社会需求和肾脏疾病危险因素筛查：DECK试点观察研究结果
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Amber B Paulus, April McGraw, R K Elswick, Stephen Rithvik Seelam, Maryam Shaw, Jason M Kidd
{"title":"Community-Based Screening for Unmet Social Needs and Kidney Disease Risk Factors: Findings from the DECK Pilot Observational Study.","authors":"Amber B Paulus, April McGraw, R K Elswick, Stephen Rithvik Seelam, Maryam Shaw, Jason M Kidd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Social determinants of health (SDOH) significantly influence the risk of chronic kidney disease (CKD), particularly in underserved populations. The Designing Equitable Care for Kidneys (DECK) study examined the relationship between CKD risk and unmet SDOH in Richmond, Virginia's East End, a historically redlined area with high social vulnerability. Among 61 participants, CKD awareness was moderate (mean score = 71%), and 36% recognized the disease as preventable. Substantial unmet social needs were reported in financial and social domains. Stratified analysis revealed nuanced associations between social needs and CKD risk: participants with mild social needs were most frequently categorized as having moderate CKD risk (19.7%), while those with moderate needs exhibited the highest prevalence of moderate (24.6%) and high (9.8%) CKD risk. These findings underscore the need for integrated interventions targeting clinical and social factors to address kidney health disparities in vulnerable populations.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"239-254"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585658","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}
引用次数: 0
A 2025 Update: The Authority for Certain Clinical Tasks Performed by Assistive Personnel in the Care of Patients in Hemodialysis and Home Dialysis Settings. 2025年更新：辅助人员在血液透析和家庭透析患者护理中执行某些临床任务的权限
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Molly Lillis Cahill, Donna R Painter, Jennifer Lynn Branch, Mary S Haras
{"title":"A 2025 Update: The Authority for Certain Clinical Tasks Performed by Assistive Personnel in the Care of Patients in Hemodialysis and Home Dialysis Settings.","authors":"Molly Lillis Cahill, Donna R Painter, Jennifer Lynn Branch, Mary S Haras","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As staffing shortages and ongoing cost-containment measures continue to challenge organizations, the use of assistive personnel (AP) for patient care activities increases. Emphasis on safe and effective care delivery remains crucial when RNs delegate certain tasks and aspects of patient care. The principles of delegation according to American Nurses Association and the National Council of State Boards of Nursing include the responsibility and accountability of the registered nurse (RN) for patient care outcomes. Authority for delegation of clinical tasks in the chronic hemodialysis setting and home dialysis therapies varies greatly by state. The responsibility remains with the RN to oversee complex tasks despite the staff skill mix. While specific information from several states, although limited, was interpreted by this team as delegation, it remains the responsibility of each RN to know their individual state Nurse Practice Acts. This article provides an updated review of the states' current available positions on delegation of clinical tasks in hemodialysis with the addition of information on dialysis technicians or licensed practical nurses/licensed vocational nurses in home therapy when available.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"215-227"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585656","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}
引用次数: 0
The Role of the Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) in Hemodialysis, Peritoneal Dialysis, and Home Dialysis Care. 执业护士/执业护士（LPN/LVN）在血液透析、腹膜透析和家庭透析护理中的作用。
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Mary S Haras, Donna Bednarski
{"title":"The Role of the Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) in Hemodialysis, Peritoneal Dialysis, and Home Dialysis Care.","authors":"Mary S Haras, Donna Bednarski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Amid the current health care crisis, organizations must find strategies to ensure high-quality patient care while enabling all nursing levels (licensed practical nurse [LPN]/licensed vocational nurse [LVN], registered nurse [RN], and advanced practice registered nurse [APRN]) to practice to their full scope. Patients undergoing dialysis have complex needs, yet RN shortages have led to incomplete nursing tasks and compromised outcomes. LPNs/LVNs, who make up about 16% of the nursing workforce, deliver essential care that differs from RN/APRN roles. Each nursing role is governed by state-defined scope of practice. In dialysis, understanding the LPN/LVN scope is vital to ensure safe and efficient patient care and avoid inappropriate task delegation. RNs are accountable for delegation, making it essential they delegate appropriately. Strengthening collaboration and communication among nursing roles can improve both patient outcomes and workplace satisfaction.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"233-254"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585664","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}
引用次数: 0
Inclusivity in Nephrology Nursing: A Catalyst for Innovation and Professional Growth. 肾病护理的包容性：创新和专业成长的催化剂。
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Beth Ulrich
{"title":"Inclusivity in Nephrology Nursing: A Catalyst for Innovation and Professional Growth.","authors":"Beth Ulrich","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"212-213"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585660","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}
引用次数: 0
Inclusivity in Nephrology Nursing: A Catalyst for Innovation and Professional Growth. 肾病护理的包容性：创新和专业成长的催化剂。
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Faith Lynch
{"title":"Inclusivity in Nephrology Nursing: A Catalyst for Innovation and Professional Growth.","authors":"Faith Lynch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"211"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585661","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}
引用次数: 0
Hallmarks of Pressure Injury Occurrence Among Older Adult Critically Ill Patients Receiving Hemodialysis. 接受血液透析的老年危重患者压力损伤发生的特征。
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Briley Stafford, Jenny Alderden, Katie R Brooks, Tracey L Yap, Susan Kennerly
{"title":"Hallmarks of Pressure Injury Occurrence Among Older Adult Critically Ill Patients Receiving Hemodialysis.","authors":"Briley Stafford, Jenny Alderden, Katie R Brooks, Tracey L Yap, Susan Kennerly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients in the intensive care unit (ICU) are at increased risk of developing hospital-acquired pressure injuries (HAPrIs) due to various factors. Immobility, severity of illness, and medical interventions place these patients at higher HAPrI risk. Patients with acute or chronic kidney conditions receiving intermittent hemodialysis are at an increased risk of HAPrI development due to illness severity and the toll hemodialysis takes on an individual's body. Data from a publicly available database were used in a retrospective study to examine characteristics of 457 older adult (>= 60 years) patients undergoing hemodialysis, including 86 (19%) who developed a HAPrI during their ICU admission. Significant findings show the association of sepsis, diabetes, and smoking with increased HAPrI risk. Findings underscore the need for vigilant monitoring and proactive management of these high-risk patients to improve patient outcomes.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"287-294"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585659","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}
引用次数: 0
Nursing Knowledge in the Care of Patients on Hemodialysis Who Are Living with Depression: An Integrative Review. 抑郁症血液透析患者护理知识的综合评价
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-05-01
Primrose Mharapara, Joanne Olson, Sofia B Ahmed, Kara Schick-Makaroff
{"title":"Nursing Knowledge in the Care of Patients on Hemodialysis Who Are Living with Depression: An Integrative Review.","authors":"Primrose Mharapara, Joanne Olson, Sofia B Ahmed, Kara Schick-Makaroff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Depression prevalence rates are high in individuals with end stage kidney disease treated with hemodialysis. However, nephrology nursing knowledge about the care of patients with depression is not well studied. The purpose of this review was to explore the knowledge nephrology nurses utilize in the care of patients on hemodialysis who are living with depression. We performed an exploration of MEDLINE, EMBASE, PsychINFO, CINAHL, Cochrane Central Register of Controlled Trials, and Scopus to identify eligible studies. Nine studies were included, and we determined that nephrology nurses' knowledge is informed by the nursing process, primarily in assessment and intervention/ management, with minimal explicit description of theory in hemodialysis and depression care.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"265-286"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585662","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}
引用次数: 0
Teaching the Teachers to Teach. 教老师如何教书。
IF 0.8 4区 医学
Nephrology Nursing Journal Pub Date : 2025-03-01
Beth Ulrich
{"title":"Teaching the Teachers to Teach.","authors":"Beth Ulrich","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 2","pages":"109"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026789","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}
引用次数: 0
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