{"title":"Utilizing Frailty Assessment to Impact Nursing Care for Patients with End Stage Kidney Disease: A Quality Improvement Project.","authors":"Penelope Zimmerman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Frailty is highly prevalent in patients with end stage kidney disease (ESKD) and predictive of morbidity. Nurses lack frailty education and face practical challenges to assessment, which prevent effective interventions to address frailty. A quality improvement project sought to determine if frailty education and utilization of a renal frailty index tool impacts telephonic case management nursing care of patients by improving knowledge, perception, identification, and assessment of frailty, thereby prompting nursing interventions. Positive impacts were seen across all outcomes influencing outreach and resource utilization by nurses. Limitations included a small sample size, time burden, and manual processes. Findings suggest the importance of embedding frailty care into daily practice, automation of frailty scoring, and expansion into advanced practice to improve quality of care and reduce cost of care.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 4","pages":"373-386"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994340","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}
Jennifer Vavrinchik, Jennifer Gruss, Zoila Nolasco, Kristin Larson
{"title":"Transforming Nephrology Nursing Education: A Gamification Roadmap.","authors":"Jennifer Vavrinchik, Jennifer Gruss, Zoila Nolasco, Kristin Larson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In partnership with two dialysis programs, the American Nephrology Nurses Association Administration Specialty Practice Network participated in an Escape Room concept to evaluate staff retention and satisfaction with education gamification. This article describes the road map to successful Escape Room programming and staff perception of the concept.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 4","pages":"395-410"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994283","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}
Min Su Kim, Nathidathip Darach, Dahee Wi, Eleanor Rivera
{"title":"Shared Decision-Making and Quality of Life in Patients with Chronic Kidney Disease: A Systematic Review.","authors":"Min Su Kim, Nathidathip Darach, Dahee Wi, Eleanor Rivera","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with chronic kidney disease (CKD) often prioritize their quality of life (QOL) over life extension, especially in advanced stages. Although shared decision-making (SDM) positively influences QOL, evidence on this topic remains limited. To address this gap, we conducted a systematic review and synthesized evidence from 12 quantitative studies examining the relationship between SDM and QOL in adults with CKD. We found that SDM enhances QOL by promoting patient autonomy and treatment satisfaction, particularly in conservative management. However, QOL benefits for patients on dialysis were inconsistent due to restrictive treatment pathways. Further, barriers such as insufficient provider training and lack of standardized frameworks, hindered the impact of SDM. Overcoming these challenges with tailored strategies, standardized QOL tools, and longitudinal research could improve outcomes for patients with CKD.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 4","pages":"411-422"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994297","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":"Embracing Innovation at the American Nephrology Nurses Association.","authors":"Faith Lynch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 4","pages":"335"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994317","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}
Andrea M Bernard, Kimberly Livingston, Patricia B McCarley, Chance Mysayphonh, Jeffrey L Hymes
{"title":"Managing Anaphylaxis: Causes, Symptoms, and Treatments in the InCenter and Home Dialysis Settings.","authors":"Andrea M Bernard, Kimberly Livingston, Patricia B McCarley, Chance Mysayphonh, Jeffrey L Hymes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients in outpatient dialysis settings, including InCenter and Home Therapies, have the potential to experience hypersensitivity reactions from multiple sources, such as dialyzer membranes, other products unique to dialysis, and new medications. Awareness of co-factors, frequently present in the end stage kidney disease population, is crucial in managing reactions effectively. Dialysis staff must act quickly to identify anaphylaxis. This article provides clinicians with the critical information required to prevent and mitigate life-threatening emergencies, including symptom identification and prompt treatment.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 4","pages":"387-393"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994372","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":"Keeping Water Safe in Changing Times: What Nurses Need to Know.","authors":"Glenda M Payne, Jim Curtis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As hemodiafiltration (HDF) is introduced in the United States and becomes more common, it is even more important for every person who has any responsibility for hemodialysis (HD) or HDF to know and understand the critical importance of safe dialysis water and dialysate. With HDF, the patient's bloodstream is directly infused with purified dialysate, making it even more critical to ensure the water used in these treatments is safe. Today, few HD programs have full-time technical staff to operate and test the water treatment and dialysate preparation systems, relying on nurses and other direct care staff for the day-to-day operation and testing of these systems. It is critical for the entire care team to work together to keep patients safe. This article details reasons safe water and dialysate are critical for individuals who rely on HD or HDF, and reviews components of water treatment systems, dialysate concentrate preparation, integrated HD systems, and the monitoring and testing necessary to assure that both water and dialysate are safe for patient use.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 4","pages":"337-371"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994280","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}
Susan B Fowler, Veronica B Decker, Natalia Donnelly
{"title":"Perceptions of Patients on Hemodialysis of Nurse Presence and Satisfaction with Care.","authors":"Susan B Fowler, Veronica B Decker, Natalia Donnelly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurse presence is intimately tied to quality patient care and outcomes. The purpose of this study was to explore the relationship between the perceptions of patients on outpatient hemodialysis of nurse presence and on satisfaction with care. A descriptive, correlational design assessed perceptions of nurse presence and satisfaction with care in 15 male adult outpatient patients on hemodialysis. Subjects had high, positive perceptions of nurse presence and satisfaction with care. There was a significant, positive relationship between perceptions of nurse presence and satisfaction with care (r = 0.53, p = 0.04). Many factors influence this relationship, including the physical environmental setting.</p>","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 4","pages":"403-410"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994364","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":"American Nurses Association 2025 Code of Ethics for Nurses: A Guide and a Moral Standard.","authors":"Beth Ulrich","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"52 3","pages":"209"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585657","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}
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}