{"title":"The 50th Anniversary of the Implementation of PL 92-603: A Major Change in the Care of Patients with End Stage Kidney Disease","authors":"Beth Ulrich, Betty Preston Oates, Geraldine Biddle Moore, Caroline Counts","doi":"10.37526/1526-744x.2023.50.4.283","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.4.283","url":null,"abstract":"Fifty years ago, in July 1973, providing care to patients with end stage kidney disease changed dramatically with the implementation of legislation (PL 92-603) that deemed chronic renal disease to be a disability and provided coverage under Medicare for the treatment of the disease. In this article, we discuss the impact of the implementation of PL 92-603.","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357330","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":"Assessing the Impact of Intra-Dialytic Exercise Regimen on Depression","authors":"Faith Lynch","doi":"10.37526/1526-744x.2023.50.4.289","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.4.289","url":null,"abstract":"Depression is a common mental health concern among patients with chronic kidney disease. This population has a higher prevalence of hospitalization than those without depression. Exercising during dialysis, specifically intra dialytic pedal cycling, as an intervention can improve patients' overall well-being and promote a better quality of life both mentally and physically.","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357331","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}
Suma Prakash, Colleen Rabbitt, Iryna Danylyuk, Diane Woodford, Rui Song, Wayne Satz, Jan Schriefer
{"title":"Quality Improvement Initiative to Increase Modality Education in a Nephrology Clinic During the COVID-19 Pandemic","authors":"Suma Prakash, Colleen Rabbitt, Iryna Danylyuk, Diane Woodford, Rui Song, Wayne Satz, Jan Schriefer","doi":"10.37526/1526-744x.2023.50.4.313","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.4.313","url":null,"abstract":"Low attendance by patients with advanced chronic kidney disease (CKD stage 4 and 5) to the kidney replacement therapy (KRT) education sessions was noted by our nurse practitioners at a safety net hospital. The main outcome measure was the weekly percentage of patients with advanced CKD seen by the nephrology division weekly that completed KRT education. Process measures were weekly KRT session attendance by scheduled patients and the weekly referral of patients to KRT education sessions. The weekly education class attendance by scheduled patients reached the target level. This quality improvement project resulted in patients having access to virtual education sessions that helped provide distanced education during the COVID-19 pandemic, and benefitted patients living further away or needing more flexible options due to work and other commitments even in post-pandemic times. Making virtual visits available reduces travel cost for the person as well.","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357332","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}
D. Bednarski, D. Painter, Lillian A. Pryor, Teresa Villaran, David F. Walz, Angie Kurosaka
{"title":"The Current State of the Nephrology Nurses’ Role in Home Dialysis Therapies and Future Implications","authors":"D. Bednarski, D. Painter, Lillian A. Pryor, Teresa Villaran, David F. Walz, Angie Kurosaka","doi":"10.37526/1526-744x.2023.50.1.13","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.1.13","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"21 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74588676","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":"Message from the President-Elect - Nephrology Nurses Are You-nique","authors":"Jennifer E. Payton","doi":"10.37526/1526-744x.2023.50.2.97","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.2.97","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"42 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87347067","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":"President’s Message: Personal Experience in Mentoring","authors":"Jennifer E. Payton","doi":"10.37526/1526-744x.2023.50.3.195","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.3.195","url":null,"abstract":"","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"100 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74818702","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":"Observations in the Field Concerning Infection Control Practices in Dialysis","authors":"Allison Hunn, Jennifer Vavrinchik","doi":"10.37526/1526-744x.2023.50.4.305","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.4.305","url":null,"abstract":"This article describes observations and findings related to infection prevention and control in dialysis facilities. Ensuring infection control best practices is critical for patient safety. Survey findings related to hand hygiene, disinfection practices, medication preparation and administration, central venous catheter management, and hepatitis B surveillance are reviewed. Implications for nephrology nursing in each scenario are discussed, including survey guidance for COVID-19 post-pandemic.","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357329","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":"The Effect of Dialysis Shift on Depression and Sleep Disturbances in Patients on Chronic Hemodialysis","authors":"Margaret E Clark, Zorica Kauric-Klein","doi":"10.37526/1526-744x.2023.50.4.293","DOIUrl":"https://doi.org/10.37526/1526-744x.2023.50.4.293","url":null,"abstract":"Studies suggest that the hemodialysis (HD) shift on which a patient dialyzes impacts sleep disorders, depressive symptoms, quality of life, and mortality. However, study findings have been limited and inconsistent. The purpose of this project was to determine the relationship between HD shifts (morning, afternoon, and evening), and depression and sleep quality disturbance. Forty-one participants were recruited to participate in this project. Participants on the third shift had the highest levels of depression (M = 11.67) and poorest sleep quality (M = 14.5), compared to those who dialyzed on the first shift, who had the best sleep quality scores (M = 8.31; p = 0.013) and depression scores (M = 4.25). A significant positive correlation was observed between depression and sleep quality scores (r = 0.64; p < 0.001). Results indicate the HD shift can play a significant role in sleep disturbances and depression in patients on HD. Further studies need to be conducted to validate these findings.","PeriodicalId":54363,"journal":{"name":"Nephrology Nursing Journal","volume":"204 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357328","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}