{"title":"Renal transplant recipients' and their physicians' expectations regarding return to work posttransplant","authors":"Hathaway","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 2","pages":"234"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictors of QoL in renal transplant recipients: bridging the gap between research and clinical practice. Posttransplant Quality of Life Intervention Study Group.","authors":"R P Winsett, D K Hathaway","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Previous research in quality of life (QoL) in renal transplant recipients has identified three factors predictive of improved QoL: reduction in adverse events, facilitation of employment, and enhancement of social support. After a decade of QoL outcome research, the researchers have proposed a multidisciplinary approach to posttransplant care by developing a clinical pathway using the three predictive factors. Putting into practice the research outcome, this pathway systematically addresses and evaluates each of the study arms and the impact on QoL. A clinical team has been instrumental in developing a model of practice that incorporates the research outcomes.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 2","pages":"235-40"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CQI in anemia management: using the fishbone approach to improve outcomes. Case study of the anemic patient.","authors":"R Breiterman-White","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anemia management outcomes can be improved through a concentrated effort by nephrology nurses and other members of the nephrology team. This article focuses on the use of a Fishbone CQI diagram that can help clinicians identify and manage specific etiologies that effect erythropoiesis.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 2","pages":"254-7"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Renal transplant recipients' and their physicians' expectations regarding return to work posttransplant.","authors":"S E Newton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of the study was to explore the return to work (RTW) expectations of adult renal transplant recipients and their transplant physicians. The design was a prospective survey. Data was collected from 25 adult end stage renal disease (ESRD) patients who were admitted to a large Midwestern transplant center for renal transplantation and the surgeons who performed their transplant operations. Self-administered questionnaires were completed pretransplant by the recipients and surgeons, and at 6 weeks posttransplant by the recipients. Recipients who were employed pretransplant and were more likely to expect to RTW posttransplant, did so at higher rates than recipients who were not employed pretransplant and had physicians who did not expect them to RTW. The results illustrate that posttransplant RTW expectations of both renal transplant recipients and their physicians, when assessed pretransplant, are often congruent and are indicative of recipient posttransplant vocational rehabilitation.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 2","pages":"227-32; discussion 234"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21283323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S L Lewis, C L Cooper, K G Cooper, P N Bonner, K Parker, A Frauman
{"title":"Research priorities for nephrology nursing: American Nephrology Nurses' Association's Delphi Study.","authors":"S L Lewis, C L Cooper, K G Cooper, P N Bonner, K Parker, A Frauman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to identify and prioritize research topics of importance for nephrology nursing and the American Nephrology Nurses' Association (ANNA). This was an explorative survey design using the Delphi technique. Nephrology nurses who are members of ANNA participated in the study. In Round 1 participants included 90 members of the Advanced Practice Special Interest Group. Round 2 participants were 537 nephrology nurses who attended the 28th ANNA National Symposium. Participants in Round 3 were 491 ANNA members who had at least a master's degree in nursing or another field. A three-round Delphi technique was used to solicit, identify, and prioritize problems for nephrology nursing research. In Round 1, 90 nurses identified problems in response to an open-ended question. These responses were analyzed and categorized into a 21-item research survey that was used for subsequent rounds. Round 2 participants rated each research question/topic on the survey on a 1 to 5 scale for level of importance. In addition, they were asked to identify the top-ranked research priorities from the 21 questions. In Round 3, the participants were asked to do the same as in Round 2. In addition, they indicated whether the research priority was primarily a nursing responsibility or a collaborative effort with other health care personnel. Based on 3 rounds of the Delphi study and analysis of both level of importance and rated-research priority, the five areas that were identified as research priorities are (a) nursing interventions to prevent vascular access infections, (b) nursing interventions to maintain vascular access patency, (c) educational needs of patients and families, (d) levels of nursing competence and the effect on patient outcomes, and (e) validation of nursing interventions to achieve patient outcomes. These research priorities provide direction for nephrology nursing research and the ANNA. This Delphi study represents a significant step for ANNA in its commitment to research.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 2","pages":"215-25"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Weighing risks and taking chances: adolescents' experiences of the regimen after renal transplantation.","authors":"L Harwood, B Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study, which used a descriptive qualitative design, was to describe adolescents' experiences of the treatment regimen that follows renal transplantation in order to gain a better understanding of their experience. Five adolescents each participated in one in-depth, semistructured interview. Participants were asked to speak about the requirements of the recommended regimen related to medications, blood pressure and fluid monitoring, and diet and activity restrictions. The interviews were analyzed using Giorgi's data analysis method. The following overarching theme was identified: Weighing risks and taking chances. The consequences of the regimen and adhering or nonadhering to it were evident in the physiological, social, and psychological domains. Following the initial period, the adolescents were more selective in their adherence to the regimen, based on their perceptions of the risks involved in modifying the regimen. The modifications made to the posttransplantation regimen, which at times placed the adolescents' health at risk, were influenced by how the regimen interfered with their daily routines, such as school, leisure activities, and peer reactions as well as changes in their self-concept and self-image.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 1","pages":"17-21; discussion 22-3"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Teaching video effect on renal transplant patient outcomes.","authors":"T Giacoma, G L Ingersoll, M Williams","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study was undertaken to test the effect of a teaching video on renal transplant recipient outcomes. A quasi-experimental, pretest/posttest design was used. Fifty-nine adults undergoing renal transplantation were studied. Subjects were randomly assigned to either an experimental group, which received discharge preparatory teaching with the use of a teaching video, or to a control group, which received standard teaching. Subjects in the experimental group had significantly greater improvements in knowledge scores postteaching. No other differences were seen. Findings suggest the use of a teaching video can be a useful adjunct to educational programs designed for renal transplant patients and their families.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 1","pages":"29-33, 81"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving physical functioning in the elderly dialysis patient: relevance of physical therapy.","authors":"T F Pianta, N G Kutner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Compromised physical functioning is characteristic of medically complicated patients on dialysis, but many of these deficits can be addressed by rehabilitation. This article describes the benefits and limitations of a 3-month physical therapy pilot program at an inner-city hemodialysis clinic. Program results indicate the difficulties in keeping patients participating in such a program, but, for those patients who did regularly participate, on-site physical therapy consultation was valuable in assisting staff to identify exercise regimens that were consistent with individual patients' needs and addressed their functional difficulties.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 1","pages":"11-4; quiz 15-6"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contracting with outpatient hemodialysis patients to improve adherence to treatment.","authors":"J K Laidlaw, J E Beeken, F W Whitney, A A Reyes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to examine the relationship between contingency contracting and adherence to prescribed therapy in outpatient chronic hemodialysis patients. A quasi-experimental, pretest/posttest design was used. The sample included 15 hemodialysis patients, 6 in the phosphorus group and 9 in the weight-gain group. The study was conducted at an outpatient hemodialysis center in a Midwestern rural state. Specific variables investigated were interdialytic weight gains and serum phosphorus levels that reflect adherence to fluid restrictions and to taking phosphate-binding medications. Weekly interviews were conducted with each patient and content analysis of interview data was completed to identify categories related to adherence and nonadherence. Pre- and postcontract weight gains and phosphorus levels were analyzed with a paired two sample t-test. The categories related to adherence and nonadherence included physiological, psychological, environmental, locus of control/self-control/self-praise, economical, medical, knowledge deficit, health benefits, family support, and social support. Adherence to taking phosphate-binding medication responded more favorably to contingency contracting than did adherence to fluid restrictions. Chronic outpatient hemodialysis patients in the sample responded to the use of contingency contracting and developed techniques to remember to take phosphate-binding medications in order to lower serum phosphorus medications.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}