Please use this identifier to cite or link to this item:
|Title:||Care of a patient's vascular access for haemodialysis: a narrative literature review||Authors:||Cowan, Debi ;Smith, L.;Chow, J.||Affliation:||Central Coast Local Health District
|Issue Date:||Jun-2016||Source:||42(2):93-100||Journal title:||Journal of Renal Care||Department:||Renal||Abstract:||BACKGROUND: Patients requiring haemodialysis have diverse clinical needs impacting on the longevity of their vascular access and their quality of life. A clinical practice scenario is presented that raises the potential of unsafe cannulation of a patient's vascular access as a result of minimal patient empowerment. Vascular access care is the responsibility of everyone, including the patient and carer. AIM: The aim of this narrative literature review (1997-2014) is to explore the current understanding of what factors influence the care of vascular access for haemodialysis. METHOD: A narrative literature review allows the synthesis of the known literature pertinent to the research question into a succinct model or unique order to enable new understandings to emerge. The bio-ecological model was used to guide the thematic analysis of the literature. RESULTS: The narrative literature review revealed five themes related to care of vascular access: patient experience; relationships-empowerment and shared decision making; environment of healthcare; time; and quality of life as the outcome of care. CONCLUSION: The management of vascular access is complicated. Current available literature predominantly concentrates on bio-medical aspects of vascular access care. Contextualised vascular access care in the complex ecology of the patient and carer's lives has the potential to enhance nursing practice and patient outcomes.||URI:||https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1074||DOI:||10.1111/jorc.12139||Pubmed:||https://www.ncbi.nlm.nih.gov/pubmed/26420385||ISSN:||1755-6678||Publicaton type:||Journal Article|
|Appears in Collections:||Renal Medicine|
Show full item record
checked on Jan 31, 2023
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.