Nurse-led quality improvement in children with kidney disease
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Betsie G. I. van Gaal, PhD, RN; Theo van Achterberg, RN, PhD; Jacqueline L. Knoll, MANP; Marlies E. A. M. Cornelissen, MD PhD
- Sigma Affiliation
- Rho Chi at-Large
Session presented on: Thursday, July 25, 2013:
Purpose: To improve the quality of care for children with a chronic kidney disease, a registered nurse experienced in the care for children with a chronic kidney disease was appointed as an additional member of the Paediatric Nephrology team at the outpatient clinic. The aim of the study was to evaluate whether the quality of care given by the team improved.
Methods: For this evaluation, we designed a non-controlled before and after study in four outpatient clinics in the Netherlands. Together with parents of children with a chronic kidney disease and the professionals of the participating paediatric nephrology team, we developed indicators to measure the quality of care. After informed consent, 149 parents participated in this study. The files of their children were screened and the parents and the professionals were interviewed.
Results: The nurses at the four outpatient clinics gave parents and the children information about the treatment, medication and side effects, nutrition in relation to the chronic kidney disease and the influence of exercise. Additional they also took care of more practical tasks. According to the parents, the accessibility of the team improved and they were satisfied with the nurses, the medical doctor and the other paediatric nephrology team members. The paediatric nephrologists found the role of the nurse important and experienced having more time for the medical treatment of the children.
Conclusion: The quality of care improved at outpatient clinics improved as a result of adding experienced nurses to the team, especially with regard to the information to parents and children. For the nurses it remains challenging to further improve the coordination of the care for these children.
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
| Type | Presentation |
| Acquisition | Proxy-submission |
| Review Type | Abstract Review Only: Reviewed by Event Host |
| Format | Text-based Document |
| Evidence Level | N/A |
| Research Approach | N/A |
| Keywords | Chronic Kidney Disease; Nurse-led Intervention; Chronic Kidney Disease |
| Name | 24th International Nursing Research Congress |
| Host | Sigma Theta Tau International |
| Location | Prague, Czech Republic |
| Date | 2013 |
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