Journal article
Current practice in dialysis central venous catheter management: Multi-disciplinary renal team perspectives
Nephrology
2019
Metrics
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Source: InCites
Abstract
<p>AIM: To explore the current practices related to the insertion, management and removal of dialysis central venous catheters (CVCs) used in patients with chronic kidney disease requiring haemodialysis.<br />METHODS: This qualitative descriptive study involved semi-structured interviews with surgeons, interventional radiologists, renal physicians, dialysis nurses, renal access nurses and renal researchers involved in the care of patients with chronic kidney disease requiring haemodialysis. Data were collected from staff at eight hospitals in six states and territories of Australia. Thirty-eight face-to-face interviews were conducted. A modified five-step qualitative content analysis approach was used to analyse the data.<br />RESULTS: Improved visualization technology and its use by interventional radiologists has steered insertions to specialist teams in specialist locations. This is thought to have decreased risk and improved patient outcomes. Nurses were identified as the professional group responsible for maintaining catheter access integrity, preventing access failure and reducing access-related complications. While best practice was considered important, justifications for variations in practice related to local patient and environment challenges were identified.<br />CONCLUSION: The interdisciplinary team is central in the insertion, maintenance, removal and education of patients regarding dialysis CVCs. Clinicians temper research-based decision-making about central dialysis access catheter management with knowledge of individual, environmental and patient factors. Strategies to ensure guidelines are appropriately translated for use in a wide variety of settings are necessary for patient safety.</p>
Details
- Title
- Current practice in dialysis central venous catheter management: Multi-disciplinary renal team perspectives
- Creators
- Alison Craswell - University of the Sunshine Coast, AustraliaDeb Massey - Southern Cross University, AustraliaMarianne Wallis - University of the Sunshine Coast, AustraliaDeepa Sriram - University of the Sunshine Coast, AustraliaNicholas A Gray - Sunshine Coast University Hospital, AustraliaSradha Kotwal - The George Institute for Global Health, Australia
- Publication Details
- Nephrology
- Identifiers
- 4089; 991012821244602368
- Academic Unit
- Faculty of Health; School of Health and Human Sciences; Nursing
- Resource Type
- Journal article