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Open Access Managing Chronic Kidney Disease in a Nurse-Run, Physician-Monitored Clinic: The CanPREVENT Experience Surveillance de l'affection rénale chronique dans une clinique gérée par du personnel infirmier et supervisée par des médecins: l'expérience CanPREVENT

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Abstract:

The purpose of this study was to examine the nature of the care provided to people with chronic kidney disease within a larger study of nurse-run, physician-monitored clinics, as well as how patients, nurses, and nephrologists described their experience with the clinics. Interviews were conducted with 7 nurses, 5 physicians, and 23 patients. Data collection also entailed review of 40 randomly selected charts. Identified themes related to characteristics of the nurse, patient-centred care, health promotion, teaching, dealing with problems, time, protocols, consultation and referrals, clinic logistics, paperwork/documentation, and nurse-physician collaboration. Challenges and outcomes were also described as part of the experience with the clinic. Patients were actively engaged in self-management and reported high levels of satisfaction with care as well as improvements in selected outcomes. Overall, the perceptions of this model of care were positive and the approach warrants further exploration.

French
L'objet de cette étude était d'examiner la nature des soins apportés aux personnes souffrant d'affection rénale chronique, dans le cadre d'une étude plus large sur les cliniques gérées par du personnel infirmier et supervisées par des médecins, ainsi que la description que les patients, le personnel infirmier et les néphrologues font de leur expérience de ces cliniques. Les entretiens ont été réalisés avec 7 infirmières, 5 médecins et 23 patients. La collecte de données a également nécessité l'examen de 40 graphiques choisis au hasard. Les thèmes recensés étaient en lien avec les caractéristiques de l'infirmière, les soins axés sur le patient, la promotion de la santé, l'enseignement, la gestion des problèmes, le temps, les protocoles, la consultation et les orientations, la logistique de la clinique, les travaux d'écriture/la documentation, ainsi que la collaboration entre infirmières et médecins. Difficultés et résultats ont également été décrits dans le cadre de l'expérience vécue à la clinique. Les patients ont participé activement à l'autocontrôle et fait état de niveaux de satisfaction élevés concernant les soins de même que d'améliorations des résultats sélectionnés. Dans l'ensemble, les perceptions de ce modèle de soins étaient positives et l'approche justifie de plus amples recherches.

Keywords: CHRONIC KIDNEY DISEASE; NURSE-RUN CLINIC; NURSING CLINIC; QUALITATIVE RESEARCH

Document Type: Research Article

Publication date: September 1, 2008

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