Cowan, D and Smith, L and Chow, J, Care of a patient's vascular access for haemodialysis: A narrative literature review, Journal of Renal Care, 42, (2) pp. 93-100. ISSN 1755-6686 (2016) [Refereed Article]
© 2015 European Dialysis and Transplant Nurses Association/European Renal Care Association
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 patientís 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 carerís lives has the potential to enhance nursing practice and patient outcomes.
|Item Type:||Refereed Article|
|Keywords:||empowerment, haemodialysis, kidney disease, vascular access, bioecology|
|Research Division:||Medical and Health Sciences|
|Research Field:||Nursing not elsewhere classified|
|Objective Group:||Specific Population Health (excl. Indigenous Health)|
|Objective Field:||Specific Population Health (excl. Indigenous Health) not elsewhere classified|
|Author:||Cowan, D (Ms Debra Cowan)|
|Author:||Smith, L (Dr Lindsay Smith)|
|Author:||Chow, J (Associate Professor Josephine Chow)|
|Deposited By:||Health Sciences|
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