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Care of a patient's vascular access for haemodialysis: A narrative literature review


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]

Copyright Statement

© 2015 European Dialysis and Transplant Nurses Association/European Renal Care Association

DOI: doi:10.1111/jorc.12139


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 Details

Item Type:Refereed Article
Keywords:empowerment, haemodialysis, kidney disease, vascular access, bioecology
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Specific population health (excl. Indigenous health) not elsewhere classified
UTAS Author:Cowan, D (Ms Debra Cowan)
UTAS Author:Smith, L (Dr Lindsay Smith)
UTAS Author:Chow, J (Associate Professor Josephine Chow)
ID Code:102887
Year Published:2016
Web of Science® Times Cited:1
Deposited By:Health Sciences
Deposited On:2015-09-09
Last Modified:2022-08-23

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