Advertisement

Nurses decision making process in peritoneal dialysis

Il decision making degli infermieri esperti e novizi nella struttura di dialisi peritoneale dell’Azienda Ospedaliera - IRCCS di Reggio Emilia. Uno Studio quali-quantitativo

Abstract

Purpose: Chronic kidney disease is now considered a major public health problem. Over the past two decades, the number of patients that started dialysis is more than doubled. Patient Management in Peritoneal Dialysis (PD) is considered as an advanced skill that requires technical technical competences, prevention and management of complications, as well as communicative-relational and educational knowledge to address patients and the caregiver needs. In clinical settings, patient management in PD is entrusted to the experienced professional who becomes the central resource for the patient and for the interior care team. In one type of such specialist care, it is important to understand what are the thought processes that guide the nurse expert decisions, so that the novice nurses through this explanation can learn about similar thought processes and enhance their expertise. The study describes the different processes of thought, between expert and novice nurses, that guide the decision making in the management of patients in PD. Methods: Quali-quantitative study, with simulated clinical cases. Results: Experts gather complex data, focusing the relevant ones and possess perceptual acuity and effective observation skills. They make assumptions about possible problems, anticipate the presence and act with proactive mode. The novices collect a lot of data, less relevant, and monitor many parameters that do not know how to interpret. They make reference to general notions that do not correlate with the problem, find it difficult to set priorities and act in a reactive mode. Conclusions: The study confirms the results of previous studies, however made in different clinical settings. The results obtained can be used for training courses for novice nurses for patient’s management in PD, using the expertise of the expertise of competent professionals.

G Tec Nefrol Dial 2017; 29(3): 174 - 184

Article Type: NURSING NEFROLOGICO

Article Subject: AREA NURSING NEFROLOGICO

DOI:10.5301/GTND.2017.17457

Authors

Giovanna Amaducci, Elena Baccarini, Marina Iemmi, Emanuela Vezzani, Danio Somenzi, Sonia Pasquali

Article History

This article is available as full text PDF.

  • If you are a Subscriber, please log in now.

  • Article price: Eur 36,00
  • You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
  • If you are not a Subscriber you may:
  • Subscribe to this journal
  • Unlimited access to all our archives, 24 hour a day, every day of the week.

Authors

  • Amaducci, Giovanna [PubMed] [Google Scholar]
    Tutor e Docente di Infermieristica Generale al Corso di Laurea in Infermieristica, Sede di Reggio Emilia, Università degli studi di Modena e Reggio Emilia, Reggio Emilia
  • Baccarini, Elena [PubMed] [Google Scholar]
    Laureanda Corso di Laurea in Infermieristica, Sede di Reggio Emilia, Università degli studi di Modena e Reggio Emilia, Reggio Emilia
  • Iemmi, Marina [PubMed] [Google Scholar]
    Direttore delle Professioni Sanitarie, Azienda Ospedaliera – IRCCS di Reggio Emilia, Reggio Emilia
  • Vezzani, Emanuela [PubMed] [Google Scholar]
    Dirigente Infermieristico del Dipartimento di Medicina Interna e Specialità Mediche, Azienda Ospedaliera – IRCCS di Reggio Emilia, Reggio Emilia
  • Somenzi, Danio [PubMed] [Google Scholar]
    Dirigente di Struttura Complessa di Nefrologia e Dialisi, Azienda Ospedaliera – IRCCS di Reggio Emilia, Reggio Emilia
  • Pasquali, Sonia [PubMed] [Google Scholar]
    Direttore di Dipartimento di Medicina Interna e Specialità Mediche, Direttore di Struttura Complessa di Nefrologia e Dialisi, Azienda Ospedaliera – IRCCS di Reggio Emilia, Reggio Emilia

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.