Centre for Kidney Research, Children's Hospital at Westmead, Australia.
Nephrology (Carlton). 2010 Feb;15(1):48-53. doi: 10.1111/j.1440-1797.2009.01191.x.
Renal nurses in Australia and New Zealand are critical to the care of patients with chronic kidney disease (CKD), especially those on dialysis. We aimed to obtain the opinions of renal nurses in Australia and New Zealand on the Caring for Australasians with Renal Impairment (CARI) Guidelines.
A self-administered survey was distributed to all members of the professional organisation for renal nurses (Renal Society of Australasia) in 2006. The results were compared with those from a similar survey in 2002 and an identical 2006 survey of Australian and New Zealand nephrologists.
Of the 173 respondents, more than 95% considered the Guidelines to be a good synthesis of the available evidence, 80% indicated that the Guidelines had significantly influenced their practice and 86% considered that the Guidelines had improved patient outcomes. Older respondents were less likely to perceive that the Guidelines had improved patient outcomes, and renal nurse educators were more likely to consider that the Guidelines were based on the best available evidence than other respondents. Respondents were generally more positive about the Guidelines in 2006 than in 2002. Although nephrologists were generally positive about the CARI Guidelines, renal nurses were more positive, especially regarding the effect of the Guidelines on practice and the improvement in health outcomes.
Australian and New Zealand renal nurses valued the CARI Guidelines highly, used them in practice and considered that they led to improved patient outcomes. Positive responses towards the Guidelines increased between 2002 and 2006.
澳大利亚和新西兰的肾脏护士对于慢性肾脏病（CKD）患者的护理至关重要，尤其是那些接受透析治疗的患者。我们旨在了解澳大利亚和新西兰肾脏护士对《澳大利亚和新西兰肾脏损害患者护理（CARI）指南》的意见。
2006 年，向肾脏护士专业组织（澳大利亚和新西兰肾脏学会）的所有成员发放了一份自我管理调查。将结果与 2002 年的类似调查和 2006 年对澳大利亚和新西兰肾病学家的相同调查进行了比较。
在 173 名受访者中，超过 95%的人认为指南是对现有证据的良好综合，80%的人表示指南对其实践有重大影响，86%的人认为指南改善了患者的预后。年龄较大的受访者不太可能认为指南改善了患者的预后，而肾脏护士教育者比其他受访者更有可能认为指南是基于最佳可用证据。与 2002 年相比，受访者在 2006 年对指南的看法更为积极。尽管肾病学家对 CARI 指南总体持积极态度，但肾脏护士的态度更为积极，尤其是关于指南对实践的影响以及改善健康结果。
澳大利亚和新西兰的肾脏护士高度重视 CARI 指南，在实践中使用它们，并认为这些指南可以改善患者的预后。2002 年至 2006 年期间，对指南的积极反应有所增加。
