Corbett Christine Marie
Nephrology Nurse Practitioner and Corporate Director of Advanced Practice Providers, Truman Medical Centers, Kansas City, MO.
member of ANNA's Heart of American Chapter.
Nephrol Nurs J. 2018 Nov-Dec;45(6):525-546.
This evidence-based quality initiative project was designed to increase advance care planning and palliative care referrals, thus improving quality of life for patients with chronic kidney disease by increasing nephrology providers' knowledge of the Renal Physicians Association guidelines on "Shared Decision Making in the Appropriate Initiation of and Withdrawal from Dialysis." Thirteen nephrology providers and nurses received the educational intervention. Post-intervention outcomes included four renal palliative care referrals and 21 advance care plans over four months from a baseline of zero/unknown. The supportive benefits to nursing and society are vast, minimizing nursing, health system, and caregiver burden.
这个基于证据的质量改进项目旨在增加预先护理计划和姑息治疗转诊，从而通过提高肾脏病医疗服务提供者对肾脏内科医师协会关于“透析开始和撤机时的共同决策”指南的了解，改善慢性肾脏病患者的生活质量。13名肾脏病医疗服务提供者和护士接受了教育干预。干预后的结果包括在四个月内有4例肾脏姑息治疗转诊和21份预先护理计划，而基线为零/未知。对护理和社会的支持性益处是巨大的，可将护理、卫生系统和照顾者的负担降至最低。
