Nephrology Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain.
ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra affiliated, Barcelona, Spain.
Nurs Open. 2023 Oct;10(10):6668-6689. doi: 10.1002/nop2.1937. Epub 2023 Jul 21.
To analyse the aspects involved in the care of individuals assessed as kidney transplant candidates and to identify the role of nurses in providing specialised care for this population.
Scoping review. The results were summarised using a narrative synthesis technique.
A review of the literature published between 2001 and 2021 was conducted between October and November 2021 using PubMed, CINAHL and SciELO.
The research team agreed on a search strategy based on clinical practice guidelines for assessing kidney transplantation candidates. Quantitative, qualitative and mixed methods studies published in peer-reviewed journals in English, Spanish, French and Portuguese were included.
A total of 377 studies were identified, and 49 articles were included after the inclusion and exclusion criteria were applied. The narrative synthesis was structured into four themes: Physical needs; Psychological and quality of life needs; Education and adherence needs; and Nurses' role.
Nursing assessment of kidney transplantation candidates should encompass physical, psychosocial and adherence aspects. A variety of methodologies and resources are available for this assessment. Nurses contribute to coordinating access to kidney transplantation, aiming to improve adherence to an appropriate lifestyle to prevent patients from being excluded from kidney transplantation or suffering from kidney transplantation-related complications.
Based on our findings, we managed to design a nursing care map for kidney transplantation candidates combining the main elements of nursing care that should be incorporated into this process. Advanced practice nursing professionals play a crucial role in accessing renal transplant care.
分析评估为肾移植候选者的个体所涉及的护理方面,并确定护士在为该人群提供专业护理方面的作用。
范围审查。使用叙述性综合技术总结结果。
2021 年 10 月至 11 月期间,使用 PubMed、CINAHL 和 SciELO 对 2001 年至 2021 年期间发表的文献进行了回顾。
研究团队根据评估肾移植候选者的临床实践指南,就搜索策略达成一致。纳入了发表在同行评议期刊上的英语、西班牙语、法语和葡萄牙语的定量、定性和混合方法研究。
共确定了 377 项研究,在应用纳入和排除标准后,纳入了 49 篇文章。叙述性综合分为四个主题:身体需求;心理和生活质量需求;教育和依从性需求;以及护士的角色。
对肾移植候选者的护理评估应包括身体、心理社会和依从性方面。有多种方法和资源可用于此评估。护士在协调获得肾移植方面做出了贡献,旨在提高对适当生活方式的依从性,以防止患者被排除在肾移植之外或因肾移植相关并发症而受苦。
根据我们的发现,我们成功地为肾移植候选者设计了一张护理图,结合了应纳入该过程的护理的主要要素。高级实践护理专业人员在获得肾移植护理方面发挥着至关重要的作用。