IRCCS Humanitas Research Hospital, Rozzano, Italy.
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
G Ital Nefrol. 2024 Oct 31;41(5):2024-vol5. doi: 10.69097/41-05-2024-12.
Patients with chronic kidney disease undergoing renal replacement therapy have complex care needs. To address this, nephrology and dialysis nurses must possess expertise in advanced specialist and disciplinary skills. The aim of this review is to analyze post-graduate academic training pathways and clinical-care training in the field of nephrology and dialysis nursing in the Italian context. A narrative review of the literature was conducted in May 2024, using databases such as CINAHL and Medline-PubMed, with a selection criterion limited to primary and secondary studies published in Italian and English. To supplement the search, particularly within the Italian context, grey literature sources were consulted. Post-graduate nephrology nursing education in Italy is mainly offered through First-Level Masters, as well as Second Level Masters and specialization courses, which are provided at various academic institutions. Analysis of the educational programs revealed the presence of common "core" teachings across all pathways, covering renal disease pathophysiology, hemodialysis, peritoneal dialysis, and dialysis nursing care, alongside significant heterogeneity in other proposed teachings. Clinical-care training emerged as a fundamental aspect in both post-graduate education, professional integration for newcomers, and continuous professional development. The growing healthcare need for specialist skills suggests the necessity of integrating field-based training with standardized post-graduate academic pathways, possibly in collaboration with relevant Nursing Scientific Societies. This synergy would not only promote the enhancement of nursing competencies but also ensure a high quality of care delivery.
接受肾脏替代治疗的慢性肾脏病患者有复杂的护理需求。为了解决这个问题，肾病和透析护士必须具备高级专科和学科技能方面的专业知识。本文旨在分析意大利肾脏病和透析护理领域的研究生学术培训途径和临床护理培训。2024 年 5 月，我们对文献进行了叙述性综述，使用了 CINAHL 和 Medline-PubMed 等数据库，并将选择标准仅限于以意大利语和英语发表的初级和二级研究。为了补充搜索，特别是在意大利背景下，我们查阅了灰色文献来源。意大利的肾脏病护理研究生教育主要通过一级硕士课程以及二级硕士课程和专业课程提供，这些课程在不同的学术机构开设。对教育项目的分析表明，所有途径都存在共同的“核心”教学内容，涵盖肾脏疾病病理生理学、血液透析、腹膜透析和透析护理，而其他提出的教学内容存在显著的异质性。临床护理培训是研究生教育、新入职人员的专业融合以及持续专业发展的一个基本方面。对专业技能的医疗保健需求不断增长，表明有必要将基于现场的培训与标准化的研究生学术途径相结合，可能与相关护理科学协会合作。这种协同作用不仅将促进护理能力的提高，还将确保提供高质量的护理服务。
