Mancin Stefano, Palomares Sara Morales, Sguanci Marco, Palmisano Addolorata, Gazineo Domenica, Parozzi Mauro, Ricco Mattia, Savini Serenella, Ferrara Gaetano, Anastasi Giuliano, Cangelosi Giovanni, Godino Lea, Andreoli Desirèe
IRCCS Humanitas Research Hospital, via Manzoni 56, Rozzano, Milan 20089, Italy.
Department of Pharmacy, Health and Nutritional Sciences (DFSSN), University of Calabria, Rende, Italy.
Nurse Educ Pract. 2025 Jan;82:104229. doi: 10.1016/j.nepr.2024.104229. Epub 2024 Dec 12.
To describe and analyze the relational skills of nephrology nurses.
Chronic kidney disease (CKD) profoundly affects patients' psychosocial well-being. Nephrology and dialysis nurses meet clinical demands while providing vital emotional support. Managing CKD across diverse clinical settings requires specific relational skills, yet variability in nursing education across sectors may limit the development of holistic competencies crucial for delivering, high-quality care.
Scoping review.
This scoping review followed the Arksey and O'Malley framework and JBI methodology, adhering to PRISMA-ScR guidelines. Database searches included Cochrane, PubMed, CINAHL, Embase, Scopus, Web of Science and ASSIA. Quality assessment used the JBI framework, with stakeholder engagement to inform standardized frameworks for relational skills.
From 6274 records, nine studies were included. Key relational competencies for nephrology nursing were identified, including relational care, communication and end-of-life support. These competencies highlight the importance of empathy, active listening and building therapeutic alliances. In hemodialysis, such skills aid patients in adapting to therapy and managing symptoms. In outpatient care, they promote psychological well-being, self-management and therapeutic communication. In palliative care, they alleviate emotional burdens and facilitate discussions about treatment choices. Stakeholder consultations validated these findings, underscoring their clinical relevance and prioritizing skills like active listening and shared decision-making, thus anchoring the results in real-world practice.
Relational skills are essential in nephrology nursing care in different settings and foster emotional support and trust, promoting factors such as therapeutic autonomy and end-of-life communication. Educational initiatives should prioritize the enhancement of these skills to improve nephrology patient care.
描述和分析肾病科护士的关系技能。
慢性肾脏病（CKD）对患者的心理社会幸福感有深远影响。肾病科和透析科护士在满足临床需求的同时，提供至关重要的情感支持。在不同临床环境中管理CKD需要特定的关系技能，但各部门护理教育的差异可能会限制对提供高质量护理至关重要的整体能力的发展。
范围综述。
本范围综述遵循阿克斯利和奥马利框架以及循证卫生保健国际协作网（JBI）方法，遵循系统综述和荟萃分析扩展版（PRISMA-ScR）指南。数据库检索包括考克兰图书馆、PubMed、护理学与健康领域数据库（CINAHL）、荷兰医学文摘数据库（Embase）、Scopus、科学引文索引（Web of Science）和澳大利亚社会科学索引（ASSIA）。质量评估采用JBI框架，并通过与利益相关者的参与来为关系技能的标准化框架提供信息。
从6274条记录中，纳入了9项研究。确定了肾病护理的关键关系能力，包括关系护理、沟通和临终支持。这些能力突出了同理心、积极倾听和建立治疗联盟的重要性。在血液透析中，这些技能有助于患者适应治疗并管理症状。在门诊护理中，它们促进心理健康、自我管理和治疗性沟通。在姑息治疗中，它们减轻情感负担并促进关于治疗选择的讨论。利益相关者咨询证实了这些发现，强调了它们的临床相关性，并将积极倾听和共同决策等技能列为优先事项，从而将结果锚定在实际临床实践中。
关系技能在不同环境的肾病护理中至关重要，可促进情感支持和信任，推动治疗自主性和临终沟通等因素的发展。教育举措应优先加强这些技能，以改善肾病患者的护理。
