Assessment of an established dialysis nurse practitioner model of care using mixed methods research

Melissa Stanley, Linda Worrall-Carter, Muhammad Aziz Rahman, Samantha Mcevedy, Robyn Langham

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

Aims and Objectives: To assess a dialysis nurse practitioner (NP) model of care by examining satisfaction, quality of life (QOL) and clinical outcomes of haemodialysis patients and explore experiences of dialysis nurses.

Design: Mixed methods.

Methods: Database analyses of dialysis indices amongst a sample (n = 45) of haemodialysis patients; a survey (n = 27) examining patient experience, satisfaction and QOL; and in-depth interviews with a sample (n = 10) of nurses.

Results: Nurses commended the NP role, with five themes emerging: “managing and co-ordinating”, “streamlining and alleviating”, “developing capability”, “supporting innovation and quality” and “connecting rurally”. Patients’ average age was 66 years and 71% were male. Patients’ satisfaction with the care they received was rated 3.5/4 or higher across seven parameters and the average QOL score was 7.9/10.

Conclusion: The NP model of care is effective in enhancing patient care within a collaborative framework. The challenge is to sustain, and enhance the model, through mentorship programs for potential candidates.
Original languageEnglish
Pages (from-to)148-162
Number of pages15
JournalContemporary Nurse
Volume51
Issue number2-3
DOIs
Publication statusPublished - 2015
Externally publishedYes

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