The specialist skills of the nurse in hemodialysis: report of an explorative survey. A challenge for professional recognition

Abstract

Nursing requires a complex set of skills encompassing professional clinical judgment, values and attitudes. In order to outline the future career path of the specialist nurse, the European Federation of Nurses Association compared the EU Directive 2013/55/EU with the Competency Framework, an important document on guidelines written by a group of experts and focusing on the recognition of nurses’ educational requirements.

The aim of our research is to identify the special skill set required from nurses on haemodialysis wards through the development of an exploratory survey and the comparison of its results with the EFN guidelines and the Directive 2013/55/EU. The survey was conducted across eighteen dialysis centers in Tuscany. Through focus groups, debates and reflections, 28 skills were identified as pertaining exclusively to nurses working with haemodialysis patients.

This preliminary study aims at demonstrating the need to define and recognize these specialist skills in order to ensure an effective and integrated nursing leadership in disease management.

 

Keywords: haemodialysis, skills, specialization, nurse

Sorry, this entry is only available in Italian. For the sake of viewer convenience, the content is shown below in the alternative language. You may click the link to switch the active language.

Introduzione

L’assistenza infermieristica è caratterizzata da una complessa acquisizione di conoscenze, abilità e valori che portano alle migliori pratiche infermieristiche e al più alto livello possibile di prestazioni lavorative [4] per acquisire queste competenze, gli infermieri devono possedere l’esperienza e i tratti personali necessari per svolgere efficacemente i loro compiti.

Takase and Teoreka [13] hanno definito ‘competenza infermieristica’ la capacità degli infermieri di dimostrare efficacemente una serie di attributi personali, attitudini professionali, valori etici, conoscenze e abilità e di adempiere alla propria responsabilità professionale attraverso la pratica. Un infermiere competente non solo deve possedere queste caratteristiche, ma deve anche avere la motivazione e la capacità di utilizzarle in modo adeguato a garantire un’assistenza infermieristica efficace. Fornire un’assistenza basata su competenze professionali significa includere la collaborazione con altri operatori sanitari, sviluppare relazioni interpersonali, educare e istruire.

 

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Psychology of the communication between doctors/nurses and patients in nephrology and dialysis

Abstract

People with a chronic kidney condition can live with their disease for several years, during which the illness becomes “an integral aspect of life” and requires “an arduous and continuous process of adaptation at multiple levels: cognitive, emotional and physical”. Often, communicating with doctors is not helpful to these patients in understanding what is happening and reorganizing their lives, as ineffective communication strategies are employed. It is in fact necessary to overcome obstacles such as the use of incomprehensible technical language, ambiguity, the lack of communication training and the abundance of stressful situations.

Chronically ill patients have the right to be informed in a simple, clear and impartial way about their condition and its possible treatments; this information will help them manage their kidney disease, “accept” it and find the motivation to adhere to medical prescriptions over time.

 

Keywords: Communication, doctor, nurse, chronic patient

Sorry, this entry is only available in Italian. For the sake of viewer convenience, the content is shown below in the alternative language. You may click the link to switch the active language.

Introduzione

Quando una persona perde la funzionalità dei propri reni, la sua vita e quella dei suoi familiari cambia redicalmente perché la malattia renale è cronica, la dialisi e il trapianto sono terapie impegnative e continuate nel tempo [1]. 

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