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  1. Article: Pandemic Uncertainty: Considerations for Nephrology Nurses.

    Harwood, Lori

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2020  Volume 47, Issue 2, Page(s) 127–130

    Abstract: The COVID-19 pandemic is a situation of great magnitude that most of us have not experienced in our lifetime. Pandemics are widespread, affecting many geographical areas, and uncertainty is inherent given the rapidly changing situations. As nurses in ... ...

    Abstract The COVID-19 pandemic is a situation of great magnitude that most of us have not experienced in our lifetime. Pandemics are widespread, affecting many geographical areas, and uncertainty is inherent given the rapidly changing situations. As nurses in dialysis providing a life-sustaining therapy, we are required to provide an essential service during pandemics and need to thrive in the uncertainty. This article offers points for consideration that can assist nephrology nurses in their approach to these uncertain times.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Humans ; Kidney Diseases/nursing ; Nephrology ; Nurse's Role ; Nursing Care ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/epidemiology ; Renal Dialysis ; SARS-CoV-2 ; Uncertainty
    Keywords covid19
    Language English
    Publishing date 2020-05-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: All-Star Quality Improvement: Keep It Simple.

    Harwood, Lori / Wilson, Barbara

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2022  Volume 49, Issue 2, Page(s) 161–163

    Abstract: An important factor for quality and safety in patient care is an environment in which quality and safety are prioritized and embedded into the culture. Quality improvement (QI) methods can be complex, with some intensive resources required and specific ... ...

    Abstract An important factor for quality and safety in patient care is an environment in which quality and safety are prioritized and embedded into the culture. Quality improvement (QI) methods can be complex, with some intensive resources required and specific methods employed. However, all staff can be involved in QI if the problem is approached with curiosity and the process is kept simple, with a consistent goal of improving practices. The purpose of this article is to highlight some simple but effective QI methods authored by all-star nephrology nurses that can be easily applied by teams in various settings with minimal resources.
    MeSH term(s) Humans ; Nephrology ; Quality Improvement
    Language English
    Publishing date 2022-05-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Pandemic Uncertainty: Considerations for Nephrology Nurses

    Harwood, Lori

    Nephrol Nurs J

    Abstract: The COVID-19 pandemic is a situation of great magnitude that most of us have not experienced in our lifetime. Pandemics are widespread, affecting many geographical areas, and uncertainty is inherent given the rapidly changing situations. As nurses in ... ...

    Abstract The COVID-19 pandemic is a situation of great magnitude that most of us have not experienced in our lifetime. Pandemics are widespread, affecting many geographical areas, and uncertainty is inherent given the rapidly changing situations. As nurses in dialysis providing a life-sustaining therapy, we are required to provide an essential service during pandemics and need to thrive in the uncertainty. This article offers points for consideration that can assist nephrology nurses in their approach to these uncertain times.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32343086
    Database COVID19

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  4. Article: Successful Home Hemodialysis Programs: An Exploration of Key Nursing Care Processes.

    Wilson, Barbara / Crandall, Jackie / Harwood, Lori

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2023  Volume 50, Issue 3, Page(s) 215–224

    Abstract: The aim of this qualitative study was to identify nursing processes of care that help keep patients successfully on home hemodialysis (HHD). A qualitative descriptive approach using appreciative inquiry was used as the framework for data collection and ... ...

    Abstract The aim of this qualitative study was to identify nursing processes of care that help keep patients successfully on home hemodialysis (HHD). A qualitative descriptive approach using appreciative inquiry was used as the framework for data collection and analysis. Four focus groups were held with HHD nursing teams in the Province of Ontario, Canada. Results suggest that successful HHD teams have highly performing nurses who work cohesively as a team, and have consistent structures and processes in place for patient education and follow up. A culture of success has the potential to keep patients successfully on HHD, improve nurse job satisfaction, and retain highly functioning and specialized nursing staff. Quality improvement initiatives aimed at improving rates of HHD are important given the benefits to patients of HHD as a treatment modality.
    MeSH term(s) Humans ; Hemodialysis, Home ; Data Collection ; Focus Groups ; Job Satisfaction ; Nursing Care
    Language English
    Publishing date 2023-06-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
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  5. Article: Mindful Self-Compassion Training and Nephrology Nurses' Self-Reported Levels of Self-Compassion, Burnout, and Resilience: A Mixed Methods Study.

    Crandall, Jacqueline / Harwood, Lori / Wilson, Barbara / Morano, Catherine

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2022  Volume 49, Issue 5, Page(s) 405–417

    Abstract: Caring for people with chronic kidney disease, let alone during a pandemic, can place nurses at risk for burnout. This study explored the effects of the Mindful Self-Compassion (MSC) 8-week training on nephrology nurses' levels of self-compassion, ... ...

    Abstract Caring for people with chronic kidney disease, let alone during a pandemic, can place nurses at risk for burnout. This study explored the effects of the Mindful Self-Compassion (MSC) 8-week training on nephrology nurses' levels of self-compassion, burnout, and resilience. Twelve nurses participated. Surveys were completed before, immediately after, and three months after training. A focus group was also conducted. Results demonstrated in creased levels of self-compassion, mindfulness, and resilience while levels of burnout decreased. The central qualitative theme was enhanced resilience. Subthemes were creating a community of support, awareness and discovery, and the mastery of the techniques. The MSC training was an effective intervention to build essential skills for maintaining a healthy workforce. Implementation of such training programs within the health care environment are highly encouraged.
    MeSH term(s) Humans ; Self Report ; Self-Compassion ; Nephrology ; Burnout, Professional/prevention & control ; Surveys and Questionnaires ; Nurses ; Job Satisfaction
    Language English
    Publishing date 2022-06-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
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  6. Article: Resilience, Mindfulness, and Self-Compassion: Tools for Nephrology Nurses.

    Harwood, Lori / Wilson, Barbara / Crandall, Jacqueline / Morano, Cathy

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2021  Volume 48, Issue 3, Page(s) 241–249

    Abstract: Nephrology nurses are not immune to the effects of a stressful work environment. As a result, their emotional and psychological health can be at risk. In addition, there has been unprecedented stress and uncertainty working as nephrology nurses during ... ...

    Abstract Nephrology nurses are not immune to the effects of a stressful work environment. As a result, their emotional and psychological health can be at risk. In addition, there has been unprecedented stress and uncertainty working as nephrology nurses during the pandemic. These stressors can have negative effects on nurses' health, resulting in burnout and/or compassion fatigue, which can lead to nurses leaving nephrology or the nursing profession. Mindfulness has been suggested as a strategy to mitigate work-related stressors and build a more resilient workforce. Our experience suggests that combining self-compassion practices with mindfulness is also effective. Mindfulness may be beneficial for nephrology nurses, but its use does not negate the need for organizations to address the structural system issues that also contribute to burnout.
    MeSH term(s) Burnout, Professional/prevention & control ; Empathy ; Humans ; Mindfulness ; Nephrology ; Nurses ; Resilience, Psychological
    Language English
    Publishing date 2021-07-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
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  7. Article: Reaching Consensus on Outcomes for Successful Cannulation of an Arteriovenous Fistula: Patient and Healthcare Provider Perspectives.

    Wilson, Barbara / Harwood, Lori

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2018  Volume 45, Issue 4, Page(s) 327–336

    Abstract: There is a lack of consensus on what constitutes successful arteriovenous fistula (AVF) cannulation. The purpose of this study was to describe outcomes of successful cannulation of the AVF from both patient and healthcare provider perspectives. This was ... ...

    Abstract There is a lack of consensus on what constitutes successful arteriovenous fistula (AVF) cannulation. The purpose of this study was to describe outcomes of successful cannulation of the AVF from both patient and healthcare provider perspectives. This was a mixed method study. Results reflecting the patient's description of success through interviews were reported previously. A sample of nursing and physician experts in vascular access completed a one-time survey. Results from healthcare providers suggest they consider cannulator ability to assess the AVF, knowledge of AVF anatomy, and patient-centered care as most important to cannulation success. Patient comfort, patient-centered care, and available support staff (i.e., expert cannulators) were perceived by both patients and healthcare provider groups as contributing to success. Strategies that promote patient comfort, patient-centered care, and having access to cannulation experts have the potential to improve cannulation outcomes.
    MeSH term(s) Arteriovenous Fistula/surgery ; Arteriovenous Shunt, Surgical ; Catheterization/methods ; Consensus ; Health Personnel/psychology ; Humans ; Renal Dialysis
    Language English
    Publishing date 2018-10-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
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  8. Article: Outcomes for Successful Cannulation of the Arteriovenous Fistula: Perspectives from Patients on Hemodialysis.

    Wilson, Barbara / Harwood, Lori

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2017  Volume 44, Issue 5, Page(s) 381–388

    Abstract: There is a lack of consensus in the literature on what constitutes successful arteriovenous fistula (AVF) cannulation outcomes from the patient perspective. The purpose of this study was to describe what successful cannulation means to patients on ... ...

    Abstract There is a lack of consensus in the literature on what constitutes successful arteriovenous fistula (AVF) cannulation outcomes from the patient perspective. The purpose of this study was to describe what successful cannulation means to patients on hemodialysis. A qualitative descriptive approach was used. A purposeful sample of 17 patients dialyzing with an AVF participated in one face-to-face interview. Using content analysis, four themes were identified that impact the patient experience in defining successful cannulation: 1) an emotional response - pain and anxiety, 2) a 'friendly' nurse-patient relationship, 3) nursing interventions/technical skills during cannulation, and 4) the impact of the environment. Results provide valuable insight into what patients define as successful cannulation, recognizing that it goes beyond the actual needle insertion procedure.
    MeSH term(s) Arteriovenous Fistula/surgery ; Arteriovenous Shunt, Surgical ; Catheterization/methods ; Humans ; Needles ; Renal Dialysis
    Language English
    Publishing date 2017-11-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  9. Article: Partnering with Patients, Families, and Caregivers in Nephrology Nursing Research.

    Bernstein, Eva / Getchell, Leah / Harwood, Lori

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2019  Volume 46, Issue 3, Page(s) 340–343

    Abstract: Nurses value patient- and family-centered care as one of the most important elements of nursing, and as such, these foundations are embedded into nursing practice and theory. Patient engagement in health research, as an evolution of patient- and family- ... ...

    Abstract Nurses value patient- and family-centered care as one of the most important elements of nursing, and as such, these foundations are embedded into nursing practice and theory. Patient engagement in health research, as an evolution of patient- and family-centered care, has emerged as a critical new way of doing research over the last several years. However, the benefit, value, and exploration of ways in which patient partnerships can be built within the context of nephrology nursing research are still relatively new. This article describes patient-centered outcomes research, discusses how patients can be involved throughout the research process, and provides examples for effective partnerships in nephrology nursing research.
    MeSH term(s) Caregivers ; Humans ; Nephrology ; Nephrology Nursing ; Nursing Research ; Patient Participation ; Patient-Centered Care
    Language English
    Publishing date 2019-06-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
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  10. Article: Evidence-Based Reviews: Trends in Nephrology Nursing.

    Harwood, Lori / Wilson, Barbara / Pye, Darrin / Stroud, Nicole

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2019  Volume 46, Issue 2, Page(s) 249–259

    Abstract: Evidence-based practice (EBP) is one of the essential components of nephrology nursing. Reviews of such evidence are important as a means to synthesize research findings into one meaningful form of data. Publication trends of evidence reviews in ... ...

    Abstract Evidence-based practice (EBP) is one of the essential components of nephrology nursing. Reviews of such evidence are important as a means to synthesize research findings into one meaningful form of data. Publication trends of evidence reviews in nephrology nursing are unknown. The purpose of this systematic review was to identify trends in publications of evidence reviews in the Nephrology Nursing Journal. Titles of all publications in the Nephrology Nursing Journal from January 2003 to September/October 2018 were reviewed. A total of 23 evidence reviews were identified and formed the basis of this systematic review. Narrative analysis and concept mapping were used to synthesize data. There was a trend toward systematic reviews of quantitative studies, as well as evidence reviews that focused on the topics of quality of life and access to health services. The need for systematic rigorous reporting is recommended for EBP, as well as future reviews on identified priority areas of research.
    MeSH term(s) Evidence-Based Nursing ; Humans ; Nephrology Nursing/trends ; Periodicals as Topic ; Publications/trends
    Language English
    Publishing date 2019-04-22
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
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