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1. Hemodialysis; Study Results from University of Pennsylvania Broaden Understanding of Hemodialysis
(Survey of home hemodialysis patients and nursing staff regarding vascular access use and care).............

Bibliography...................................................................................................................................................... 3

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Document 1 of 1

Hemodialysis; Study Results from University of Pennsylvania Broaden Understanding of


Hemodialysis (Survey of home hemodialysis patients and nursing staff regarding vascular access use
and care)
ProQuest document link
Abstract: Our news editors obtained a quote from the research from the University of Pennsylvania, "We
developed a survey to gather information about training provided and actual practices of HHD patients using the
NxStage System One HHD machine. We used GAP to assess training used by nurses to teach HHD access
care and then assess actual practice (adherence) by HHD patients. We also assessed training and adherence
where GAPs do not exist. We received a 43% response rate from patients and 76% response from nurses
representing 19 randomly selected HHD training centers. We found that nurses were not uniformly instructing
HHD patients according to GAP, patients were not performing access cannulation according to GAP, nor were
they adherent to their training procedures. Identification of signs and symptoms of infection was commonly
trained appropriately, but we observed a reluctance to report some signs and symptoms of infection by patients.

Full text: 2015 MAY 8 -- By a News Reporter-Staff News Editor at Health &Medicine Week -- Data detailed on
Hemodialysis have been presented. According to news reporting originating from Philadelphia, Pennsylvania,
by NewsRx correspondents, research stated, "Vascular access infections are of concern to hemodialysis
patients and nurses. Best demonstrated practices (BDPs) have not been developed for home hemodialysis
(HHD) access use, but there have been generally accepted practices (GAPs) endorsed by dialysis
professionals."
Our news editors obtained a quote from the research from the University of Pennsylvania, "We developed a
survey to gather information about training provided and actual practices of HHD patients using the NxStage
System One HHD machine. We used GAP to assess training used by nurses to teach HHD access care and
then assess actual practice (adherence) by HHD patients. We also assessed training and adherence where
GAPs do not exist. We received a 43% response rate from patients and 76% response from nurses
representing 19 randomly selected HHD training centers. We found that nurses were not uniformly instructing
HHD patients according to GAP, patients were not performing access cannulation according to GAP, nor were
they adherent to their training procedures. Identification of signs and symptoms of infection was commonly
trained appropriately, but we observed a reluctance to report some signs and symptoms of infection by patients.
Of particular concern, when aggregating all steps surveyed, not a single nurse or patient reported training or
performing all steps in accordance with GAP. We also identified practices for which there are no GAPs that
require further study and may or may not impact outcomes such as infection."
According to the news editors, the research concluded: "Further research is needed to develop strategies to
implement and expand GAP, measure outcomes, and ultimately develop BDP for HHD to improve infectious
complications."
For more information on this research see: Survey of home hemodialysis patients and nursing staff regarding
vascular access use and care. Hemodialysis International, 2015;19(2):225-234. Hemodialysis International can
be contacted at: Wiley-Blackwell, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell www.wiley.com/; Hemodialysis International - onlinelibrary.wiley.com/journal/10.1111/(ISSN)1542-4758)
The news editors report that additional information may be obtained by contacting L.A. Spry, University of
Pennsylvania, Perlman Sch Med, Philadelphia, PA 19104, United States. Additional authors for this research
include J.M. Burkart, C. Holcroft, L. Mortier and J.D. Glickman.
Keywords for this news article include: Philadelphia, Pennsylvania, United States, Renal Dialysis, Home
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Hemodialysis, North and Central America


Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2015,
NewsRx LLC
Publication title: Health & Medicine Week
First page: 4911
Publication year: 2015
Publication date: May 8, 2015
Year: 2015
Publisher: NewsRx
Place of publication: Atlanta
Country of publication: United States
Publication subject: Medical Sciences
ISSN: 15316459
Source type: Trade Journals
Language of publication: English
Document type: Expanded Reporting
ProQuest document ID: 1676443732
Document URL: https://search.proquest.com/docview/1676443732?accountid=170128
Copyright: Copyright 2015, NewsRx LLC
Last updated: 2015-04-29
Database: ProQuest Family Health

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Bibliography
Citation style: APA 6th - American Psychological Association, 6th Edition
Hemodialysis; study results from university of pennsylvania broaden understanding of hemodialysis (survey of
home hemodialysis patients and nursing staff regarding vascular access use and care). (2015). Health &
Medicine Week, , 4911. Retrieved from https://search.proquest.com/docview/1676443732?accountid=170128

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