The rate of nurses providing education for outpatients with stage 1-4 chronic kidney diseases and analysis of "structures" affecting this performance

Takahashi Satsuki, Oka Michiyo, Onbe Hiromi, Sato Hisamitsu, Sugita Kazuyo, Tamura Sachiko

doi:10.4009/jsdt.42.363

【Purpose】 This study investigated the frequency of education being provided to patients with stage 1-4 chronic kidney diseases(CKD)by nurses on an outpatient basis, and the “structures” of outpatient care that affected their performance. 【Methods】 This study was based on a questionnaire survey conducted by mail. The targets were 2,024 medical institutions extracted from the membership lists of the Japanese Society for Dialysis Therapy and the Japanese Society of Nephrology. The analysis methods involved the classification of medical institutions into three (educated, quasi-educated, and non-educated) groups according to the definition of patient education, summation in each group, and the testing of “structural” differences among the groups. 【Results】 The analysis of 354 valid responses demonstrated the following : 1) the rate of nurses providing education was 13.0% ; 2)such education was significantly associated with the introduction of more than one type of renal replacement therapy, and, regarding the trend of pathology in those patients, the predominance of medical diseases of the kidney (the same was true for the quasi-educated group) ; 3) providing education was significantly associated with a great workload ; and 4) it was also significantly correlated with the assignment of certified nurses as specialist and the preparation of blood collection rooms. 【Discussion】 The rate of nurses providing education, which is considered intended for mainly peritoneal dialysis, was only 13%. However, since the assignment of certified nurses as specialists is expected to facilitate patient education, it is important to train highly specialized nurses such as Certified Nurse Specialist in Chronic Care Nursing. It is also beneficial to prepare blood collection rooms as a means to functionally differentiate outpatient nursing. Under the conditions of complicated outpatient work, to overcome the current situation, it is necessary to streamline outpatient work, avoid complications, and “concentrate” on their patients.

The rate of nurses providing education for outpatients with stage 1-4 chronic kidney diseases and analysis of "structures" affecting this performance

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