IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i13-14p2535-2543.html
   My bibliography  Save this article

A nurse prescriber‐led protocol for anaemia management in established haemodialysis patients: A retrospective study

Author

Listed:
  • Sani George
  • Margaret McCann

Abstract

Aim and objective To evaluate the impact of a nurse prescriber‐led protocol compared to a traditional physician‐led nonprotocol‐based approach had on maintaining targeted haemoglobin levels in patients on maintenance haemodialysis. Background Anaemia is a common complication of chronic kidney disease and has a profound impact on the patients’ well‐being. Current practices place a greater emphasis on the decision‐making role of nurses in renal anaemia management. The introduction of nurse prescribing in this area is a relatively new concept. Design A retrospective cohort design, covering an eight‐month period pre‐ and post introduction of a nurse prescriber‐led anaemia protocol; study adheres to the STROBE Statement. Methods Using a nonprobability convenience sample, data extracted from the medical records and electronic patient records system (eMed) related to 74 patients at a single outpatient haemodialysis centre located within an acute general teaching hospital. The primary outcome was patients’ haemoglobin level pre‐ and post introduction of the protocol. Secondary outcomes included erythropoietin‐stimulating agent and iron dosage, and serum ferritin and transferrin saturation levels. Results There were no statistically significant differences between pre‐ and post protocol serum haemoglobin level and erythropoietin‐stimulating agent dosage. Under the management of the nurse prescriber, patients experienced a significant improvement in serum ferritin and transferrin saturation levels and required significantly less intravenous iron dosage. Conclusions This study, the first of its kind, found that patients receiving haemodialysis experience a significant improvement in iron indices while receiving a significantly lower amount of intravenous iron when managed by a nurse prescriber. Furthermore, the nurse prescribers’ decision‐making capacity is as effective as a physician‐led nonprotocol‐based approach in achieving haemoglobin target levels. Relevance to clinical practice Nurse prescribers have a role in implementing a safe, standardised and sustained approach to anaemia management in outpatient haemodialysis settings without compromising patient care.

Suggested Citation

  • Sani George & Margaret McCann, 2020. "A nurse prescriber‐led protocol for anaemia management in established haemodialysis patients: A retrospective study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2535-2543, July.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:13-14:p:2535-2543
    DOI: 10.1111/jocn.15275
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15275
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.15275?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sushila Saunders & Martha LP MacLeod & Vince Salyers & Peter D MacMillan & Malcolm R Ogborn, 2013. "Anaemia management protocols in the care of haemodialysis patients: examining patient outcomes," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(15-16), pages 2206-2215, August.
    2. Ann Bonner & Marie Caltabiano & Lois Berlund, 2013. "Quality of life, fatigue, and activity in Australians with chronic kidney disease: A longitudinal study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 360-367, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tjaša Filipčič & Špela Bogataj & Jernej Pajek & Maja Pajek, 2021. "Physical Activity and Quality of Life in Hemodialysis Patients and Healthy Controls: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
    2. Melissa K. Weinberg & Paul N. Bennett & Robert A. Cummins, 2016. "Validation of the Personal Wellbeing Index for People with End Stage Kidney Disease," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 11(4), pages 1227-1240, December.
    3. Rutja Phuphaibul & Watana Teamprathom & Apa Puckpinyo & Supannee Tharakul, 2016. "Can a community‐based multidisciplinary intervention effectively restore renal function? A non‐randomized clinical trial," Nursing & Health Sciences, John Wiley & Sons, vol. 18(4), pages 533-538, December.
    4. Maren Kersten & Sylvie Vincent-Höper & Albert Nienhaus, 2020. "Stress of Dialysis Nurses—Analyzing the Buffering Role of Influence at Work and Feedback," IJERPH, MDPI, vol. 17(3), pages 1-14, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:29:y:2020:i:13-14:p:2535-2543. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.