Developing and testing a clinical guideline for self-management related to fluid restriction in dialysis patients. An evidence-informed individualized approach

2.50
Hdl Handle:
http://hdl.handle.net/10755/151270
Type:
Presentation
Title:
Developing and testing a clinical guideline for self-management related to fluid restriction in dialysis patients. An evidence-informed individualized approach
Abstract:
Developing and testing a clinical guideline for self-management related to fluid restriction in dialysis patients. An evidence-informed individualized approach
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Grypdonck, Maria H.F., Ph, D
P.I. Institution Name:Ghent University
Title:Professor
Co-Authors:Saskia Weldam, NIA
[Research Presentation] Evidence Based Practice has led to a proliferation and an increased use of clinical guidelines. There is, however, an essential tension between the epidemiologic approach in which guidelines are rooted, and the need to individualize nursing care. This tension was addressed in the development of a guideline related to fluid restriction in dialysis patients. The guideline is built on a format that takes the lived experience of the patient as the point of departure. Nurses are offered choices and possibilities, and the rationale, including the available evidence, is discussed in the guideline. The guideline has been tested in the care of dialysis patients in three small scale projects, including 45 patients in total. Nurses have received instruction to use the guideline in the care of some of their patients. Patients and nurses were interviewed afterwards and their experiences systematically analyzed using qualitative research methods. The Interdialytic weight gain indicated to what extent patients were able to restrict their fluids. The analysis of the data showed that prescribing evidence informed individualized care to assist in the self-management of fluid restriction is a valuable approach. Individualized care based on the lived experience of the patient requires more than that prescriptions of guidelines are adapted to the specific situation of the patient. It should affect both the content and the format of guidelines. Acknowledgement. We acknowledge the contributions of the following co-researchers: M.J. Litjens; M. Waterschoot; G. Verhoeven-Smeets, B. Vlaeminck.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeveloping and testing a clinical guideline for self-management related to fluid restriction in dialysis patients. An evidence-informed individualized approachen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151270-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Developing and testing a clinical guideline for self-management related to fluid restriction in dialysis patients. An evidence-informed individualized approach</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Grypdonck, Maria H.F., Ph, D</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Ghent University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">maria.grypdonck@ugent.be</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Saskia Weldam, NIA</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Evidence Based Practice has led to a proliferation and an increased use of clinical guidelines. There is, however, an essential tension between the epidemiologic approach in which guidelines are rooted, and the need to individualize nursing care. This tension was addressed in the development of a guideline related to fluid restriction in dialysis patients. The guideline is built on a format that takes the lived experience of the patient as the point of departure. Nurses are offered choices and possibilities, and the rationale, including the available evidence, is discussed in the guideline. The guideline has been tested in the care of dialysis patients in three small scale projects, including 45 patients in total. Nurses have received instruction to use the guideline in the care of some of their patients. Patients and nurses were interviewed afterwards and their experiences systematically analyzed using qualitative research methods. The Interdialytic weight gain indicated to what extent patients were able to restrict their fluids. The analysis of the data showed that prescribing evidence informed individualized care to assist in the self-management of fluid restriction is a valuable approach. Individualized care based on the lived experience of the patient requires more than that prescriptions of guidelines are adapted to the specific situation of the patient. It should affect both the content and the format of guidelines. Acknowledgement. We acknowledge the contributions of the following co-researchers: M.J. Litjens; M. Waterschoot; G. Verhoeven-Smeets, B. Vlaeminck.</td></tr></table>en_GB
dc.date.available2011-10-26T10:57:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:57:03Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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