Journal article
Current practice in dialysis central venous catheter management: multi-disciplinary renal team perspectives
Nephrology, Vol.25(5), pp.406-412
2020
PMID: 31260594
Abstract
Aim: To explore the current practices related to the insertion, management and removal of dialysis central venous catheters used in patients with chronic kidney disease requiring haemodialysis. Methods: This qualitative descriptive study involved semi-structured interviews with surgeons, interventional radiologists, renal physicians, dialysis nurses, renal access nurses and renal researchers involved in the care of patients with chronic kidney disease requiring haemodialysis. Data were collected from staff at eight hospitals in six States and Territories of Australia. Thirty-eight face-to-face interviews were conducted. A modified five-step qualitative content analysis approach was used to analyse the data. Results: Improved visualisation technology and its use by interventional radiologists has steered insertions to specialist teams in specialist locations. This is thought to have decreased risk and improved patient outcomes. Nurses were identified as the professional group responsible for maintaining catheter access integrity, preventing access failure and reducing access related complications. While best practice was considered important, justifications for variations in practice related to local patient and environment challenges, were identified. Conclusions: The interdisciplinary team is central in the insertion, maintenance, removal and education of patients regarding dialysis central venous catheters. Clinicians temper research-based decision-making about central dialysis access catheter management with knowledge of individual, environmental and patient factors. Strategies to ensure guidelines are appropriately translated for use in a wide variety of settings are necessary for patient safety.
Details
- Title
- Current practice in dialysis central venous catheter management: multi-disciplinary renal team perspectives
- Authors
- Alison Craswell (Corresponding Author) - University of the Sunshine Coast - School of Nursing, Midwifery & ParamedicineDeborah Massey (Author) - Southern Cross UniversityMarianne Wallis (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & ParamedicineDeepa Sriram (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & ParamedicineNicholas A Gray (Author) - Sunshine Coast HospitalSradha Kotwal (Author) - George institute for Global Health
- Publication details
- Nephrology, Vol.25(5), pp.406-412
- Publisher
- Wiley-Blackwell Publishing Asia
- Date published
- 2020
- DOI
- 10.1111/nep.13626
- ISSN
- 1320-5358
- PMID
- 31260594
- Copyright note
- Copyright © 2020 Wiley-Blackwell Publishing Asia. This is the accepted version of the following article: Craswell, A., Massey, D., Wallis, M., Sriram, D., Gray, N.A., Kotwal, S. and (2020), Current practice in dialysis central venous catheter management: Multi‐disciplinary renal team perspectives. Nephrology, 25: 406-412. https://doi.org/10.1111/nep.13626, which has been published in final form at https://doi.org/10.1111/nep.13626
- Organisation Unit
- School of Health - Nursing; UniSC Clinical Trials Centre; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Nursing, Midwifery and Paramedicine - Legacy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99451453902621
- Output Type
- Journal article
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- Urology & Nephrology
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