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Enfermería universitaria
versión On-line ISSN 2395-8421versión impresa ISSN 1665-7063
Resumen
NUNEZ-MARRUFO, J. et al. Standardization of vascular access management in hemodialysis in a High Specialty Hospital in Yucatan. Enferm. univ [online]. 2017, vol.14, n.4, pp.286-292. ISSN 2395-8421. https://doi.org/10.1016/j.reu.2017.08.004.
Introduction:
Nursing healthcare quality in the hemodialysis unit of the High Specialty Regional Hospital of Yucatan is based on the scientific knowledge, the clinical evidence, and the patient safety.
Objective:
To improve patient care under hemodialysis treatment and homogenize the corresponding nursing practice.
Methods:
An intervention project was designed to standardize the management of vascular access through nursing staff training and good performance. The initiative was carried out in May-October, 2016 and included 12 nurses of the area who were assessed pre and post an intermediate level training.
Results:
Scores in the first assessment were below the quality standards: fistulae related: 27.58 ±2.644, and catheter-related: 26.58 ±4.033. The most sensitive procedures in each case were disconnection and healing respectively. After the training, the related scores improved considerably -the mean differences found in the management of both vascular accesses before and after the standardization of the procedure were t = -17.602, gl = 11, P = .000 for fistulae related, and t = -10.724, gl = 11, P = .000 for catheter related.
Conclusions:
Results confirmed the effectiveness of the training, and the provision and quality of the supplies have been further fostered. Moreover, other disciplines have also been involved in this initiative.
Palabras llave : Nursing care; Fistula; Indwelling catheters; Hemodialysis; Mexico.