The Japanese Journal of Clinical Dialysis Vol.14 No.3(3-2-2)

Theme Dialysis Nursing -- How can we pursue the improvement of the quality of nursing
Title Strategy for continuous quality improvement in the nursing process -- Quality ilnprovement with patients
Publish Date 1998/03
Author Nobuko Kiyokawa Department of nursing, Shinzato Naika
[ Summary ] To improve the quality of nursing care for dialysis, we focused on the following modifications :
1. an improvement in the quality of life (QOL) of patients,
2. a revision of nursing duties,
3. improvements in nursing quality.
1. We have periodically conducted various events and seminars for dialysis instruction and counselling for all of our patients and staff. In addition to dialysis instruction, physical conditioning and fitness were emphasized in our seminars and events. As a result, the majority of our patients reported that their QOL has improved.
2. An advanced technique in shunt sterilization, accompanied with a change in attending shift schedules (to a 3 day a week schedule which involves 5 shifts and 40 working hours), we are doing well, dealing with a large number of patient.
3. Staff seminars, instruction on contacting patients and small group discussions, held in the clinic, yielded slow but concrete results.
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