The Japanese Journal of Clinical Dialysis Vol.19 No.3(2-2)

Theme The Quality of Nursing for Dialysis Treatment and the Amount of Nursing Available
Title Inquiry into the number of dialysis staff members necessary for safety and efficiency of medical treatment
Publish Date 2003/03
Author Chikao Yamazaki Masuko Memorial Hospital
[ Summary ] In order to insure the quality of dialysis treatment, to maintain its safety as well as efficiency and to improve the feeling of satisfaction in dialysis patients, it is important to establish a standardization of dialysis facilities. However, the level of standardization should not created by government edit only, but should be achieved through discussions with the staff participating in dialysis treatment. Among the many factors related to this criteria, proper number of dialysis staff members is considered to be the most important to achieve the purposes mentioned. This paper, examined the actual number of dialysis staff members in each dialysis facility according to the results reported by the Japanese Association of Dialysis Physicians. In addition, mention is made of a method of making arrangements to settle on a new standardization of dialysis facilities which must be determined in the near future. Based on many different view points, it was concluded that an investigation of the degree of nursing care for each patient, in other words the degree of time consuming work, is the most suitable criteria when considering adequate dialysis staffnumbers. The establishment of dialysis facility standardization, especially indications of proper dialysis staffnumbers, is an important point to guarantee the work status to dialysis staff members as well as their salary.
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