The Japanese Journal of Clinical Dialysis Vol.19 No.3(3-2-1)

Theme The Quality of Nursing for Dialysis Treatment and the Amount of Nursing Available
Title Practical significance of the degree table for hemodialysis nursing -- Osaka Prefectural General Hospital
Publish Date 2003/03
Author Makiko Harukidani Department of Nursing, Osaka Prefectural General Hospital
Author Noriko Iwai Department of Nursing, Osaka Prefectural General Hospital
Author Misuzu Jho Department of Nursing, Osaka Prefectural General Hospital
Author Naomi Ikeda Department of Nursing, Osaka Prefectural General Hospital
[ Summary ] During dialysis, nursing is made difficult because of various accidents. This is due in part to the increase in the number of patients who have severe complications. Our original degree table for hemodialysis nursing can be precisely understood in relation to degree of patient illness and is effective for accident prevention. At this time, we are inspecting the usage and merit of the table in different types of dialysis nursing. We examined the practical use of and developments in nursing care in relation to degree table for hemodialysis nursing. Nurses with over three years experience were questioned over a three to five year period, concerning hemodialysis nursing. This information resulted in a new manual. Nurses with 3 years of experience had the goal of creating a care plan to immediately treat patients for whom of medium level nursing care is necessary. Nurses with five years experience took charge of the most seriously ill patients, prompting assessments where quick care is needed. By using the nursing the degree table for hemodialysis, they were able to evaluate degree of illness and a classification by themselves. In addition, this method helps to develop new types of education and management.
We can understand the necessary changes in nursing care time and degree by using the table for hemodialysis nursing and share information. This is possible even if the person in charge is switched, and care can be maintained. The degree table for hemodialysis nursing is useful for creating materials for new forms of education or to improve quality of nursing.
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