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Nurse staffing and renal anaemia outcomes in haemodialysis care
University Hospital, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
2016 (English)In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 42, no 3, 185-189 p.Article in journal (Refereed) PublishedText
Abstract [en]


Current trends in renal anaemia management place greater emphasis, and thus increased workload, on the role of the nurse in haemodialysis settings. However, there is little evidence that demonstrates the relationship between nurse staffing and patient outcomes.


To describe nurse staffing in haemodialysis settings, its relationship with target levels of renal anaemia management and to describe target level achievement for different ways of organising anaemia management.


Cross-sectional audit. Participants Forty (out of 78) haemodialysis centres in Sweden reported quality assurance data. Measurements The numbers of bedside registered nurses, licensed nurse assistants and patients undergoing haemodialysis during a predefined morning shift; type of anaemia management and achieved target levels of anaemia management.


The mean patient:registered nurse ratio was 2.4 and the mean patient:nurse assistant ratio was 12.8. There were no significant relationships between registered nurse staffing and target level achievement. On average, 45.6% of the patients had haemoglobin within the target levels at centres applying nurse-driven anaemia management, compared with 47.3% at physician-driven centres.


These cross-sectional data suggest that renal anaemia outcomes are unrelated to the patient:registered nurse ratio. There is, however, room for improvement in renal anaemia management in the units included in this study, particularly the achievement of target levels of haemoglobin and transferrin saturation.

Place, publisher, year, edition, pages
2016. Vol. 42, no 3, 185-189 p.
Keyword [en]
Haemodialysis, Haemoglobin, Nurse staffing, Renal anaemia, Transferrin saturation
National Category
URN: urn:nbn:se:hig:diva-22133DOI: 10.1111/jorc.12167PubMedID: 27364918ScopusID: 2-s2.0-84982973133OAI: oai:DiVA.org:hig-22133DiVA: diva2:947489
Available from: 2016-07-08 Created: 2016-07-08 Last updated: 2016-09-09Bibliographically approved

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