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  • 1.
    Erlingmark, Julia
    et al.
    University Hospital, Uppsala, Sweden.
    Hedström, Mariann
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Nurse staffing and renal anaemia outcomes in haemodialysis care2016In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 42, no 3, p. 185-189Article in journal (Refereed)
    Abstract [en]

    Background

    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.

    Objectives

    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.

    Design

    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.

    Results

    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.

    Conclusions

    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.

  • 2.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Evidence-based Renal Care: Does it Matter2018In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 44, no 2, p. 63-64Article in journal (Other academic)
  • 3.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Fluid removal in haemodialysis - is yours too fast?2017In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 43, no 2, p. 71-72Article in journal (Other academic)
  • 4.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Single-case experimental designs: a clinical research opportunity in renal care2019In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 45, no 2, p. 72-73Article in journal (Other academic)
  • 5.
    Lindberg, Magnus
    et al.
    Uppsala universitet.
    Fernandes, Manuel Agostinho Matos
    University of Evora.
    Self-efficacy in relation to limited fluid intake amongst Portuguese haemodialysis patients2010In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 36, no 3, p. 133-138Article in journal (Refereed)
    Abstract [en]

    Self-efficacy is a temporary and influenceable characteristic, related to situations and tasks, mediating health-promoting behaviours. This study aimed to evaluate psychometric properties of a Portuguese version of the Fluid Intake Appraisal Inventory, and to describe self-efficacy in relation to limited fluid intake amongst Portuguese haemodialysis patients. Respondents were recruited from three dialysis units, and 113 of 155 eligible patients gave their informed consent. The translated scale was distributed and collected by the head nurses. Interdialytic weight gain was calculated as percentage of dry weight. Satisfactory psychometric properties were estimated in the Portuguese context. The participants' self-efficacy in relation to low fluid intake was asymmetrically distributed; the majority had moderately to high self-efficacy while some patients had very low self-efficacy to limited fluid intake. There was a significant difference in self-efficacy to fluid restrictions; patients with a weight gain of 3.5% or less presented higher self-efficacy scores than did patients exceeding the cutoff point.

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