1
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Brown RA, Hain DJ, Chiang-Hanisko L. Culture and Self-Care: Practices in Jamaican Adults with Diabetes Mellitus Residing in South Florida. Nephrol Nurs J 2022; 49:359-365. [PMID: 36054809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Jamaican adults with diabetes mellitus (DM) living in South Florida often believe taking conventional medications can cause harm. In an effort to limit adverse effects of these medicines, they frequently engage in folk care. However, this practice could actually increase risks of DM-associated complications, such as chronic kidney disease. Little is known about what folk care Jamaican adults are integrating into everyday health care. This focused ethnography explored and described how Jamaican adults with DM who live in South Florida use folk care for managing their DM. Knowing what folk care is part of everyday health practices among ethnical and racially diverse populations, such as Jamaican adults in this study, can help inform nephrology nursing practice and support future research.
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Affiliation(s)
- Raquel A Brown
- Visiting Instructor, Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL
| | - Debra J Hain
- Associate Professor, Florida Atlantic University, Boca Raton, FL
- Nurse Practitioner, the Cleveland Clinic Florida, Weston, FL
- member of ANNA's South Florida Flamingo Chapter
| | - Lenny Chiang-Hanisko
- Associate Professor, Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL
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2
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Gomez NJ, Castner D, Hain DJ, Latham C, Cahill M. Nephrology Nursing Scope and Standards of Practice: Take Pride in Practice. Nephrol Nurs J 2022; 49:313-327. [PMID: 36054804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The Nephrology Nursing Scope and Standards of Practice, 9th Edition, published by the American Nephrology Nurses Association, defines the scope of nephrology nursing and provides standards of practice, standards of professional performance, and competencies for registered nurses and graduate-level prepared registered nurses (e.g., advanced practice registered nurses, clinical nurse specialists) in an approach consistent with the American Nurses Association's Nursing Scope and Standards of Practice, published in 2021. Discussions addressing respect, equity, inclusion, and social justice have been included in the 9th edition. A new section related to altered/crisis standards has been added to assist nephrology nurses in developing strategies for implementing those standards. The section on how to use the standards has been updated with forms that organizations can download and individualize. This article provides an overview of the scope, standards, competencies, and strategies for implementing them in clinical practice.
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Affiliation(s)
- Norma J Gomez
- Nurse Consultant, Russellville, TN
- Editor, Nephrology Nursing Scope and Standards of Practice, 9th Edition
- Past President of ANNA
- member of ANNA's Blue Ridge Chapter
| | - Debra Castner
- Advanced Practice Registered Nurse Consultant
- contributor to the Nephrology Nursing Scope and Standards of Practice, 9th Edition
- member of ANNA's Tidewater Chapter
| | - Debra J Hain
- Associate Professor, Florida Atlantic University, Boca Raton, FL
- Nurse Practitioner, the Cleveland Clinic Florida, Weston, FL
- contributor to the Nephrology Nursing Scope and Standards of Practice, 9th Edition
- member of ANNA's South Florida Flamingo Chapter
| | - Carolyn Latham
- Nurse Consultant in Orlando, FL
- contributor to the Nephrology Nursing Scope and Standards of Practice, 9th Edition
- Past President of ANNA
- member of ANNA's North Central Florida Chapter
| | - Molly Cahill
- Nephrology Nurse Practitioner, KC Kidney Consultants, Kansas City, MO
- contributor to the Nephrology Nursing Scope and Standards of Practice, 9th Edition
- member of ANNA's Heart of America Chapter
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3
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Payongayong JV, Thomas-Hawkins C, Jarrín OF, Barberio J, Hain DJ. Effects of End-of-Life Communication Knowledge, Attitudes, and Perceived Behavioral Control on End-of-Life Communication Behaviors Among Nephrology Nurse Practitioners. Nephrol Nurs J 2022; 49:213-225. [PMID: 35802360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The scope of end-of-life communication is not well known among nephrology advanced practice nurses (APNs). Guided by the Theory of Planned Behavior, the study aimed to examine the independent effects of knowledge, attitude, and perceived behavioral control on the engagement of APNs in end-of-life communication and the mediating and moderating effects of attitude and perceived behavioral control on the relationships between knowledge and end-of-life communication. A theoretically derived 17-item survey measuring the concepts was administered to a convenience sample of 127 APNs. Descriptive statistics, Pearson's correlation, and multiple linear regression were employed. Attitudes and perceived behavioral control on end-of-life communication mediated and moderated the relationship between knowledge of end-of-life communication and engagement in end-of-life communication among nephrology APNs.
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Affiliation(s)
- Joanne V Payongayong
- Critical Care Advanced Practice Nurse, Valley Hospital, Ridgewood, NJ
- member of ANNA
| | - Charlotte Thomas-Hawkins
- Associate Professor, Associate Dean, Nursing Science Division and Director, Center for Health Services Research and Policy at Rutgers, The State University of New Jersey, Newark, NJ
- member of ANNA's New Jersey Chapter
| | - Olga F Jarrín
- Assistant Professor, Rutgers, The State University of New Jersey School of Nursing, Division of Nursing Science, and Rutgers Institute for Health, Health Care Policy, and Aging Research, New Brunswick, NJ
| | - Judith Barberio
- Clinical Associate Professor, Division of Nursing Science at Rutgers, The State University of New Jersey School of Nursing, Newark, NJ
- Advanced Practice Nurse in Pain Management and Palliative Care at St.Michael's Medical Center, Newark, NJ
- Board Member of the NJ Palliative Care Advance Practice Nurse Consortium
| | - Debra J Hain
- Professor, DNP Program Director, Graduate Co-Coordinator, AGNP Concentration, Florida Atlantic University, Christine E. Lynn College of Nursing, Boca Raton, FL
- President-Elect of ANNA's South Florida Flamingo Chapter
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4
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Brown RA, Hain DJ, Hanisko LC. Culture and Self-Care: Practices in Jamaican Adults with Diabetes Mellitus Residing in South Florida. Nephrol Nurs J 2022. [DOI: 10.37526/1526-744x.2022.49.4.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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5
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Payongayong JV, Thomas-Hawkins C, Jarrin OF, Barberio J, Hain DJ. Effects of End-of-Life Communication Knowledge, Attitudes, and Perceived Behavioral Control on End-of-Life Communication Behaviors Among Nephrology Nurse Practitioners. Nephrol Nurs J 2022. [DOI: 10.37526/1526-744x.2022.49.3.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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6
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Scott T, Hain DJ, Pryor L. Impact of Structural Racism on Kidney Health: A Scoping Review. Nephrol Nurs J 2021; 48:463-479. [PMID: 34756001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Structural racism remains a fundamental reason for persistent health disparities in the United States. The coronavirus disease 2019 (COVID-19) pandemic has highlighted that structural racism persists and negatively impacts the health of Black Americans. Despite significant evidence demonstrating the impact of structural racism on health, there is a lack of evidence explicitly focusing on kidney health. This scoping review was conducted to analyze the available evidence to identify the best strategies nephrology nurses can utilize to dismantle structural racism and improve kidney health in Black Americans. Results of this scoping review (n = 12) identified significant gaps in the literature regarding strategies to improve kidney health in Black Americans. There is a need for future research to understand the effect of structural racism on kidney health.
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Affiliation(s)
- Tanya Scott
- Director Patient Services - Adult Dialysis, Apheresis, Renal Telemetry, Baylor St. Luke's Medical Center, Houston, TX
- Secretary, ANNA Board of Directors
- President of ANNA's Gulf Coast Chapter
| | - Debra J Hain
- Professor, Graduate Coordinator AGNP Concentration, Florida Atlantic University, Christine E. Lynn College of Nursing, Boca Raton, FL
- President-Elect of ANNA's South Florida Flamingo Chapter
| | - Lillian Pryor
- Senior Manager, Medical Education, CVS Kidney Care, Wellesley, MA
- Immediate Past President of ANNA (2021-2022)
- member of ANNA's Dogwood Chapter
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7
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Palmer BF, Carrero JJ, Clegg DJ, Colbert GB, Emmett M, Fishbane S, Hain DJ, Lerma E, Onuigbo M, Rastogi A, Roger SD, Spinowitz BS, Weir MR. Clinical Management of Hyperkalemia. Mayo Clin Proc 2021; 96:744-762. [PMID: 33160639 DOI: 10.1016/j.mayocp.2020.06.014] [Citation(s) in RCA: 67] [Impact Index Per Article: 22.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 05/18/2020] [Accepted: 06/10/2020] [Indexed: 12/26/2022]
Abstract
Hyperkalemia is an electrolyte abnormality with potentially life-threatening consequences. Despite various guidelines, no universally accepted consensus exists on best practices for hyperkalemia monitoring, with variations in precise potassium (K+) concentration thresholds or for the management of acute or chronic hyperkalemia. Based on the available evidence, this review identifies several critical issues and unmet needs with regard to the management of hyperkalemia. Real-world studies are needed for a better understanding of the prevalence of hyperkalemia outside the clinical trial setting. There is a need to improve effective management of hyperkalemia, including classification and K+ monitoring, when to reinitiate previously discontinued renin-angiotensin-aldosterone system inhibitor (RAASi) therapy, and when to use oral K+-binding agents. Monitoring serum K+ should be individualized; however, increased frequency of monitoring should be considered for patients with chronic kidney disease, diabetes, heart failure, or a history of hyperkalemia and for those receiving RAASi therapy. Recent clinical studies suggest that the newer K+ binders (patiromer sorbitex calcium and sodium zirconium cyclosilicate) may facilitate optimization of RAASi therapy. Enhancing the knowledge of primary care physicians and internists with respect to the safety profiles of these newer K+ binders may increase confidence in managing patients with hyperkalemia. Lastly, the availability of newer K+-binding agents requires further study to establish whether stringent dietary K+ restrictions are needed in patients receiving K+-binder therapy. Individualized monitoring of serum K+ among patients with an increased risk of hyperkalemia and the use of newer K+-binding agents may allow for optimization of RAASi therapy and more effective management of hyperkalemia.
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Affiliation(s)
- Biff F Palmer
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
| | - Juan Jesus Carrero
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Deborah J Clegg
- Drexel University College of Nursing and Health Professions, Philadelphia, PA
| | | | | | - Steven Fishbane
- Department of Medicine, Zucker School of Medicine at Hofstra/Northwell, Great Neck, NY
| | - Debra J Hain
- Christine E. Lynn College of Nursing, Florida Atlantic University, and Cleveland Clinic Florida, Weston, FL
| | - Edgar Lerma
- Department of Medicine, University of Illinois at Chicago/Advocate Christ Medical Center, Oak Lawn
| | - Macaulay Onuigbo
- Robert Larner College of Medicine, University of Vermont Medical Center, Burlington
| | - Anjay Rastogi
- David Geffen School of Medicine, University of California, Los Angeles
| | - Simon D Roger
- Renal Research, Gosford Hospital, Gosford, Australia
| | | | - Matthew R Weir
- Department of Medicine, University of Maryland School of Medicine, Baltimore
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8
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Scott T, Hain DJ, Pryor L. Impact of Structural Racism on Kidney Health: A Scoping Review. Nephrol Nurs J 2021. [DOI: 10.37526/1526-744x.2021.48.5.463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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9
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Leavitt MA, Hain DJ, Keller KB, Newman D. Testing the Effect of a Home Health Heart Failure Intervention on Hospital Readmissions, Heart Failure Knowledge, Self-Care, and Quality of Life. J Gerontol Nurs 2020; 46:32-40. [PMID: 31978237 DOI: 10.3928/00989134-20191118-01] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 09/06/2019] [Indexed: 01/26/2023]
Abstract
For older adults, heart failure (HF) has the highest 30-day hospital readmission rate of any chronic illness. Despite research into strategies to reduce readmissions, no single program has emerged as sustainable. The purpose of the current study was to test a researcher-developed home health nurse HF intervention (CareNavRN™) on 30-day readmission rates, HF knowledge, self-care, and quality of life (QOL) among 40 older adults transitioning home. Home health nurses received specialized HF training and visited patients once per week at home for 4 weeks. The control group (n = 21) had six readmissions (29%) and the intervention group (n = 19) had three readmissions (16%); however, the results were underpowered and statistically nonsignificant. Pre-/post-surveys demonstrated significant improvement in HF knowledge (p = 0.043), self-care confidence (p = 0.003), and QOL (p < 0.001) in the intervention group. CareNavRN is a promising approach to improve outcomes during transition from hospital to home for patients without access to a comprehensive disease management program. [Journal of Gerontological Nursing, 46(2), 32-40.].
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10
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Sullivan GJ, Hain DJ, Williams C, Newman D. Story-Sharing Intervention to Improve Depression and Well-Being in Older Adults Transitioning to Long-Term Care. Res Gerontol Nurs 2019; 12:81-90. [PMID: 30703216 DOI: 10.3928/19404921-20190124-01] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Accepted: 12/12/2018] [Indexed: 11/20/2022]
Abstract
Older adults frequently experience depression and reduced well-being when transitioning to long-term care (LTC) that can lead to increased risk for mortality. In the current randomized controlled trial, older adults (N = 93) who were transitioning to LTC facilities in Southeast Florida were enlisted. It was hypothesized that when transitioning to LTC (a) story sharing (i.e., sharing stories in groups) could lead to reduced depression and improved well-being, and (b) baseline sociodemographic characteristics could predict depression and well-being. Baseline results revealed that participants were not depressed and had moderate well-being, and postintervention results indicated that there were no significant improvements in depression (p = 0.35) and well-being (p = 0.41). Some baseline sociodemographic characteristics predicted depression (p = 0.04) and well-being (p = 0.03). Future research should incorporate moderate depression as an inclusion criterion and more weeks of story-sharing sessions. Targets: Adults age 65 and older transitioning to LTC. Intervention Description: Two to three participants met as a group to share five stories over 3 weeks. Mechanisms of Action: Story sharing will improve well-being. Outcomes: Participant level of well-being will improve, and sociodemographic characteristics and factors related to the move will predict risk for depression and reduced well-being. [Res Gerontol Nurs. 2019; 12(2):81-90.].
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11
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Washington TR, Hain DJ, Zimmerman S, Carlton-LaNey I. Identification of Potential Mediators Between Depression and Fluid Adherence in Older Adults Undergoing Hemodialysis Treatment. Nephrol Nurs J 2018; 45:251-258. [PMID: 30304618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Controlled fluid intake is an important aspect of living with end stage renal disease (ESRD), and is complicated by depression, the most common mental health issue affecting individuals with ESRD. Factors that mitigate the deleterious effects of depression are underexplored. This study sought to identify potential mediators between depression and fluid adherence in 107 individuals with ESRD aged 50 years and older by comparing four logistic regression models. Age was associated with an increase in fluid adherence (adjusted odds ratio [AOR]=1.08, 95% confidence interval [CI]=1.02-1.14), whereas depression was associated with a decrease in fluid adherence (AOR=0.82, 95% CI=0.67-0.99), but when self-efficacy was entered into the model, the association between depression and fluid adherence weakened. Findings suggest that self-efficacy and age are important factors in fluid adherence, and self-efficacy can potentially mediate the negative effects of depression in older adults with ESRD.
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Affiliation(s)
| | - Debra J Hain
- Associate Professor, Christine E. Lynn College of Nursing, Florida Atlantic University
- Nurse Practitioner, Cleveland Clinic Florida, Department of Nephrology, Boca Raton, FL
- ANNA Research Committee Chair
- President-Elect of ANNA's Flamingo Chapter
| | - Sheryl Zimmerman
- Kenan Distinguished Professor, School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Iris Carlton-LaNey
- Berg-Beach Distinguished Professor, School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC
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12
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Hain DJ. Focusing on the Fundamentals: Comparing and Contrasting Nursing Research and Quality Improvement. Nephrol Nurs J 2017; 44:541-543. [PMID: 29281777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Debra J Hain
- Associate Professor, Florida Atlantic University, Christine E Lynn College of Nursing, Boca Raton, FL
- Cleveland Clinic Florida
- Chair of ANNA's Research Committee
- President-Elect of ANNA's South Florida Flamingo Chapter
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13
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Thomas-Hawkins C, Latham CE, Hain DJ. Emphasizing the Value of Nephrology Nursing Through Nursing-Sensitive Indicators: A Call for Action. Nephrol Nurs J 2017; 44:317-325. [PMID: 29160966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Nursing is the largest healthcare profession in the United States (U.S.). As principal frontline caregivers in the U.S. healthcare system, nurses have tremendous influence over a patient's healthcare experience. A growing body of evidence states that the nursing workforce has a direct impact on healthcare quality. A standardized approach to measuring nursing's contribution to patient care and safety using nursing-sensitive quality indicators assists in examining the extent to which nurses and nursing affect the quality and safety of health care. This article focuses on nursing-sensitive quality indicators and discusses healthcare quality indicators and nursing-sensitive indicators used in the U.S. A summary of the work of the American Nephrology Nurses' Association Task Force on Nephrology Nursing-Sensitive Quality Indicators (NNSQI) and an NNSQI exemplar are provided.
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Affiliation(s)
- Charlotte Thomas-Hawkins
- Associate Professor, Rutgers University School of Nursing, Newark, NJ
- Member of ANNA's Jersey South Chapter
| | - Carolyn E Latham
- Vice President, Clinical Leadership, Satellite Healthcare, Brentwood, TN
- Past President of ANNA
- Member of ANNA's Music City Chapter
| | - Debra J Hain
- Associate Professor, Florida Atlantic University, Christine E. Lynn College of Nursing, Boca Raton, FL
- Nephrology Nurse Practitioner, Cleveland Clinic Florida
- Chair, ANNA Research Committee
- ANNA President-Elect, South Florida Flamingo Chapter
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Hain DJ, Diaz D, Paixao R. What Are Ethical Issues When Honoring an Older Adult's Decision to Withdraw from Dialysis? Nephrol Nurs J 2016; 43:429-450. [PMID: 30550071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Over the next decade, nephrology nurses will witness a continual growth of older adults undergoing hemodialysis. At some point after initiating dialysis, some people will request withdrawal from dialysis, which can present ethical challenges for nurses as they engage in shared decision-making with the patient, family, and other healthcare professionals. This article presents an older adult's story from initiation of dialysis to withdrawal from dialysis and discusses an approach to address ethical issues related to withdrawal from dialysis.
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Affiliation(s)
- Debra J Hain
- Associate Professor and Lead AGNP Faculty, Davie Site Coordinator for FNP Concentration, Florida Atlantic University, Christine E Lynn College of Nursing, Boca Raton, FL
- Nurse Practitioner, Cleveland Clinic Florida, Department of Nephrology and Hypertension, Weston, FL
- Member and Health Policy Representative of ANNA's South Florida Flamingo Chapter
| | - Duna Diaz
- Nephrology Fellow, Cleveland Clinic Florida, Department of Nephrology and Hypertension, Weston, FL
| | - Rute Paixao
- Nephrologist, Cleveland Clinic Florida, Department of Nephrology and Hypertension, Weston, FL
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15
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Tappen RM, Worch SM, Elkins D, Hain DJ, Moffa CM, Sullivan G. Remaining in the nursing home versus transfer to acute care: resident, family, and staff preferences. J Gerontol Nurs 2015; 40:48-57. [PMID: 25275783 DOI: 10.3928/00989134-20140807-01] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2014] [Accepted: 07/03/2014] [Indexed: 11/20/2022]
Abstract
Resident and family insistence on transfer is a major factor in the occurrence of potentially avoidable transfers from nursing homes (NHs) to acute care. The purpose of this study was to explore resident, family, and staff preferences regarding transfer to acute care. A sample of 271 NH residents, family members, staff, and medical providers were interviewed. Seventy-seven percent of residents reported that they had not given any thought to the question of whether they would want to be transferred to acute care. Family members wanted more information than residents, but more residents (39%) thought they should be fully involved in the transfer decision than their family members (12%) or staff (12%). Staff preferred keeping residents in the NH. Families were divided between transferring residents and having them remain in the NH. More residents indicated that their desire to transfer would depend on the severity of their condition and their prognosis. Ethnic group differences were noted. Results suggest that discussion of this issue should occur soon after admission and that differences in perspectives may be expected from those involved.
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16
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Hain DJ, Kear TM. Using Evidence-Based Practice to Move Beyond Doing Things the Way We Have Always Done Them. Nephrol Nurs J 2015; 42:11-21. [PMID: 26290914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Contemporary health care demands better care for individuals with kidney disease. In the quest for the Triple Aim of health care--improving the experience of care, improving the health of populations, and reducing per capita costs of health care--nephrology nurses can no longer afford to practice the way we have always done. Instead, it is critical to consider the best available evidence, personal expertise, and patient/family preference when engaging in clinical decision-making. This article provides the steps to develop an evidence-based project to address a clinical problem.
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Hain DJ. Where's the Evidence? Care Coordination for Adults with Chronic Kidney Disease. Nephrol Nurs J 2015; 42:77-83. [PMID: 26290921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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18
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Hain DJ, Sandy D. Partners in care: patient empowerment through shared decision-making. Nephrol Nurs J 2013; 40:153-157. [PMID: 23767339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Debra J Hain
- Florida Atlantic University, Boca Raton, FL, USA.
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Hain DJ, Chan J. Best available evidence for peritoneal dialysis catheter exit-site care. Nephrol Nurs J 2013; 40:63-69. [PMID: 23539808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Debra J Hain
- Florida Atlantic University, Boca Raton, FL, USA.
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Hain DJ, Tappen R, Diaz S, Ouslander JG. Characteristics of Older Adults Rehospitalized Within 7 and 30 Days of Discharge: Implications for Nursing Practice. J Gerontol Nurs 2012; 38:32-44. [DOI: 10.3928/00989134-20120703-05] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2012] [Accepted: 03/02/2012] [Indexed: 11/20/2022]
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21
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Hain DJ. Home-based biobehavioural intervention reduces dependence, increases engagement of patients with dementia in the short term and improves care giver well-being and confidence. Evid Based Nurs 2011; 14:39-40. [PMID: 21421968 DOI: 10.1136/ebn.14.2.39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Debra J Hain
- Christine E Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.
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Hain DJ, Wands L, Liehr P. Approaches to Resolve Health Challenges in a Population of Older Adults Undergoing Hemodialysis. Res Gerontol Nurs 2011; 4:53-62. [DOI: 10.3928/19404921-20100330-01] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2009] [Accepted: 11/05/2009] [Indexed: 11/20/2022]
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23
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Davis JS, Liles AM, Hain DJ. NPs in nephrology. An overview of chronic kidney disease. Adv Nurse Pract 2010; 18:30-32. [PMID: 20648865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- Jane S Davis
- Division of Nephrology, University of Alabama at Birmingham, USA
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Hain DJ, Paixao RC, Amatya A, Braun M. Shared Medical Appointments for People with Chronic Kidney Disease: An Innovative Model of Care. Adv Chronic Kidney Dis 2009. [DOI: 10.1053/j.ackd.2009.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Hain DJ. Cognitive function and adherence of older adults undergoing hemodialysis. Nephrol Nurs J 2008; 35:23-29. [PMID: 18372760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
As the number of older adults undergoing hemodialysis increases, it is important for nurses to consider cognitive impairment as a contributing factor to non-adherence. The purpose of this exploratory study was to identify cognitive markers that nurses can use to alert them to potential problems with adherence among older adults undergoing hemodialysis. Stories of the health challenge of making lifestyle change were analyzed with a linguistic analysis software program. A standardized instrument (3MS) that measures global cognitive function was administered. Determination of adherence level was the last activity of data collection. In this sample (n=63), 39.7% of the participants had evidence of cognitive impairment (3MS score less than 80); 58.2% of the 39.7% had evidence of non-adherence. There was a significant relationship between word use and cognitive function (p < .01). Cognitive impairment is prevalent among older adults undergoing hemodialysis and words might be a proxy for recognizing this.
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Kinzner CL, Hain DJ. Understanding the eGFR. Nephrol Nurs J 2007; 34:655-657. [PMID: 18203575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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