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Study to Determine Appropriate Nurse: Patient Ratios in Peritoneal Dialysis Programs

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ClinicalTrials.gov Identifier: NCT02266979
Recruitment Status : Completed
First Posted : October 17, 2014
Last Update Posted : November 15, 2016
Sponsor:
Information provided by (Responsible Party):
Ana Elizabeth Prado Lima Figueiredo, Pontificia Universidade Católica do Rio Grande do Sul

Brief Summary:
As the resolution of the Brazilian Federal Council of Nursing (COFEN) sizing the framework of nursing professionals is essential to ensure the safety and quality of patient care. To achieve such goals actions are needed to evaluate the variety of tasks and performance specific to each area in nursing profession. The National Agency for Health Surveillance (ANVISA), through Board Resolution (RDC-154) determines that the nurse to patient ratio is 1 to 30 in hemodialysis and 1 to 50 on peritoneal dialysis, however these targets are not based on any evidence, and same apply to other Latin-American countries. Objective: To determine the appropriate nurse: patient ratio for peritoneal dialysis unit. Method: This research will be developed in two phases. The first with an observational design with descriptive and qualitative approach. There will be a focus group with experts in the field, to defined the activities and responsibilities of the peritoneal dialysis nurse, and produce a tool with a list of activities. A time-orientated score will be created. In the second stage a cross-sectional quantitative approach will be used. To apply the instrument from by direct observation of activities performed by nurses during their workday. With the instrument activities will be timed and the overall time of each nursing activity will be determined by multiplying the time spent by the total number of patients. It is expected tat this strategy will increase time on treatment and/or decrease dropout rates, by developing an easy test/ formula application to determine the correct ratio according to the peritoneal dialysis program. This tool will provide better outcomes for patients as well as allow for growth of peritoneal dialysis programs with qualified assistance and patient safety.

Condition or disease
Chronic Renal Failure

Detailed Description:

Research question:

Can a time-oriented score system and expert consensus be applied to PD to develop an easy and repeatable system to evaluate work load for peritoneal dialysis nurses to achieve the best outcomes and allow for planned growth of the unit?


Study Type : Observational
Actual Enrollment : 10 participants
Time Perspective: Prospective
Official Title: Study to Determine Appropriate Nurse: Patient Ratios in Peritoneal Dialysis Programs
Study Start Date : June 2014
Actual Primary Completion Date : September 2016
Actual Study Completion Date : September 2016



Primary Outcome Measures :
  1. number of activities ( direct or indirect care) performed by peritoneal dialysis nurse [ Time Frame: 6 months ]
    after focal groups a list we all activities performed by PD nurses will be prepared


Secondary Outcome Measures :
  1. time to perform activities [ Time Frame: 6 months ]
    the time spend to perform each activities will be measured to calculate time spent with patients



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Renal nurses, master and PhD nurse experts in peritoneal dialysis to develop a list of activities to be timed
Criteria

Inclusion Criteria:

  • To have at least one year of experience with peritoneal dialysis

Exclusion Criteria:

  • Consent withdraw

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02266979


Locations
Brazil
Pontificia Universidade Católica Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, Brazil, 90.619-900
Sponsors and Collaborators
Ana Elizabeth Prado Lima Figueiredo
Investigators
Principal Investigator: Ana E Figueiredo, RN, PhD Pontificia Universidade Católica do Rio Grande do Sul

Responsible Party: Ana Elizabeth Prado Lima Figueiredo, Professor, Pontificia Universidade Católica do Rio Grande do Sul
ClinicalTrials.gov Identifier: NCT02266979     History of Changes
Other Study ID Numbers: AEFIIRPDstaff2014
First Posted: October 17, 2014    Key Record Dates
Last Update Posted: November 15, 2016
Last Verified: November 2016

Keywords provided by Ana Elizabeth Prado Lima Figueiredo, Pontificia Universidade Católica do Rio Grande do Sul:
peritoneal dialysis
nursing staff
nursing activities
Personnel Downsizing

Additional relevant MeSH terms:
Renal Insufficiency
Kidney Failure, Chronic
Kidney Diseases
Urologic Diseases
Renal Insufficiency, Chronic