ORCID Profile
0000-0002-5057-5457
Current Organisations
Deakin University Geelong - Waterfront Campus
,
USDA Agricultural Research Service
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Publisher: Wiley
Date: 20-05-2014
DOI: 10.1111/NEP.12231
Abstract: There has been a global decline in the uptake of home-based dialysis therapies in the past 20 years. The ability to provide appropriate information to potential patients in this area may be confounded by a lack of knowledge of home dialysis options. The aim of this study was to develop a web-based education package for health professionals to increase knowledge and positive perceptions of home-based dialysis options. A three-module e-learning package concerning home dialysis was developed under the auspices of the home dialysis first project. These modules were tested on 88 undergraduate health professionals. Changes in attitudes and knowledge of home dialysis were measured using custom designed surveys administered electronically to students who completed the modules. Matched pre and post responses to the survey items were compared using Wilcoxon signed rank tests. The pre survey indicated clear deficits in existing knowledge of home dialysis options. In particular, when asked if haemodialysis could be performed at home, 22% of participants responded 'definitely no' and a further 24% responded 'probably no'. Upon completion of the e-learning, post survey responses indicated statistically significant improvements (P < 0.001) in eight of the nine items. When asked if the e-learning had increased their knowledge about home dialysis, 99% of participants responded 'definitely yes'. A suite of web-based education modules can successfully deliver significant improvements in awareness and knowledge around home dialysis therapies.
Publisher: SAGE Publications
Date: 27-01-2022
DOI: 10.1177/11297298211069821
Abstract: Standard cannulation practice for hemodialysis consists of inserting needles “blindly” through skin into an arteriovenous fistula (AVF), which is more likely to cause damage. Point-of-care ultrasound (POCUS) guided cannulation has potential for less damage however, efficacy of this technique has not been explored. Our purpose was to test the feasibility and effectiveness of POCUS guidance for cannulation of AVFs in hemodialysis patients. A random-order crossover research design was used patients and nurses acted as their own control. S le included 13 patients with functioning AVFs and 9 nurses, recruited from a single hemodialysis center. All nurses cannulated all patients using standard and POCUS-guided cannulation. Data were collected at each cannulation (time taken, nurse position, probe direction, pressures, patient satisfaction, pain scores). Ultrasound images of needle position were collected from which needle tip locations inside vessels were measured. Nurses were surveyed at three timepoints and were interviewed at conclusion of data collection. Analysis involved linear mixed-models for clinical data, descriptive statistics for binary and feasibility data, and content analysis for interview data. Eleven patients and seven nurses completed. Protocol adherence was 94.4%. Two miscannulations occurred, both during standard cannulation. Cannulation time using POCUS guidance was significantly higher than standard cannulation ( p = 0.008, 95% CI 39–166). All other variables showed no statistically significant difference. Content analysis of interview data showed cultural shift toward use of POCUS nurses gained confidence and become more proficient in their POCUS technique. Random-order crossover is a feasible design to measure differences in POCUS-guided and standard cannulation. It is also feasible to implement POCUS into hemodialysis centers and whilst POCUS guidance takes longer, nurses become more proficient, and confident with persistent use.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 04-2014
Publisher: Springer Science and Business Media LLC
Date: 26-11-2018
Publisher: SAGE Publications
Date: 23-09-2021
Publisher: Elsevier BV
Date: 12-2013
Publisher: Wiley
Date: 04-02-2022
DOI: 10.1111/JORC.12411
Abstract: Haemodialysis plastic cannulae have been limited to incident arterio‐venous fistulae cannulation or in those who require a more flexible in situ access device. The feasibility of plastic cannulae in prevalent patients on haemodialysis has not been reported. To determine the feasibility of plastic cannulae in prevalent haemodialysis patients. Prospective feasibility crossover randomised control trial. Adults diagnosed with chronic kidney disease G5 requiring haemodialysis three or more times per week via a native arteriovenous fistula previously cannulated for at least 6 weeks. Cannulation success rate, cannulation manipulation type, arterial and venous needle pressure. Patient needle‐related anxiety as measured by the 4‐item Patient Health Questionnaire and Meditation in Dialysis Questionnaire and nurse satisfaction. Eight patients completed 12 weeks plastic canulae and metal needles. Plastic cannulae were less likely to be successful in cannulation compared to metal needles (odds ratio = 0.15 95% confidence interval [CI]: 0.05–0.48 p = 0.001). There was no effect of type of needle on the change in arterial needle pressure or change in venous needle pressure and no effect of plastic needle on repositioning (relative risk [RR] = 1.09 95% CI: 0.385, 3.089 p = .871) or gauze pillow application (RR = 0.936 95% CI: 0.467, 1.874 p = .851) than metal needles, relative to no manipulation. There were low rates of psychological distress or needle‐related anxiety towards plastic or metal needles. Plastic cannulae are feasible in prevalent haemodialysis patients, however, metal needles are still preferred in a haemodialysis center that has historically used metal needles.
Publisher: Wiley
Date: 03-08-2202
DOI: 10.1111/SDI.12909
Location: United States of America
No related grants have been discovered for Jay Shockey.