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If
you dont have an Acrobat Reader installed on your computer, you
may download it for free from the link below:
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Relationships Between Registered
Nurse Staffing, Processes of Nursing
Care, and Nurse-Reported Patient
Outcomes in Chronic Hemodialysis Units
(Vol
35/No. 2. On-line test expires: 02/20/2010)
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To
receive continuing education credit, you must read the
information in this article and take an on-line post
test and fill out an on-line program evaluation form.
The certificate will then be generated for you as a
.pdf file which you can print out locally on your computer.
CE Certification by ANNA requires a handling charge
that must be paid by credit card. Pricing information
is available by clicking on the "Post-Test Evaluation"
link below.
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Please
download and print the PDF file below:
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Charlotte Thomas-Hawkins, PhD, RN
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Charlotte Thomas-Hawkins, PhD, RN, is an
Assistant Professor, College of Nursing, Rutgers, The
State University of New Jersey, Newark, NJ. She is
a member of ANNA’s Garden State Chapter.
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Linda Flynn, PhD, RN
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Linda Flynn, PhD, RN, is an Assistant Professor,
College of Nursing, Rutgers, The State University of
New Jersey, Newark, NJ.
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Sean P. Clarke, PhD, CRNP, FAAN
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Sean P. Clarke, PhD, CRNP, FAAN, is an
Associate Professor of Nursing and Associate Director,
Center for Health Outcomes and Policy Research,
University of Pennsylvania, Philadelphia, PA.
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Little attention has been given to the effects of registered nurse (RN) staffing and
processes of nursing care on patient outcomes in hemodialysis units. This research examined
the effects of patient-to-RN ratios and necessary tasks left undone by RNs on the
likelihood of nurse-reported frequent occurrences of adverse patient events in chronic
hemodialysis units. Study findings revealed that high patient-to-RN ratios and increased
numbers of tasks left undone by RNs were associated with an increased likelihood of frequent
occurrences of dialysis hypotension, skipped dialysis treatments, shortened dialysis
treatments, and patient complaints in hemodialysis units. These findings indicate that
federal, state, and dialysis organization policies must foster staffing structures and
processes of care in dialysis units that effectively utilize the invaluable skills and services
of professional, registered nurses.
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CE
RELATED INFORMATION |
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This
offering for 1.4 contact
hours is being provided by
the
American
Nephrology Nurses’ Association
(ANNA), which
is accredited as a provider
and approver of continuing
education in nursing by
the American Nurses’
Credentialing Center-Commission
on Accreditation (ANCCCOA).
This educational activity
is approved by most states
and specialty organizations
that recognize the ANCC-COA
accreditation process. ANNA
is an approved provider of
continuing education in nursing
by the California Board of
Registered Nursing, BRN Provider
No. 00910; and the Kansas
State Board of Nursing, Provider
No. LT0148-0738. This offering
is accepted for RN and LPN
relicensure in Kansas.
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Goal:
To investigate the relationship between RN staffing and processes of nursing care
and adverse patient events.
Objectives:
1. Summarize the results of a study of staff nurses and adverse patient events in
hemodialysis settings.
2. Analyze the findings related to RN staffing and adverse patient events in the
study.
3. Describe the identified relationships and highlight the need for federal, state, and
dialysis organizational policies to effectively utilize the skills and services of professional
RNs.
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AUTHOR DISCLOSURE
STATEMENT |
Charlotte Thomas-Hawkins
has no conflicts of interest to disclose.
Linda Flynn
has no conflicts of interest to disclose.
Sean P. Clarke
has no conflicts of interest to disclose.
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ANNA and HDCN CE POLICY STATEMENTS |
The CE policy and disclosure statements of the American Nephrology
Nurses' Association are given in detail on the Symposium
Home Page. The CE policy statements of HDCN are listed on
this page. |
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