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

NCT02266979 | Completed

• 1 other identifier: AEFIIRPDstaff2014
• Study Type: observational
• Target: 10
• Locations: 1 country
• Sites: 1

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.

Conditions

Chronic Renal Failure

Keywords

peritoneal dialysis; nursing staff; nursing activities; Personnel Downsizing

Outcome Measures

Primary Outcomes (1)

• number of activities ( direct or indirect care) performed by peritoneal dialysis nurse

  after focal groups a list we all activities performed by PD nurses will be prepared

  6 months

Secondary Outcomes (1)

• time to perform activities

  6 months

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• 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

You may qualify if:

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

You may not qualify if:

• Not applicable
• Consent withdraw

Sponsors & Collaborators

• Ana Elizabeth Prado Lima Figueiredo: lead

Study Sites (1)

Pontificia Universidade Católica Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, 90.619-900, Brazil

Location

MeSH Terms

Conditions

Kidney Failure, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency, Chronic; Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ana E Figueiredo, RN, PhD

  Pontificia Universidade Católica do Rio Grande do Sul

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 28, 2014
• First Posted: October 17, 2014
• Study Start: June 1, 2014
• Primary Completion: September 1, 2016
• Study Completion: September 1, 2016
• Last Updated: November 15, 2016

Record last verified: 2016-11

Locations

BR (1)