Quality nephrology nursing care : beyond Kt/V

Bennett, Paul N. and Neill, Jane 2008, Quality nephrology nursing care : beyond Kt/V, Nephrology nursing journal, vol. 35, no. 1, January-February, pp. 33-37.

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Title Quality nephrology nursing care : beyond Kt/V
Author(s) Bennett, Paul N.ORCID iD for Bennett, Paul N. orcid.org/0000-0001-9174-3499
Neill, Jane
Journal name Nephrology nursing journal
Volume number 35
Issue number 1
Season January-February
Start page 33
End page 37
Total pages 5
Publisher American Nephrology Nurses' Association
Place of publication Pitman, N. J.
Publication date 2008-01
ISSN 1526-744X
Summary Ask nephrology nurses about the care in their hemodialysis units and they will probably say that high quality care is provided. This perception may reflect a genuine pride in their own and their colleagues' hemodialysis services, however, the meaning of high quality dialysis care remains unclear. Quality is often framed in terms of the high percentage of patients receiving a Kt/V of greater than 1.2 or 1.4. The unfortunate inference here is that high quality hemodialysis care is defined as the waste clearing service of the urea molecule. Defining quality in this narrow way conflicts with the caring and compassionate nursing ethic. Furthermore, it places a high value on a single mathematically derived formula that ignores many other indicators of quality dialysis care. In this article, the authors examine some historical, political, and technical features of Kt/V and use the metaphor of a hangover to illustrate the overuse of Kt/V, arguing that nurses have embraced Kt/V at the expense of other core elements of dialysis nursing care.
Language eng
Field of Research 110312 Nephrology and Urology
Socio Economic Objective 920199 Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2008, American Nephrology Nurses' Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30033139

Document type: Journal Article
Collection: School of Nursing and Midwifery
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