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Do renal access coordinators make a difference? What is the evidence?

Schoch, Monica, Bennett, Paul, Kent, Bridie, Fiolet, Renee and Au, Catherine 2014, Do renal access coordinators make a difference? What is the evidence?, in RSA 2014 : Abstracts of the Renal Society of Australasia 42nd Annual Conference 2014, Cambridge Media, Adelaide, pp. 59-59.

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Title Do renal access coordinators make a difference? What is the evidence?
Author(s) Schoch, MonicaORCID iD for Schoch, Monica orcid.org/0000-0002-0550-7578
Bennett, PaulORCID iD for Bennett, Paul orcid.org/0000-0001-9174-3499
Kent, Bridie
Fiolet, Renee
Au, Catherine
Conference name Renal Society of Australasia National Conference (42nd : 2014 : Melbourne, Vic.)
Conference location Melbourne, Vic.
Conference dates 25-27 Aug. 2014
Title of proceedings RSA 2014 : Abstracts of the Renal Society of Australasia 42nd Annual Conference 2014
Editor(s) [unknown]
Publication date 2014
Conference series Renal Society of Australasia National Conference
Start page 59
End page 59
Total pages 1
Publisher Cambridge Media
Place of publication Adelaide
Keyword(s) vascular access
renal
coordinator
nursing
systematic review
Summary Background
Since the introduction of the renal access coordinator (RAC) role into Australia there have been only anecdotal examples of associated improvements in patient outcome and service delivery and scant published quantitative extant evidence exists.

Aim
To review the literature related to the impact of RACs on dialysis patient outcomes and associated service delivery, gauge the level of evidence available and identify gaps in the literature.

Method
A three stage Joanna Briggs Institute (JBI) systematic review process was used to collect and synthesise data. The review considered studies that explored and measured the RAC role in the adult haemodialysis context. All quantitative study designs were considered. Due to lack of homogeneity a narrative synthesis was undertaken.

Results
Five studies met the inclusion criteria for the review. All studies included multidisciplinary teams with variable emphasis on the RAC role. Four pre post intervention cohort studies measured incident and/or prevalent AVF, AVG and CVC rates in the haemodialysis population and the quality assurance report measured differences in patency rates between AVF and AVG and associated hospital length of stay. All discussed the role of central coordination as a contributor to the success of vascular access care.

Conclusion
The available reports do suggest an association between RACs and improved patient outcomes. These improved patient outcomes were apparent in an increase in incident and prevalent AVFs, and a decrease in the incidence and prevalence of CVCs. Both associations are correlated with a reduction in infection rates, length of hospital stay and healthcare costs
 
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category E3 Extract of paper
Persistent URL http://hdl.handle.net/10536/DRO/DU:30066250

Document type: Conference Paper
Collection: School of Nursing and Midwifery
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Created: Wed, 01 Oct 2014, 09:01:54 EST by Monica Schoch

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