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. Attached Files Name Description MIMEType Size Downloads Title Do renal access coordinators make a difference? What is the evidence? Author(s) Schoch, Monica orcid.org/0000-0002-0550-7578 Bennett, Paul orcid.org/0000-0001-9174-3499 Kent, Bridie Fiolet, Renee orcid.org/0000-0001-5503-9875 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 Collections: Faculty of Health School of Nursing and Midwifery Related Links Link Description Connect to conference proceedings Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 01 Oct 2014, 09:02:18 EST Wed, 01 Oct 2014, 13:36:29 EST Thu, 16 Oct 2014, 08:06:40 EST Thu, 16 Oct 2014, 08:09:18 EST Thu, 16 Oct 2014, 08:10:58 EST Thu, 16 Oct 2014, 08:13:03 EST Tue, 09 Dec 2014, 09:46:53 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 83 Abstract Views, 2 File Downloads  -  Detailed Statistics Created: Wed, 01 Oct 2014, 09:01:54 EST by Monica Schoch