Using any glucose solution, the prolonged PET with voiding and reinfusion at the 4th hour could be a practical method for calculating overall peritoneal absorption from the 4th to the 8th hour in PD patients.

Introducción. Los trastornos de sueño tienen una alta prevalencia en los pacientes con Enfermedad Renal Crónica en Hemodiálisis. Un descanso insuficiente o de mala calidad influye negativamente en la actividad cotidiana siendo causa o consecuencia de estados depresivos o ansiosos. Objetivo. Evaluar la calidad del sueño en pacientes en hemodiálisis y su relación con los niveles de depresión y ansiedad. Material y Método. Estudio observacional descriptivo con inclusión de 28 pacientes en hemodiálisis durante febrero de 2017. Se recogieron datos sociodemográficos, se administró el test Pittsburg de Calidad del Sueño, y se valoró el estado cognitivo con el examen Minimental y la depresión y ansiedad con la Hospital Anxiety and Depression Scale (HADS). Resultados. El 82,14% (n=23) presentó insomnio según el test de Pittsburg. Los resultados obtenidos con el HADS fueron positivos para ansiedad en un 21% (n=6) y positivos para depresión en un 35% (n=10). Los resultados en el test Pittsburg se correlacionaron positivamente con los niveles de ansiedad (p=0,004) y depresión (p=0,049). El grado de depresión se correlacionó negativamente con ausencia de deterioro cognitivo (p=0,010). Conclusiones. La calidad del sueño en los pacientes examinados es mala y se pueden relacionar con los resultados de depresión y ansiedad encontrados. Según estos resultados, incluiremos información sobre hábitos de sueño saludables en el proceso de educación a pacientes en hemodiálisis, así como pretendemos mejorar la detección y tratamiento especializado de la ansiedad y depresión.

ObjectivesTo explore the presence of specialist outpatient nursing activity in care for kidney transplant recipients in Spain and to determine the level of competence development of this activity according to the Advanced Practice Nurse model.DesignDescriptive, cross‐sectional study.Participants and MeasurementsAll outpatient nurses specialising in renal transplantation in the 39 transplant hospitals in Spain were included. To fulfil the study objectives, an ad hoc questionnaire and the ‘Advanced Practice Nurse Role Definition Instrument (IDREPA)’ were administered to assess the nurses' level of competence development.ResultsOf the facilities included in the study, 25 (64.1%) had posttransplant nursing activity, 13 (33.3%) had pretransplant nursing activity and 11 (28.2%) had nursing activity involving kidney donor candidates. Twenty‐seven specialist nurse's offices were identified. The results of the IDREPA reflect the presence of advanced practice in the domains of ‘expert care planning’ and ‘comprehensive care’. Three (11.1%) nurses met all criteria for advanced nursing practice.ConclusionThe results on specialised outpatient nursing activity at the 39 transplantation facilities in Spain indicate a low presence of this type of activity, with an even lower presence of advanced practice nurses.Implications for Clinical PracticeManagement teams should consider investing in the quality of care provided by advanced nurse practice to ensure that suitable treatment is provided and better clinical outcomes are obtained.

AimsTo analyse the aspects involved in the care of individuals assessed as kidney transplant candidates and to identify the role of nurses in providing specialised care for this population.DesignScoping review. The results were summarised using a narrative synthesis technique.Data SourcesA review of the literature published between 2001 and 2021 was conducted between October and November 2021 using PubMed, CINAHL and SciELO.Review MethodsThe research team agreed on a search strategy based on clinical practice guidelines for assessing kidney transplantation candidates. Quantitative, qualitative and mixed methods studies published in peer‐reviewed journals in English, Spanish, French and Portuguese were included.ResultsA total of 377 studies were identified, and 49 articles were included after the inclusion and exclusion criteria were applied. The narrative synthesis was structured into four themes: Physical needs; Psychological and quality of life needs; Education and adherence needs; and Nurses' role.ConclusionNursing assessment of kidney transplantation candidates should encompass physical, psychosocial and adherence aspects. A variety of methodologies and resources are available for this assessment. Nurses contribute to coordinating access to kidney transplantation, aiming to improve adherence to an appropriate lifestyle to prevent patients from being excluded from kidney transplantation or suffering from kidney transplantation–related complications.ImpactBased on our findings, we managed to design a nursing care map for kidney transplantation candidates combining the main elements of nursing care that should be incorporated into this process. Advanced practice nursing professionals play a crucial role in accessing renal transplant care.

Background Waiting time for kidney transplants (KT) is an important health determinant for patients with chronic kidney disease (CKD). During this time, ongoing evaluation and participation is necessary in order to guarantee the quality and suitability of the proposed treatment. There is no existing literature on the potential impact of inclusion of an Advanced Practice Nurse (APN) role in the hospital setting on care for CKD patients who are candidates for KT. The main objectives of this protocol are: to analyse outpatient nursing activity in the care of individuals with KT in Spain; to identify the needs of individuals who are KT candidates; and to measure the impact of the APN role through patient outcomes and experiences. These objectives are fulfilled through 5 specific related substudies. Methods A convergent parallel mixed methods approach will be conducted between July 2021 and April 2024. Quantitative and qualitative data will be collected and analysed separately to ascertain whether the findings confirm or contradict one another. Each of the 5 substudies of the project require a specific design, sampling method, and data collection procedure in order to meet the overall objectives for the project. Discussion The results of the project are expected to inform the design of future nursing roles and contribute to future improvements in the quality of care provided. The data that may be obtained from this protocol are limited to the specific context of the study facility and may be extrapolated but not compared to other settings due to the variability of care pathways for KT candidates internationally. Trial registration This project was approved by the Clinical Research Ethics Committee (no.2020/9418/I). The study was supported by the “Strategic Plan for Health Research and Innovation” from the Generalitat de Catalunya, registration number SLT017/20/000001, with a contribution of 57,239 euros.

Introducción: Se ha documentado que implementar programas de actividades recreativas durante las sesio-nes de diálisis es una buena alternativa para mejorar no solo la percepción hacia el tratamiento, sino también otras alteraciones presentes en las personas con enfer-medad renal crónica en tratamiento con hemodiálisis. Objetivos: Analizar la satisfacción de los pacientes con el Proyecto Déficit de Actividades Recreativas, así como cuantificar el coste económico del mismo. Material y método: Estudio descriptivo transversal realizado en 2019. Se recogieron datos clínicos. Se va-loró la satisfacción con el proyecto de actividades pro-puesto. Se recogieron datos de autopercepción sobre el estado de salud y el tratamiento. Se cuantificó el coste económico del proyecto. Resultados: Evaluados 37 pacientes. La puntuación mediana de satisfacción para las actividades fue: Pro-grama Pallapupas 8/10 [P25:6; P75:10], Celebraciones mensuales 10/10 [P25:8; P75:10], Ejercicio físico intra-diálisis 7/10 [P25:5; P75:10], Conciertos en directo 7/10 [P25:5,5; P75:9,5]. En la autopercepción, un 37,84% (n=14) percibía negativamente el tratamiento y un 29,73% (n=11) no estar satisfecho con la inversión de tiempo. El 91,89% (n=34) desea continuar participan-do en las actividades organizadas. El coste total teórico de las 4 actividades evaluadas es de 33.715,22 euros al año.Conclusiones: Se ha hallado una alta satisfacción de los pacientes con el Proyecto déficit de actividades re-creativas en hemodiálisis, pudiendo ser el coste anual de dicho proyecto asumible.

Background: Knowledge of traditional and complementary medicine (TCM) and its use by patients are essential for patient safety. Aims: To examine knowledge of TCM among practitioners in a nephrology unit and their advice to patients. Methods: This was a descriptive, observational, cross-sectional study. Sociodemographic data were collected and an ad hoc closed response survey was used. Findings: This study included 62 practitioners, of whom: 32.26% had been trained in TCM, with no significant differences between professional groups; 41.93% used TCM and 67.74% recommended TCM to patients, with no significant difference between personal use and training received. The majority (62.90%) approved of TCM being included in clinical practice, 77.42% were in favour of it being included in formal health teaching programmes, 27.42% said patients had requested information on TCM and 50% knew it could interact with conventional treatment. Conclusion: Although the majority of practitioners had not been trained in TCM, they were interested in including such treatments in clinical practice. They recommended TCM to patients, but neither training nor personal experience were significant factors in relation to these recommendations. Training in TCM is required to ensure advice is safe.

SUMMARY Background Changes in body image are a recurring theme in the literature on chronic kidney disease (CKD). There is insufficient evidence identifying nurses' perceptions of this topic. Objective To explore nurses' perceptions of changes in the bodies of persons with CKD. Design Phenomenological study. Methods Data were collected by semi‐structured interviews with nephrology nurses selected through pragmatic sampling until data saturation. The interviews were transcribed and analyzed using the seven phases of Colazzi. Findings Information saturation was achieved with six nurses. Coexisting elements were found between the physical and emotional impact of CKD, and therefore the data were organised into a central theme: “From physical to emotional pain in the individual's body”. This central theme was defined by seven subthemes that describe the coexistence of these two physical and emotional spheres, giving rise to the appearance of important meanings in the changes occurring in the bodies of individuals diagnosed with CKD. These meanings included stigma, dysfunctionality, emotional pain, the feeling of slavery, lack of information, taboo and hope. Conclusions In the nurses' perspective, the changes occurring in the bodies of people with CKD can transcend the physical sphere and acquire more complex meanings. Nurses have a unique insight into these complex meanings, which include all the domains of the person, and which have important implications for daily practice. Implications for practic Nurses should have specialised training in providing effective responses to patients' emotional needs. It is also important to incorporate professional profiles that support nursing interventions