Creating the nursing care map in the evaluation of kidney transplant candidates: A scoping review and narrative synthesis

Abstract

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.

Review of advanced practice nurse role in infection throughout the hematopoietic stem cell transplant journey

“…This can include the early identification of depressive symptoms, allowing prompt intervention. 30 Our literature review highlights that consumers may feel more comfortable speaking with specialist nurses about these sensitive topics than other members of their care team, therefore, it is important for APNs to allow a space for these conversations to be inititated. 31 The APN group allow additional time with patients and families throughout their care journey, allowing physicians to dedicate time and thought to complex cases.…”

“…They provide an opportunity to promote a healthy lifestyle (such as exercise and nutrition), and prompt notification of possible infectious complications. 27,30 The role of psychosocial screening through APN led care is a key responsibility where anticipated psychological and/or social concerns may impact adherence to prescribed interventions. After these issues have been identified and discussed with the wider health care team, appropriate management strategies may be implemented.…”