Nephrology in Spain

Marrón, Belén; Alcaide, Miguel González-Molina; Marrero, Domingo Hernández; Martínez-Ocaña, Juan C.; Gil-Cunquero, José Manuel; Alvarez, J.; Ortíz, Alberto

doi:10.1007/978-3-030-56890-0_47

Cited by 1 publication

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“…Currently, the prevalence of CKD in Spain is approximately 15% (Gorostidi et al, 2018), which exceeds the figure reported in previously published national (Otero et al, 2010) and international studies (Brück et al, 2016; Mills et al, 2015). This increase in life expectancy may also result in populations with a higher prevalence of associated cardiovascular comorbidities (Gorostidi et al, 2018; Kooman et al, 2017) and greater care needs from specialised healthcare teams offering kidney transplantation (KT) as the best treatment option for individuals with CKD (Marrón et al, 2021; Pérez‐Sáez et al, 2021). Recruitment of Advanced Practice Nurses (APNs) will reinforce the advanced functions and autonomy of nurses involved in KT, helping to improve healthcare services and quality of care in response to changes to the current healthcare model.…”

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confidence: 99%

Nurse‐led clinical activity in kidney transplantation care in Spain: A cross‐sectional observational study

Robles

Garcimartín

Guerra³

et al. 2023

Journal of Renal Care

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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.

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