Setting priorities for optimizing vascular access decision making - an international survey of patients and clinicians
| Autor: | Anna Marti I Monros, C.A.C.M. Pittens, Wim Van Biesen, Sabine N. van der Veer, Clare Castledine, Niels Peek, Maurizio Gallieni, Nicholas Inston, Jacqueline E. W. Broerse, Maria C Haller |
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| Přispěvatelé: | Science Communication, EMGO+ - Quality of Care |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty SDG 16 - Peace Patients Best practice Decision Making MEDLINE lcsh:Medicine Context (language use) Likert scale SDG 17 - Partnerships for the Goals Physicians Surveys and Questionnaires Medicine and Health Sciences Medicine Humans lcsh:Science Aged Multidisciplinary business.industry ARTERIOVENOUS-FISTULA lcsh:R SDG 16 - Peace Justice and Strong Institutions VIEWS Guideline Vascular surgery CARE Middle Aged medicine.disease Justice and Strong Institutions Group decision-making PRACTICE GUIDELINES Respondent lcsh:Q Female Kidney Diseases Medical emergency business Research Article |
| Zdroj: | van der Veer, S, Haller, M, Pittens, C A C M, Broerse, J E W, Castledine, C, Gallieni, M, Inston, N, Monros, A M, Peek, N & Van Biesen, W 2015, ' Setting priorities for optimizing vascular access decision making-an international survey of patients and clinicians ', PLoS ONE, vol. 10, no. 7, e0128228, pp. 1-13 . https://doi.org/10.1371/journal.pone.0128228 PLoS ONE, 10(7):e0128228, 1-13. Public Library of Science PLoS ONE Van Der Veer, S, Haller, MC, Pittens, CA, Broerse, J, Castledine, C, Gallieni, M, Inston, N, Marti, M A, Peek, N & van, B W 2015, ' Setting priorities for optimizing vascular access decision making-An international survey of patients and clinicians ', P L o S One, vol. 10, no. 7, e0128228 . PLoS ONE, Vol 10, Iss 7, p e0128228 (2015) PLOS ONE |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0128228 |
| Popis: | Background : Many decisions around vascular access for haemodialysis warrant a collaborative treatment decision-making process, involving both clinician and patient. Yet, patients' experiences in this regard have been suboptimal. Although clinical practice guidelines could facilitate collaborative decision making, they often focus on the clinicians' side of the process, while failing to address the patients' perspective. The objective of this study was to explore and compare kidney patients' and clinicians' views on what vascular access-related decisions deserved priority for developing guidelines that will contribute to optimizing collaborative decision making. Methods : In the context of updating their vascular access guideline, European Renal Best Practice surveyed an international panel of 85 kidney patients, 687 nephrologists, 194 nurses, and 140 surgeons/radiologists. In an electronic questionnaire, respondents rated 42 vascular access-related topics on a 5-point Likert scale. Based on mean standardized ratings, we compared priority ratings between patients and each clinician group. Results : Selection of access type and site, as well as prevention of access infections received top priority across all respondent groups. Patients generally assigned higher priority to decisions regarding managing adverse effects of arteriovenous access and patient involvement in care, while clinicians more often prioritized decisions around sustaining patients' access options, technical aspects of access creation, and optimizing fistula maturation and patency. Conclusion : Apart from identifying the most pressing knowledge gaps, our study provides pointers for developing guidelines that may improve healthcare professionals' understanding of when to involve patients along the vascular access pathway. |
| Databáze: | OpenAIRE |
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