Study to Determine Appropriate Nurse: Patient Ratios in Peritoneal Dialysis Programs

Chronic Renal Failure Clinical Trial

Official title:

Study to Determine Appropriate Nurse: Patient Ratios in Peritoneal Dialysis Programs

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02266979
• Other study ID #: AEFIIRPDstaff2014
• Status: Completed
• Phase: N/A
• First received: September 28, 2014
• Last updated: November 13, 2016
• Start date: June 2014
• Est. completion date: September 2016

Study information

• Verified date: November 2016
• Source: Pontificia Universidade Católica do Rio Grande do Sul
• Contact: n/a
• Is FDA regulated: No
• Health authority: Brazil: National Committee of Ethics in Research
• Study type: Observational

Clinical Trial Summary

As the resolution of the Brazilian Federal Council of Nursing (COFEN) sizing the framework of nursing professionals is essential to ensure the safety and quality of patient care. To achieve such goals actions are needed to evaluate the variety of tasks and performance specific to each area in nursing profession. The National Agency for Health Surveillance (ANVISA), through Board Resolution (RDC-154) determines that the nurse to patient ratio is 1 to 30 in hemodialysis and 1 to 50 on peritoneal dialysis, however these targets are not based on any evidence, and same apply to other Latin-American countries. Objective: To determine the appropriate nurse: patient ratio for peritoneal dialysis unit. Method: This research will be developed in two phases. The first with an observational design with descriptive and qualitative approach. There will be a focus group with experts in the field, to defined the activities and responsibilities of the peritoneal dialysis nurse, and produce a tool with a list of activities. A time-orientated score will be created. In the second stage a cross-sectional quantitative approach will be used. To apply the instrument from by direct observation of activities performed by nurses during their workday. With the instrument activities will be timed and the overall time of each nursing activity will be determined by multiplying the time spent by the total number of patients. It is expected tat this strategy will increase time on treatment and/or decrease dropout rates, by developing an easy test/ formula application to determine the correct ratio according to the peritoneal dialysis program. This tool will provide better outcomes for patients as well as allow for growth of peritoneal dialysis programs with qualified assistance and patient safety.

Description:

Research question:

Can a time-oriented score system and expert consensus be applied to PD to develop an easy and repeatable system to evaluate work load for peritoneal dialysis nurses to achieve the best outcomes and allow for planned growth of the unit?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 10
• Est. completion date: September 2016
• Est. primary completion date: September 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• To have at least one year of experience with peritoneal dialysis

Exclusion Criteria:

• Consent withdraw

Study Design

Time Perspective: Prospective

Related Conditions & MeSH terms

• Chronic Renal Failure
• Kidney Failure, Chronic
• Renal Insufficiency

Locations

Country	Name	City	State
Brazil	Pontificia Universidade Católica Rio Grande do Sul	Porto Alegre	Rio Grande do Sul

Sponsors (1)

Lead Sponsor	Collaborator
Ana Elizabeth Prado Lima Figueiredo

Country where clinical trial is conducted

Brazil, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	number of activities ( direct or indirect care) performed by peritoneal dialysis nurse	after focal groups a list we all activities performed by PD nurses will be prepared	6 months	No
Secondary	time to perform activities	the time spend to perform each activities will be measured to calculate time spent with patients	6 months	No