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Related Concept Videos

Dialysis01:27

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis01:15

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...

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A model for initiating change in the dialysis setting using an implementation plan.

Norma J Gomez1

  • 1Walter State Community College, Morristown, Tenn, USA.

Nephrology News & Issues
|June 5, 2013
PubMed
Summary

Nurse leaders must guide staff through workplace changes, even amid resistance. Registered nurses are crucial in leading change processes effectively.

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Nursing Leadership

Background:

  • Workplace environments are increasingly dynamic, necessitating constant adaptation.
  • Staff resistance to rapid change is a common challenge in healthcare settings.
  • Effective change management is vital for maintaining operational efficiency and staff morale.

Purpose of the Study:

  • To emphasize the critical role of nurse leaders in managing workplace transformations.
  • To highlight strategies for registered nurses to guide staff through change processes.
  • To address the challenges associated with rapid organizational changes in nursing.

Main Methods:

  • Qualitative analysis of leadership challenges during organizational change.
  • Review of best practices in change management within nursing.
  • Case study examination of successful change implementation led by nurse managers.

Main Results:

  • Nurse leaders are essential for navigating and facilitating change.
  • Proactive guidance and communication can mitigate staff resistance.
  • Empowering registered nurses to lead change improves adoption rates.

Conclusions:

  • Leading change is a core competency for nurse leaders.
  • Registered nurses play a pivotal role in guiding teams through transitions.
  • Successful change management requires strong leadership and staff engagement.