Related Experiment Video
Updated: Aug 26, 2025
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
4.5K
Understanding the practice patterns of nephrology nurse practitioners in Australia
Ann Bonner1,2,3, Bettina Douglas4, Leanne Brown5
1School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia.
Journal of Renal Care
|October 9, 2022
Summary
Australian nephrology nurse practitioners (NPs) are experienced professionals managing chronic kidney disease (CKD) patients. Their practice offers a vital healthcare model, though challenges like workload and succession planning exist.
Area of Science:
- Nephrology Nursing
- Advanced Practice Nursing
- Healthcare Workforce Development
Background:
- Nurse practitioners (NPs) possess expanded practice scopes beyond registered nurses.
- In kidney care, nephrology NPs manage patients across the chronic kidney disease (CKD) spectrum.
- This study focuses on the role and characteristics of nephrology NPs in Australia.
Purpose of the Study:
- To profile the characteristics of nephrology NPs in Australia.
- To examine their service patterns and domains of practice.
- To identify enablers and barriers to their sustainable healthcare delivery.
Main Methods:
- A cross-sectional online secure survey was employed.
- Participants included nephrology NPs and NP students in Australia (n=73).
- Data collected covered demographics, practice characteristics, and domains of practice using the modified Strong Model of Advanced Practice.
Main Results:
- The study included 45 nephrology NPs, primarily managing adult patients on haemodialysis, peritoneal dialysis, or with early CKD.
- Direct comprehensive care was the main practice domain, with significant time spent on administrative tasks.
- Key enablers for sustainability included support from nurse leaders and medical colleagues; barriers were succession planning and workload.
Conclusions:
- The Australian nephrology NP workforce is highly qualified, experienced, and aging.
- They provide an essential service model to address the increasing burden of CKD.
- Internationally, this role offers a career pathway to retain nurses in clinical practice and expand the nephrology nursing workforce.
More Related Videos
Related Concept Videos
01:22Nursing Assessment of the Genitourinary System III: Percussion and Auscultation
90
The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
90
01:30Current Trends in Nursing II
1.4K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.4K
01:18Chronic Kidney Disease IV: Nursing Management
44
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
44
01:28Chronic Kidney Disease III: Interprofessional Care
71
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
71
01:22The Professional Nurse
4.3K
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
4.3K
01:20Acute Kidney Injury V: Interprofessional Care
42
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
42