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Dialysis

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...

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Updated: Jul 5, 2025

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

Developing a haemodialysis acuity tool (the HAT study): A qualitative study.

Josephine S F Chow^1,2,3,4,5, Susana S Miguel¹, Glenda Rayment⁶

¹South Western Sydney Nursing & Midwifery Research Alliance, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.

Journal of Renal Care

|January 21, 2024

Summary

This summary is machine-generated.

A new haemodialysis acuity tool was developed using focus groups to ensure patient safety. This tool helps match patients to appropriate dialysis units based on their needs and available resources.

Keywords:

acuity dialysis haemodialysis measurement tool

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Area of Science:

Nephrology
Healthcare Management
Nursing Research

Background:

Increasing patient complexity in haemodialysis units necessitates appropriate resource allocation.
Patient safety in haemodialysis requires matching patient acuity to unit capabilities.
A validated tool is needed to measure patient acuity in haemodialysis settings.

Purpose of the Study:

To develop a haemodialysis acuity tool using a focus group approach.
To assess patient suitability for specific dialysis locations, enhancing patient safety.
To create a reliable instrument for measuring patient acuity in haemodialysis.

Main Methods:

Qualitative, cross-sectional study utilizing focus groups.
Inclusion of nurse unit managers and team leaders from a District Renal Service.
Thematic analysis of interview transcripts informed by existing literature on acuity tools.

Main Results:

Ten nurse unit managers/team leaders participated.
Deductive thematic analysis identified five key themes: Age/frailty, co-morbidity, physical, dialysis, and psychosocial.
These themes form the core categories for the acuity tool.

Conclusions:

The developed haemodialysis acuity tool is crucial for allocating patients to appropriate dialysis units.
The tool facilitates matching patient needs with available unit resources.
It can also inform analysis of patient care processes and resource requirements.