title: Nurses' impact on the choice and longevity of vascular access.
abstract: A preponderance of data highlights significant improvements in outcomes when patients dialyze with arteriovenous fistulae compared with either catheters or grafts. "Fistula First" is a nationwide, evidence-based, quality improvement effort that is striving to improve vascular access outcomes by increasing the percentage of patients who dialyze with arteriovenous fistulae. Nephrology nurses will have a profound effect on achieving the goals outlined by Fistula First, including both the choice and longevity of vascular accesses.
authors.affiliation: Donna L. Mapes & Associates, USA.
authors.forename: Donna
authors.initials: D
authors.lastname: Mapes
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000451:nursing* / Q000706:statistics & numerical data; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D002408:Catheters, Indwelling / Q000009:adverse effects; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000458:organization & administration; D002755:Choice Behavior; D003251:Constriction, Pathologic / Q000453:epidemiology / Q000209:etiology; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology; D005060:Europe / Q000453:epidemiology; D019317:Evidence-Based Medicine; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D017063:Outcome Assessment, Health Care; D018579:Patient Selection; D006435:Renal Dialysis / Q000295:instrumentation* / Q000451:nursing; D012307:Risk Factors; D016019:Survival Analysis; D013927:Thrombosis / Q000453:epidemiology / Q000209:etiology; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States / Q000453:epidemiology