title: The impact of a nurse-led clinic on self-care ability, disease-specific knowledge, and home dialysis modality.
abstract: A nurse-led clinic focusing on education and self-care for patients with advanced renal failure was introduced in a renal outpatient clinic in Sweden. The purpose was to enhance patients' disease-related knowledge, involvement, and self-care ability. This article reports the results of a study comparing patient outcomes with the nurse-led clinic to the previous model of care. The hypothesis was that the nurse-led clinic would increase medical control and self-care outcomes. The participants in the nurse-led clinic chose and started dialysis in a self-care alternative and also had a functioning, permanent dialysis access to a greater extent than the patients in the comparison group. Those choosing home-hemodialysis rated their self-care ability higher. The participants rated self-care and effects of treatment options on family and everyday life as the most important disease-related areas of knowledge.
authors.affiliation: Department of Nephrology, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Agneta A
authors.initials: AA
authors.lastname: Pagels
authors.forename: Marie
authors.initials: M
authors.lastname: Wång
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Wengström
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002755:Choice Behavior; D004521:Educational Measurement; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006437:Hemodialysis, Home / Q000451:nursing / Q000523:psychology; D006785:Hospitals, University; D006801:Humans; D007676:Kidney Failure, Chronic / Q000451:nursing*; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000458:organization & administration*; D010358:Patient Participation / Q000523:psychology; D015397:Program Evaluation; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013548:Sweden