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dc.contributor.authorCraswell, A
dc.contributor.authorMassey, D
dc.contributor.authorWallis, M
dc.contributor.authorSriram, D
dc.contributor.authorGray, NA
dc.contributor.authorKotwal, S
dc.date.accessioned2019-09-08T22:40:06Z
dc.date.available2019-09-08T22:40:06Z
dc.date.issued2020
dc.identifier.issn1320-5358
dc.identifier.doi10.1111/nep.13626
dc.identifier.urihttp://hdl.handle.net/10072/387014
dc.description.abstractAim: To explore the current practices related to the insertion, management and removal of dialysis central venous catheters (CVCs) used in patients with chronic kidney disease requiring haemodialysis. Methods: This qualitative descriptive study involved semi‐structured interviews with surgeons, interventional radiologists, renal physicians, dialysis nurses, renal access nurses and renal researchers involved in the care of patients with chronic kidney disease requiring haemodialysis. Data were collected from staff at eight hospitals in six states and territories of Australia. Thirty‐eight face‐to‐face interviews were conducted. A modified five‐step qualitative content analysis approach was used to analyse the data. Results: Improved visualization technology and its use by interventional radiologists has steered insertions to specialist teams in specialist locations. This is thought to have decreased risk and improved patient outcomes. Nurses were identified as the professional group responsible for maintaining catheter access integrity, preventing access failure and reducing access‐related complications. While best practice was considered important, justifications for variations in practice related to local patient and environment challenges were identified. Conclusion: The interdisciplinary team is central in the insertion, maintenance, removal and education of patients regarding dialysis CVCs. Clinicians temper research‐based decision‐making about central dialysis access catheter management with knowledge of individual, environmental and patient factors. Strategies to ensure guidelines are appropriately translated for use in a wide variety of settings are necessary for patient safety.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofjournalNephrology
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.subject.keywordsAustralia
dc.subject.keywordscentral venous catheter
dc.subject.keywordsnursing
dc.subject.keywordsqualitative method
dc.subject.keywordsrenal dialysis
dc.titleCurrent practice in dialysis central venous catheter management: Multi-disciplinary renal team perspectives
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationCraswell, A; Massey, D; Wallis, M; Sriram, D; Gray, NA; Kotwal, S, Current practice in dialysis central venous catheter management: Multi-disciplinary renal team perspectives, Nephrology, 2019
dcterms.dateAccepted2019-06-20
dc.date.updated2019-09-08T22:37:16Z
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.hasfulltextNo Full Text
gro.griffith.authorWallis, Marianne
gro.griffith.authorMassey, Debbie L.
gro.griffith.authorCraswell, Alison J.


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