S 23 Parallel Session

O 42
Model of electronic nursing care records for patients with vascular access malfunction
C. Krel^1
1Department of Nephrology, Clinic of internal medicine, University medical centre, Maribor, Slovenia

Background: Electronic documentation of nursing care data requires unified documentation, data standards, adequately accessible information technology and existing legislation. The aim of the study was to determine the role of electronic nursing care records in the evaluation of patients with vascular access malfunction.
Methods: Ten hospitalized patients with end-stage renal disease were enrolled in our study.  Five nurses evaluated patients’ problems with vascular access using the model of electronic nursing care records for nursing diagnosis of vascular access malfunction. The model has been tested using a mobile device - tablet computer.  Following evaluation of the patient’s condition, interviews with nurses about functionality of the model of electronic nursing care records was performed. The answers were analysed using SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis.
Results: Our study showed that electronic nursing care records ensure an efficient evaluation of a patient for a single nursing diagnosis in all process phases of nursing care.  Using electronic records, nurses systematically collect and manually enter data into a mobile device next to a patient’s bed and therefore increase accuracy of nursing care records as such. The electronic record sufficiently includes all data about venous accesses and vital signs at a single access point. The screen of a mobile device enables quick access to information about patients’ medical data and therefore quicker nurse’s response.
Conclusion/Application to practice:The results of our study encourage us to further develop electronic nursing care records for other nursing diagnoses in the field of nephrology and to implement e-documentation into daily clinical practice.
Disclosure: No conflict of interest declared

O 43

Adherence to an e-learning system by a team of specialized nurses

V. Barroso¹, F. Vieira¹, M. Moreira Bastos², M.M. Fonseca³, J. Fazendeiro Matos³, M.T. Parisotto^4
1NephroCare Dialysis Centre Braga, Fresenius Medical Care, Braga, Portugal; ²NephroCare Dialysis Centre Arcos de Valdevez, Fresenius Medical Care, Arcos de Valdevez, Portugal; ³NephroCare Nursing Management, Fresenius Medical Care, Porto, Portugal; ⁴NephroCare Coordination, Fresenius Medical Care, Bad Homburg, Germany

Background: Electronic learning system has become a major tool to ensure continuous specialized training. There is clear evidence for the efficiency and acceptance of e-learning within the clinical environment. This system was developed to ensure highly-qualified nursing care of CKD patients by well-qualified dialysis experts.
Objectives:

1. To assess nurses’ e-learning activities in 3 clinics of a Portuguese dialysis network.
2. To assess if an e-learning management system can be a predictor of caregivers’ achievement.
Methods: Data of achieved learning targets was analysed quantitatively from the learning perspective and qualitatively from the professional perspective. Moreover, the level of adherence by the nurses was evaluated. This research applies a quantitative and highly-objective approach to investigate the usage of the e-learning system to ensure high-quality haemodialysis care. We furthermore analysed the level of utilization of the e-learning as a predictor for caregivers achievement by a statistic distribution of target-variables (level, typology of e-course and the relative frequency of observations) indicated for significant frequency values corresponding to a range of degree of expertize of the sample analysed.
Results: A relative high value of adherence in the e-learning courses was evaluated within Portuguese dialysis clinics. Furthermore, high scores of outcomes were found in the team of all specialized nurses. The level of utilization predicted a productive environment that combined knowledge, expertise and previous experiences among a cohesive nurses taskforce.
Conclusion/Application to practice:Fostering communication and implementation of training programs like an e-learning platform for nurses are considered valid tools to improve safety and quality in life of our patients.

Disclosure: No conflict of interest declared

O 44
Emergency first aid to dialysis patients – adapting ABCD to hemodialysis and its evaluation
R. Karstens^1
1Dialysis Centre, Marien Hospital, Duesseldorf, Germany

Background: The ABCD algorithm founded by American Heart Association became accepted in emergency rescue services and emergency rooms worldwide. This algorithm makes optimal crisis management and emergency first aid possible. Nursing staff and paramedics using the ABCD are able to render standardized, structured and logical first aid. Besides general CPR guidelines there is no similar algorithm for hemodialysis in Germany.
Objectives:In this project the ABCD algorithm is adapted and extended to hemodialysis units. The object is to test and evaluate its use in haemodialysis. The aim is enable renal nurses develop their skills in providing emergency first aid. Another aim is to reduce stress among nurses by offering this step-by-step guidance.
Methods: This project used a quantitative research method based on empirically and analytically collected data.
Firstly, deductive and interdisciplinary reasoning created an ABCD algorithm suitable to hemodialysis. Secondly, in May and June 2013 all emergency cases were recorded without using the new ABCD algorithm. From July to August all emergency cases were recorded using the ABCD algorithim. Thirdly, a questionnaire was given to all nurses working with the new algorithm. Lastly, the recorded data from both periods was statistically evaluated and the results from the questionnaires interpreted.
Results:By using the new ABCD algorithm the provision of emergency first aid is standardised. This in turn led to a lowering of stress levels among nurses and emergency treatment of dialyzed patients is optimized.

Disclosure: No conflict of interest declared

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