Tania Burns, Hayley Pippard, Kylie Turner, Januario R. Pedroche,
Andrea Matisan, Mounata Gurung and Trish Lima Fernandez
The complexity of care for renal transplant recipients when they are admitted to hospital presents many challenges for nurses. With their immunocompromised state and exacting medication requirements, these patients are encouraged to have a strong sense of independence and responsibility for their own health, and therefore have high expectation of the nurses managing their care.
Motivated by the lack of documented nursing perspectives and in response to patient experience studies, this quality improvement project aimed to understand nurses’ experience of caring for a renal transplant recipient when they are admitted to a renal ward, as well as to evaluate the effect of three specific education interventions on their experience, namely renal transplant in-service education sessions, a self-directed renal transplant learning package, and renal replacement therapy (RRT) cheat sheets.
The project surveyed nurses twice over a 6-month period. The baseline survey established participant demographics, their levels of comfort and confidence with renal transplant recipients, and their transplant-specific knowledge. The second survey at the end of 6 months remeasured the nurses’ levels of comfort and confidence and also addressed their perceptions of the effectiveness of the three educational interventions.
The project showed that nurses looking after renal transplant recipients did not always feel they had the necessary skills to care for them. In addition, while the three educational interventions were effective in increasing knowledge, they did not increase the nurses’ comfort nor confidence in dealing with renal transplant recipients. The study therefore concluded that providing nurses with opportunities to expand their knowledge – for example through role-modelling by senior nurses and increased and open communication channels – can support them when caring for renal transplant recipients who are admitted to hospital.