Assessment of an established dialysis nurse practitioner model of care using mixed methods research

Aims and Objectives: To assess a dialysis nurse practitioner ( NP ) model of care by examining satisfaction, quality of life ( QOL ) and clinical outcomes of haemodialysis patients and explore experiences of dialysis nurses. Design: Mixed methods. Methods: Database analyses of dialysis indices amongst a sample ( n = 45 ) of haemodialysis patients; a survey ( n = 27 ) examining patient experience, satisfaction and QOL; and in-depth interviews with a sample ( n = 10 ) of nurses. Results: Nurses commended the NP role, with five themes emerging: “managing and co-ordinating”, “streamlining and alleviating”, “developing capability”, “supporting innovation and quality” and “connecting rurally”. Patients’ average age was 66 years and 71% were male. Patients’ satisfaction with the care they received was rated 3.5/4 or higher across seven parameters and the average QOL score was 7.9/10. Conclusion: The NP model of care is effective in enhancing patient care within a collaborative framework. The challenge is to sustain, and enhance the model, through mentorship programs for potential candidates