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Hemodialysis vascular access coordinator: Three‐level model for access management

2023Journal article Open access
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dc.contributor.authorSousa, Clemente Neves
dc.contributor.authorTeles, Paulo
dc.contributor.authorSousa, Rui
dc.contributor.authorCabrita, Filipa
dc.contributor.authorRibeiro, Olga
dc.contributor.authorDelgado, Elisabete
dc.contributor.authorCoutinho, Sara
dc.contributor.authorMoura, Sandra Cristina Mendo
dc.contributor.authorDelgado, Millena Freire
dc.contributor.authorCosta, João Filipe
dc.contributor.authorSá, Tiago Gomes
dc.contributor.authorTeixeira, Sílvia Mónica Pereira
dc.contributor.authorMendonça, Ana Elza Oliveira
dc.contributor.authorOzen, Nurten
dc.date.accessioned2023-10-12T11:10:22Z
dc.date.available2023-10-12T11:10:22Z
dc.date.issued2023
dc.description.abstractManagement of vascular access is a challenge for the dialysis team, particularly tokeep the arteriovenous access working. The vascular access coordinator can posi-tively contribute to increase the number of arteriovenous fistulas and reduce centralvenous catheters. In this article, we introduce a new approach to vascular accessmanagement centered on (the results of setting up) the role of vascular access coor-dinator. We described the three-level model (3Level_M) for vascular access manage-ment organized in three levels: vascular access nurse manager, vascular accesscoordinator, and vascular access consultant. We defined the instrumental skills andtraining required to be developed by each element and clarify the articulationbetween the model and all members of the dialysis team related to vascular access.1|INTRODUCTIONThe implementation and effectiveness of renal replacement therapy(RRT) depend directly on appropriate vascular access, such as arterio-venous fistula (AVF) (best choice), or alternatively a graft or a centralvenous catheter (CVC).1Nowadays, chronic kidney disease (CKD) patients are older, sufferfrom a larger number of comorbidities, and have more complex vascu-lar accesses. Therefore, the dialysis team and patients face new chal-lenges. The complications of the arteriovenous accesses are alreadydocumented and require supervision (monitoring and surveillance) inorder to decide the appropriate time to intervene.1,2Literature shows that the vascular access coordinator canhave an important contribution in the identification ofthese situations and in the implementation of a new approachleading to the best results in clinical care.3–8The vascularaccess coordinator's role can be crucial to improve the planning oftimely interventions free of thrombosis,7,6improve vascular accessoutcomes,3,7decrease the number of grafts and CVCs,5and applya quality policy with the vascular access.6The purpose of thisarticle is to analyze the vascular access coordinator's contribution(to) in the vascular access outcomes and introduce a newapproach on vascular access management, the three-level model(3Level_M).Received: 12 February 2023 Revised: 22 March 2023 Accepted: 26 March 2023DOI: 10.1111/sdi.13153Semin Dial.2023;1–6.wileyonlinelibrary.com/journal/sdi© 2023 Wiley Periodicals LLC.1pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSousa, C. N., Teles, P., Sousa, R., Cabrita, F., Ribeiro, O., Delgado, E., Coutinho, S., Moura, S. C. M., Delgado, M. F., Costa, J. F., Sá, T. G., Teixeira, S. M. P., Mendonça, A. E. O., & Ozen, N. (2023). Hemodialysis vascular access coordinator: Three-level model for access management. Seminars in Dialysis. https://doi.org/10.1111/sdi.13153pt_PT
dc.identifier.doi10.1111/sdi.13153pt_PT
dc.identifier.eissn1525-139X
dc.identifier.urihttp://hdl.handle.net/10400.26/47216
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/sdi.13153pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHemodialysispt_PT
dc.subjectVascular accespt_PT
dc.subjectDialysispt_PT
dc.titleHemodialysis vascular access coordinator: Three‐level model for access managementpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleSeminars in Dialysispt_PT
person.familyNameRibeiro
person.givenNameOlga
person.identifier2011249
person.identifier.ciencia-idE215-041D-F66F
person.identifier.ciencia-id5C18-93E5-8187
person.identifier.orcid0000-0003-2654-0497
person.identifier.orcid0000-0001-9982-9537
person.identifier.ridABR-9585-2022
person.identifier.scopus-author-id55964342500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf794ca21-68d8-4e4e-b8dc-4d10ef6f3f2f
relation.isAuthorOfPublication951b4984-3fff-473c-aadf-fa556cb42a13
relation.isAuthorOfPublication.latestForDiscovery951b4984-3fff-473c-aadf-fa556cb42a13

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