Talk Description
513Q - Research Paper
Abstract
Aim:
Early interventions in Chronic Kidney Disease (CKD) have demonstrated notable improvements in health outcomes. Despite these advances, widespread disparities persist in accessing nephrology care. Nurse practitioners have emerged as pivotal contributors to enhancing care accessibility. However, uncertainties persist regarding the quality and outcomes of nurse practitioner-led care for CKD. This study focuses on the role of nurse practitioners in Aboriginal Community Controlled Health Services (ACCHS) and their potential to support CKD patients.
Method:
In 2023, a CKD Nurse Practitioner-led model of care was implemented, marking a significant stride towards addressing existing gaps. This quality improvement activity conducts a comprehensive review of the initial 12 months of service provision, encompassing the collection of de-identified and aggregated baseline data on client demographics and clinical profiles, including crucial kidney health measures such as pathology ordered (n-urine ACR, rental function), prescriptions (ACEI/ArB, flozins), referrals to nephrologists and Improvements in ACR, HbA1c, BP.
Results:
The Renal Specialised Nurse Practitioner model of care, particularly within the ACCHS, has proven instrumental in optimising the utilisation of limited specialist resources. There was increase and improvements in pathology ordered (n-urine ACR, rental function), prescriptions (ACEI/ArB, flozins), referrals to nephrologists and Improvements in ACR, HbA1c, BP. This strategic deployment enables nephrologists to allocate more time to patients with complex or advanced CKD, thereby leveraging their expertise. Concurrently, nurse practitioners extend their care to patients in the early stages of CKD, surpassing the capabilities of primary care providers alone.
Conclusion:
This innovative model reveals that Renal Specialised Nurse Practitioners embody an untapped potential, uniquely positioned to administer optimal Indigenous-specialised CKD management programs in rural and remote communities. Their multifaceted role includes seamless integration with primary care, comprehensive case management with intensive follow-up, adept medication management, addressing social barriers to adherence, and delivering culturally safe and appropriate healthcare.
Abstract
Aim:
Early interventions in Chronic Kidney Disease (CKD) have demonstrated notable improvements in health outcomes. Despite these advances, widespread disparities persist in accessing nephrology care. Nurse practitioners have emerged as pivotal contributors to enhancing care accessibility. However, uncertainties persist regarding the quality and outcomes of nurse practitioner-led care for CKD. This study focuses on the role of nurse practitioners in Aboriginal Community Controlled Health Services (ACCHS) and their potential to support CKD patients.
Method:
In 2023, a CKD Nurse Practitioner-led model of care was implemented, marking a significant stride towards addressing existing gaps. This quality improvement activity conducts a comprehensive review of the initial 12 months of service provision, encompassing the collection of de-identified and aggregated baseline data on client demographics and clinical profiles, including crucial kidney health measures such as pathology ordered (n-urine ACR, rental function), prescriptions (ACEI/ArB, flozins), referrals to nephrologists and Improvements in ACR, HbA1c, BP.
Results:
The Renal Specialised Nurse Practitioner model of care, particularly within the ACCHS, has proven instrumental in optimising the utilisation of limited specialist resources. There was increase and improvements in pathology ordered (n-urine ACR, rental function), prescriptions (ACEI/ArB, flozins), referrals to nephrologists and Improvements in ACR, HbA1c, BP. This strategic deployment enables nephrologists to allocate more time to patients with complex or advanced CKD, thereby leveraging their expertise. Concurrently, nurse practitioners extend their care to patients in the early stages of CKD, surpassing the capabilities of primary care providers alone.
Conclusion:
This innovative model reveals that Renal Specialised Nurse Practitioners embody an untapped potential, uniquely positioned to administer optimal Indigenous-specialised CKD management programs in rural and remote communities. Their multifaceted role includes seamless integration with primary care, comprehensive case management with intensive follow-up, adept medication management, addressing social barriers to adherence, and delivering culturally safe and appropriate healthcare.