Resumo

NICOLE, Andressa Garcia  e  TRONCHIN, Daisy Maria Rizatto. Indicators for evaluating the vascular access of users in hemodialysis. Rev. esc. enferm. USP [online]. 2011, vol.45, n.1, pp. 206-214. ISSN 0080-6234.  http://dx.doi.org/10.1590/S0080-62342011000100029.

The purpose of this study was to develop reliable assessment instruments to measure hemodialysis vascular access. The design of healthcare indicators involved an indepth-analysis of vascular access practices in hemodialysis and their underlying theoretical rationale, and was grounded on Donabedian's framework. Four indicators were selected: performance of temporary double-lumen catheter, maintenance of temporary double-lumen catheter, monitoring of arteriovenous fistula and complications of arteriovenous fistulas. The first three are process-oriented while the last one relate to outcomes. Data was collected in October and November 2008 using a tree-part questionnaire, thus divided: assessment of the indicators' operations manual, assessment of health attributes of the indicators and assessment of each of the components. The validation of the indicators was carried out by a panel of nine internationally renowned experts in nephrology. All indicators were validated by the panel, with at least a 75% favorable consensus. It is believed that the use of this instrument contributes for evaluation and improvement of quality in hemodialysis services.

Palavras-chave : Renal dialysis; Nursing care; Quality of health care; Health Services Evaluation.