Evidence map›Paper›PMID 34181822›Full record

ArticleJournal of renal care2022

The development of the Western Australian Haemodialysis Vascular Access Complexity instrument.

Linda L Coventry, Jon Hosking, Evelyn Coral, Mark Jenkins, Chandra P Salgado Kent, Doris Chan, Wai Lim, Diane E Twigg, Claire M Rickard

Open access · hybridAbstract read
In one paragraph

Article in Journal of renal care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Linda L CoventrySchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.ORCID http://orcid.org/0000-0002-3598-9942
Jon HoskingRenal Services, Waitemata District Health Board, North Shore Hospital, Auckland, New Zealand.
Evelyn CoralHaemodialysis Unit, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Mark JenkinsSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.ORCID https://orcid.org/0000-0003-4542-1768
Chandra P Salgado KentCentre for Marine Ecosystems Research, Edith Cowan University, Joondalup, Western Australia, Australia.ORCID https://orcid.org/0000-0002-3460-609X
Doris ChanDepartment of Renal Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Wai LimDepartment of Renal Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.ORCID https://orcid.org/0000-0002-3410-3572
Diane E TwiggSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.ORCID https://orcid.org/0000-0002-4694-4555
Claire M RickardAlliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland, Southport, Queensland, Australia.ORCID https://orcid.org/0000-0002-6341-7415
Edith Cowan University · AUSir Charles Gairdner Hospital · AUGriffith University · AUNorth Shore Hospital · NZ

Funding

Edith Cowan University Early Career Research grant G1004430
6 · The paper itself

Abstract

backgroundThe Western Australian Haemodialysis Vascular Access Classification instrument was developed to classify the cannulation complexity of the arteriovenous fistula or arteriovenous graft as simple, challenging, or complex. Although the instrument was developed by experts in haemodialysis nursing, the instrument had not undergone formal validity or reliability testing.

objectivesEvaluate the Western Australian Haemodialysis Vascular Access Classification instrument for content validity, interrater and test-retest reliability.

designProspective cohort study.

participantsContent validity was assessed by haemodialysis nursing experts (n = 8). The reliability testing occurred in one in-centre and one satellite haemodialysis unit in Western Australia from September to November 2019. Reliability testing was performed by 38 haemodialysis nurses in 67 patients receiving haemodialysis and 247 episodes of cannulation. MEASUREMENTS: Interrater and test-retest reliability assessment was conducted using κ, adjusted κ, Bland-Altman plots, intraclass correlation coefficient and Pearson's correlation coefficient.

resultsThe final version of the instrument (n = 20 items) had individual item-level content validity indices ranging from 0.625 to 1.00 with a scale-level content validity index of 0.89. For both interrater (n = 172 pairs) and test-retest (n = 101 pairs), most individual variables had excellent adjusted κ (n = 33 variables), some fair to good agreement (n = 6 variables) and one variable with poor agreement. The classification of simple, challenging and complex demonstrated adjusted κ of fair to good, to excellent agreement for interrater reliability with lower levels of agreement for test-retest reliability.

conclusionsThis instrument may be used to match a competency-assessed nurse to perform the cannulation thereby minimising the risk of missed cannulation and trauma.

Indexed as

CatheterizationRenal DialysisAustraliaHumansProspective StudiesReproducibility of ResultsSurveys and Questionnairescannulation-related complicationshaemodialysisinstrument developmentkidney failurereliability and validityvascular access

Identifiers

PMID34181822
PMCPMC9543205
OpenAlexW3173191045

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.