Advanced practice nurses: roles in the hemodialysis unit

Nephrol Nurs J. 2000 Apr;27(2):177-84; quiz 185-6.


Newly diagnosed cases of end stage renal disease (ESRD) have increased by 9% each year since 1970. It has been estimated that there will need to be a significant increase in the number of nephrologists to care for the ESRD population by the year 2010. Recent reports have advocated the use of advanced practice nurses (APN) to collaborate with nephrologists to meet increasing patient care demands. Clinical evidence has supported the financial and clinical advantages of APN utilization in nephrology. The renal community has stressed an outcome-based practice with a provision of guidelines to improve morbidity and mortality in ESRD. Reimbursement and mortality have been linked to identification of quality care delivery. APNs can be instrumental in assuring that quality patient care is delivered across the ESRD continuum through several different roles: clinician, educator, consultant, researcher, administrator, and case manager.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Case Management / organization & administration
  • Cooperative Behavior
  • Curriculum
  • Education, Nursing, Graduate / organization & administration
  • Forecasting
  • Health Services Needs and Demand
  • Humans
  • Kidney Failure, Chronic / diagnosis
  • Kidney Failure, Chronic / epidemiology
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Models, Nursing
  • Nephrology / trends
  • Nurse Administrators / organization & administration
  • Nurse Clinicians / education
  • Nurse Clinicians / organization & administration*
  • Nurse Practitioners / education
  • Nurse Practitioners / organization & administration*
  • Nurse's Role*
  • Nursing Evaluation Research
  • Patient Education as Topic / organization & administration
  • Physician-Nurse Relations
  • Reimbursement Mechanisms / organization & administration
  • Renal Dialysis / nursing*
  • Workforce