BACKGROUND:
The end stage renal disease (ESRD) is a debilitating, chronic condition whereby the renal failure requires dialysis or renal replacement therapy (RRT) to survive (USRDS, 2002) According to the National Health Survey (NHS) 2009 it is evident that the Chronic Kidney Disease (CKD) among the adults in England is around 13%. Over the last four decades, there has been a major development in treatment of CKD that has improved the life expectancy when compared to previous years (NHS, 2008).
According to the NHS kidney care (2012), approximately 1.8 million people are diagnosed to have Chronic Kidney disease (CKD) in England. Among these, the percentage of patients having RRT, peritoneal dialysis is 19.5 %, haemodialysis is …show more content…
In order to access this literature, various resources were explored including databases, books, periodicals, reviews and journals. An International literature database system such as MEDLINE, CINAHL, OVID and COCHRANE were searched. According to Stokes (2006), the first connection point for searching for the best evidence is the Cochrane Library and Clinical Evidence databases. An ‘Inter-nurse’ search engine and NHS evidence database were also used via Athens. Boolean strategy were used to combine words and phrases. The three widely used Boolean operators, are AND, OR, and NOT which delimits the search. Moreover advanced filters such as age, sex, race, range and blinding criteria were also applied in the search of this strategy. Wildcards characters were used to improve the search results. The critical appraisal skills programme (CASP) check list was also used for literature search in order identify the best reasonable evidence. Tutors and librarians also provided sufficient assistance to collate information from the various databases. Database was searched from year 2000 to until date. The limits were set to adults above 18 years, and English language was used for the …show more content…
The preliminary findings from the pilot study demonstrates the effectiveness of two alternative medications i.e. sodium Citrate versus Heparin for the Catheter Locks. Cuticchia (2009) argues that trails can be used to test whether a new treatment has similar efficiency to an existing one. In this article the evidence was taken from a well conducted pilot study where a brief summary of the outcome is given at the beginning of the article including the methods and findings. The purpose of the pilot study was to find weather the Citrate 4% has an antithrombotic and anti-bacterial properties compared with Heparin. The researcher has also used the most available literature while planning this research. This has enabled the writer to identify if the research article is of their interest or not. It is important to determine whether the paper has been developed from a recent piece of work in order to assess its relevance to inform current practice (Polit & Beck,