Fostering safe vascular access for adolescents during hemodialysis using cushion cannulation versus common cannulation techniques
Bibliographic record
Abstract
Background and objective: Chronic hemodialysis is technically feasible in children of all ages. Vascular access is a hemodialysis patient’s lifeline, and successful cannulation is critical to the viability of the vascular access. Common and cushion cannulation techniques can be used by the nurses during cannulation of the patients. However, it is not known which approach is most effective. This study aimed to foster safe vascular access for adolescents during hemodialysis using cushion cannulation versus common cannulation techniques.Methods: Study design: A quasi-experimental study was used. Setting: The study was conducted at Hemodialysis Units affiliated to King Abdullah Bin Abdul-Aziz Al Saud International Foundation Dialysis Care Center at Jeddah. Subjects: A purposive sample composed of 60 adolescents undergoing hemodialysis and 60 nurses “whom providing care for those adolescents were involved in this study”. Tools: Four tools were used namely; Structured Questionnaire Sheets, Observation Sheet, Adolescents and nurses’ opinion about cushion and common cannulation techniques, and Pain Assessment Scale.Results: The majority of adolescents felt that using the cushion cannulation technique was more comfortable position. Also, most nurses mentioned that using the cushion technique improves body mechanics and promotes easy access to fistula.Conclusions: The current study concluded that, using cushion technique was associated with safe vascular access for adolescents during hemodialysis, it also stabilizes the arm and tissues and fully extension of the arm. Negative correlation was observed between cushion technique safety and numeric pain scale. Meanwhile, there was insignificant positive correlation using common cannulation technique and numeric pain scale. Recommendations: Application of the cushion technique in HD centers as part of a routine care for all patients undergoing hemodialysis therapy, and implement in-service training programs related to the cushion technique for all nurses working in Hemodialysis Units.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".