Nurse-led shared decision-making for hemodialysis vascular access: a randomized controlled trial
By
Fan Yang
Wenhua Yang
Fangfang Lu
Tao Liang
Yanzhi Zhang
July 3, 2026
Clinical Scorecard: Nurse-Facilitated Shared Decision-Making in Vascular Access for Hemodialysis: Results from a Randomized Controlled Study
At a Glance
Category Detail
Condition Vascular Access Management in Hemodialysis Key Mechanisms Nurse-led shared decision-making model utilizing the Decisional Conflict Scale for tailored interventions. Target Population Hemodialysis patients requiring vascular access establishment or reconstruction. Care Setting Clinical trial setting evaluating decision-making interventions.
Key Highlights
Nurse-led SDM significantly reduced decisional conflict and preoperative anxiety. Higher decision satisfaction and AVF selection rates in the experimental group. Lower rates of 6-month postoperative complications in the intervention group. Guideline-Based Recommendations
Diagnosis
Utilize the Decisional Conflict Scale to assess patient decisional conflict. Management
Implement a structured nurse-led shared decision-making model for vascular access. Monitoring & Follow-up
Evaluate patient satisfaction and complication rates post-intervention. Risks
Consider psychological factors influencing patient decisions regarding vascular access. Patient & Prescribing Data
120 hemodialysis patients in a randomized controlled trial.
Nurse-led interventions can effectively address decisional conflict and improve patient outcomes.
Clinical Best Practices
Incorporate patient values and preferences in the decision-making process. Use tailored decision aids to enhance patient understanding and engagement. Related Resources & Content
