Use of an Educational Intervention to Improve Fluid Restriction Adherence in Patients on Hemodialysis

Use of an Educational Intervention to Improve Fluid Restriction Adherence in Patients on Hemodialysis

Identification: nnj_jf_19A4
Issue: January-February 2019
Volume: Vol. 46, No. 1
Credits (Post Test and/or Evaluation Required)
Available until 03/01/2021
  • 1.30 - CH

Standard: $30.00


Contact hours available until 2/28/21.

Requirements for Successful Completion:

Complete the learning activity in its entirety and complete the online CNE evaluation.

Nephrology Nursing Journal Editorial Board Statements of Disclosure:

In accordance with ANCC governing rules Nephrology Nursing Journal Editorial Board statements of disclosure are published with each CNE offering. The statements of disclosure for this offering are published below.

Paula Dutka, MSN, RN, CNN, disclosed that she is a coordinator of Clinical Trials for the following sponsors: Amgen, Rockwell Medical, Keryx Biopharmaceuticals, Akebia Therapeutics, and Dynavax Technologies.

Norma J. Gomez, MBA, MSN, CNNe, disclosed that she is a member of the ZS Pharma Advisory Council.

Tamara M. Kear, PhD, RN, CNS, CNN, disclosed that she is a member of the ANNA Board of Directors, serves on the Scientific Advisory Board for Kibow Biotech, Inc., and is employed by Fresenius Kidney Care as an acute hemodialysis RN.

All other members of the Editorial Board had no actual or potential conflict of interest in relation to this continuing nursing education activity.

This article was reviewed and formatted for contact hour credit by Beth Ulrich, EdD, RN, FACHE, FAAN, Nephrology Nursing Journal Editor, and Sally Russell, MN, CMSRN, CPP, ANNA Education Director.

Commercial Support and Sponsorship:

No commercial support or sponsorship declared.

Accreditation Statement:

American Nephrology Nurses Association – Provider is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910.

This CNE article meets the Nephrology Nursing Certification Commission’s (NNCC’s) continuing nursing education requirements for certification and recertification.

Learning Outcome:

After completing this learning activity, the learner will be able to discuss the value of an educational intervention to improve patient knowledge of dietary and fluid management.

Learner Engagement Activity:

For a different aspect on educational interventions, read the following article:
Wright, S. (2017). Using evidence-based practice and an educational intervention to improve vascular access management: A pilot project. Nephrology Nursing Journal, 44(5), 427-446: Click Here! (Additional costs may be associated)


Credits Available

Expired On: Mar 1, 2021

You must be logged in and own this product in order to post comments.

Marilyn Zwicker
5/30/19 1:24 am


Etta Young
9/4/20 3:43 pm

most patient will follow the diet and fluid restriction that is give to them if you tell why this it got to be like this.

Jayson Hood
9/4/20 5:00 pm

Great article very applicable.

Stephanie Paul
9/5/20 6:52 pm

This was a great article. Patients need to participate in their care to truly understand what is happening to them and learn how to better themselves and their quality of life.

Tonya Wall
9/6/20 3:48 pm

I think an in center support group that involves continuous education for better outcomes should be implemented.

Elaine Vo-Eicher
9/9/20 2:17 pm

This is an ongoing struggle for some of our patients. Increasing frequency of hemodialysis does not seem to work except for short term ( patient comes 4 times a week vs. 3 times a week). Making the hemodialysis session longer is another option though patients don't like it.

Serita Hernandez
9/9/20 5:44 pm

Great article. It would benefit a larger group of patients if centers allow the time for staff to educate. .

Kathy Roberts
9/11/20 1:32 pm

This article gave some good tips and educational strategies. I’m always looking for ways to reinforce teaching fluid restrictions.

Prudence King
9/14/20 5:23 pm

good information on a chronic problem. Consistent, frequent education may be beneficial in helping with fluid control

Lucy Cooper
9/17/20 7:27 am

We would lay bags of saline in their chair. Most would understand this way about how much fluid they should have versus how much they drank. Great journal.. thank you Dr. Parker

Gladys Ayala
9/22/20 12:49 pm

I agree with education being a factor in patient fluid restriction adherence, although some patients owe it from previous experience.