Nurse Practitioner Care Compared with Primary Care or Nephrologist Care in Early CKD.

Background: Early interventions in CKD have been shown to improve health outcomes; however, gaps in access to nephrology care remain common. Nurse practitioners can improve access to care; however, the quality and outcomes of nurse practitioner care for CKD are uncertain.

Methods: In this propensity score-matched cohort study, patients with CKD meeting criteria for nurse practitioner care were matched 1:1 on their propensity scores for ( 1 ) nurse practitioner care versus primary care alone and ( 2 ) nurse practitioner versus nephrologist care.

Enhancing primary care capacity in chronic kidney disease management: a quality improvement educational initiative.

Background: Gaps in identification, medical management and appropriate referral for patients with chronic kidney disease (CKD) are evident.

Objective: We designed and implemented an interactive educational intervention (accredited workshop) to improve primary care providers' awareness of tools to support guideline-concordant CKD management.

Design: We used the Kern method to design the educational intervention and targeted the accredited workshops to primary care team members (physicians, nurses and allied health) in Alberta, Canada.

Assessment of the Siksika chronic disease nephropathy-prevention clinic.

Objective: To determine if a community-based multifactorial intervention clinic led by a nurse practitioner would improve management of First Nations people at risk of developing chronic kidney disease.

Design: Qualitative descriptive study.

Setting: A nephropathy-prevention clinic in Siksika Nation, Alta.