Foundations in Renal Nursing


This course aims to prepare practitioners working in renal setting for their role within general nephrology and haemodialysis health care. They will have the opportunity to develop and critically evaluate specialist nephrology and haemodialysis skills and knowledge in order to deliver high quality and evidence based compassionate care. There will be emphasis on the wider context of care such as shared-decision making, social issues and the co-ordination of outside agencies.

At the end of the course you will be able to:

  • Develop and critically review their own skills and competence in the holistic care of the patient within a renal care setting
  • Enhance systematic assessment skills and professional experience in order to influence patient outcomes
  • Select and critically evaluate relevant research in order to promote evidence-based practice within the renal care setting including national and international guidelines
  • Synthesise knowledge and create responses to problems that expand / redefine existing practice in order to effect change within the practice setting
  • Critically appraise and compare protocols and the management of care for patients with renal diseases clients locally, nationally and internationally in order to achieve clinical effectiveness
  • Critically analyse the ethical, cultural, religious, spiritual and quality of life issues associated with renal disease, and debate how such issues are addressed in day-to-day practice
  • Explain the different treatment options available and patient involvement in shared decision making demonstrating use of educational tools and an understanding of the patient pathway
  • Critically evaluate and reflect on the professional role of the renal nurse within the inter-disciplinary settings and other members of the multi-disciplinary team to gain a more insightful perspective
  • Critically examine strategies used for the assessment, management and evaluation of care to patients with acute and chronic renal disease to enhance clinical practice
  • Critically discuss current resources in determining health care strategies for clients and their families / carers within the renal care setting
  • Demonstrate academic reflection and reflective practice and the ability to audit own practice and make recommendations to achieve clinical effectiveness

Teaching arrangements

This module incorporates a blended learning approach, with 50% taught session and 50% E-learning. The educational approach is student centred and you will experience a wide variety of teaching and learning strategies, including:

  • Lectures and discussions E-learning activities
  • Worksheets
  • Directed reading and study including online reading list
  • Case studies and discussion
  • Reflective practice
  • Personal and group tutorials practice placements

The Assessment Portfolio

The assessment is a portfolio made up of 3 entries aiming to assess your knowledge and development. Your portfolio should demonstrate your achievement of the learning outcomes of the course.

All three portfolio entries (The e-learning quizzes, essay and e-PAD) must be submitted in order to pass the course.


Week 1

  • Demonstrate an awareness of the Course content & assessment Explain what is expected of them whilst on the course
  • Understands the nature of the portfolio assessment
  • Demonstrate an understanding of what is required for the portfolio
  • Understand what is expected of them regarding their clinical competence
  • Demonstrate understanding of how the competency document will improve clinical practice
  • Understand the assessment structure used within the course
  • Critically evaluate the Renal Association clinical practice guidelines and NICE guidelines & how they influence practice
  • Critically analyse the UK standards with Kidney Disease Outcomes Quality Initiative (K/DOQI)
  • Have knowledge of the Renal Registry data and understand the relevance of this data
  • Demonstrate an understanding of renal tariffs and the implication they have on practice both nationally and locally
  • Demonstrate an understanding of the implications of specialised commissioning
  • Demonstrate an understanding of Quality, Innovation, Productivity and Prevention (QIPP) within the Renal setting

By the end of the session students will be able to:

  • Understand the D/OQI classification and how they relate to practice
  • Analyse the psychological implications of the diagnosis of kidney disease Critically evaluate the multidisciplinary care of kidney disease protocols
  • Explore the interface between the primary and tertiary care of patients with CKD Understand the systemic complications associated with CKD
  • Explore the relationship of the heart, hypertension and kidney failure
  • Explain the pathophysiology of the heart and hypertension and the kidney Identify patients with Chronic Kidney Disease risk factors for developing
  • Hypertension & Cardiovascular Disease
  • Be able to discuss the pathophysiological mechanisms that contribute to increased cardiovascular morbidity and mortality
  • Critically evaluate the treatment options

Week 2

  • Evaluate the importance of water purification in Haemodialysis
  • Understand the complications of raw untreated water.
  • Discuss ways of monitoring the function of access Analyse the effectiveness of fistula assessments
  • Critically discuss the advantages & disadvantages of different cannulation techniques
  • Discuss ways of monitoring the function of CVC’s Discuss ways of monitoring the function of CVC’s
  • Explore the rationale for the care of required for CVC

Week 3

  • Identify the multidisciplinary care provided for patient for patient with declining renal function
  • Discuss the important elements of patient education and how and why it should be individualised
  • Identify processes which enable shared decision making to occur
  • Discuss the mechanisms and processes through which peritoneal dialysis works.
  • Explore the rationale for different access management procedures.
  • Discuss the care of the exit site.
  • Critically evaluate the rationale for adjustments to the treatment plans
  • Discuss the different fluids available & when they should be considered
  • Identify the main complications of PD and how to manage them
  • Critically evaluate the management of the main complications of PD.
  • Critically analyse the principles of adequacy measurements and the implications of the results.

Week 4

Cost: £0.00