Change process during synchronised conversion to a once-monthly erythropoiesis-stimulating agent (esa) administration at a single satellite haemodialysis unit

Background: There are currently no published data on the impact of changes to practice caused by introducing coordinated once-monthly erythropoiesis-stimulating agent (ESA) administration. Objective: This study aimed to measure staff satisfaction during and after ESA synchronisation within a single satellite haemodialysis unit. Design: A quantitative survey using a Likert scale was distributed to dialysis nurses pre-synchronisation and during follow-up at three and nine months post-synchronisation. Secondary outcomes included monitoring of haemoglobin (Hb) levels. Results: A total of 19 respondents completed the surveys. By nine months post-synchronisation, most nurses responded that ESA synchronisation was not a time-consuming task, did not increase their workload, had saved them time and was simpler for the unit. Additionally, most nurses reported that they had coped well with the change and that they wanted ESA synchronisation to be permanently introduced. At 8 months post-synchronisation, 53.3% of patients had an Hb level >11 g/dl and <12g/dl. Conclusion: Changes to practice resulting from ESA synchronisation did not appear to negatively impact nurse workplace satisfaction.