A century of nephrology nursing. The first fifty years (1915–1959)

Abstract

The aim of this study is to describe the main stages in the development of nephrology nursing in its century-long history as evidenced by the existing documentation in Europe and the USA. Two key periods will be highlighted. The first, preceding the introduction of renal replacement therapy by dialysis, is distinguished by a professional attitude oriented towards preserving residual renal function and preventing complications. The second, concurrent with the introduction of dialysis, is distinguished by the need to broaden professional skills from a clinical, technical and educational point of view. The activity of major nurses marked these two stages. While growing, nephrology nursing changed its professional goals and adapted them to scientific progress in the broadest sense, but also to the central position of the individual in the healthcare process, the quality of outcomes, and the rational use of resources. This paper deals with a professional history that makes the nephrology nurse a unique figure in the nursing universe.