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Streamlining orientation for hemodialysis nursing: a competency-based approach.

Orientation of a nephrology nurse in a hemodialysis setting is a complex process; often stressful for the learner and time consuming for the educator. The extent of orientation depends upon individual learning needs and previous clinical experience. The competency-based approach to orientation in hemodialysis is comprehensive, efficient, and cost-effective. Modular in design, it is adaptable to varying levels of orientation needs. Based on andragogical theory, it is goal-oriented and learner-directed. A manual has been developed to facilitate a competency-based orientation in hemodialysis. The manual is an outcome-driven tool designed to integrate the nursing process with dialysis technology. The focus is maximization of nephrology nursing care resulting in enhanced patient outcomes.