EDTNA/ERCA European Dialysis and Transplant Nurses Association/
European Renal Care Association
EDTNA/ERCA Project Website Dresden 2015
Patient-centred Renal Care – A Multidisciplinary Approach to Holistic Health

Role of the Education Consultant

John Sedgewick UK:  MSc (Nurs), MSc (Health Service Research), BSc (Hons), RN, RMN, Dip.Nurs, Renal Nurs Cert, Cert.ED, RNT, PhD(c) Nephrology,


  1. Collaborate with experts within EDTNA/ERCA & consultant groups in developing educational projects.
  2. Contribute to the development of educational strategy in collaboration with other experts within EDTNA/ERCA
  3. Develop educational processes & curriculum development and enhance standards of educational provision.
  4. Develop flexible and contemporary approaches to education & training for members working in renal care to enhance quality of patient care & service delivery.
  5. Collaborate with industry partners in developing & implementing individualised educational programmes.
  6. Advise on European policy & legislation pertaining to educational developments within Europe.

The above aims are the result of involvement with other agencies but I am also interested in hearing from any European professional with an interest in nutrition for collaborative work.

Activities of previous Education & Research Board

Since 2010, the ERB was dissolved as a group; its members were allocated to different projects running in the association.
John Sedgewick (UK) – former chair of the ERB was appointed Education Consultant and will be coordinating educational project and consulting other projects in the association.

As the major association representing nephrology nursing in Europe, the EDTNA/ERCA has the responsibility to continually strive to improve the quality of nephrology practice, and to ensure the highest level of professional competence among its members.

The Education and Research Board (ERB) was formed in September 2007, by the amalgamation of the established boards for education and research. Education and research jointly underpin current nephrology nursing practice, expanding the boundaries of knowledge and optimising patient outcomes.

Education Consultant Projects

Accreditation & Endorsement Project

The accreditation and endorsement project continues to provide opportunities for universities, colleges, and hospitals offering educational programmes to seek formal recognition for the quality of education provided. The accreditation programme requires applicants to provide specific evidence to meet the standards required to achieve accreditation. Presently, universities and schools of nursing from the United Kingdom (UK), Germany, Finland, and Portugal have received successful accreditation.

An increasing number of industry partners are now seeking formal endorsement for their educational programmes. Of late, Diaverum have successfully attained a three year endorsement of their Competence in Practice Programme, and Fresenius Medical Care (Middle East and Africa) have secured three year approval of their Peritoneal Dialysis Programme.  Additionally Genzyme GmbH have successfully achieved a 3 year endorsement for the phosphate management patient education programme (PEP = Phosphat-Einheiten-Programm Phosphate-Unit-Programme). Their remain a growing interest from renal industry partners of the interest in seeking endorsement for a wide range of educational programmes/ courses.

If you are interested in seeking further information regarding accreditation or endorsement please contact Secretariat at edtna_erca@adexcellentbranding.com

E Learning

This first module uses the clinical stories and experiences of 4 patient each with different needs related to vascular access. As learners work through the module learning activities are built into the module which encourage learners to consider a wide range of practice and theoretical issues related to patient care. Upon successful completion of the module assessments which are built into the module a certificate of achievement will be awarded by the E&RB recognising Continuing Education Learning hours and successful completion of the module.

Join EDTNA/ERCA and get access to the eLearning Module

Continuing Education (CE Articles)

A continuing education (CE) article addressing a specific aspect of nephrology care is published in each edition of the Journal of Renal Care (JRC). Each CE article includes various learning activities aimed at developing the reader’s knowledge and understanding of the topic addressed in the article. After reading the CE article, and on completion of the learning activities, the reader will have achieved three hours of learning in accordance with the EDTNA/ERCA criteria for continuing professional development. Margaret McCann successfully co-ordinate this important educational provision working closely with writers and editors in the production of high quality CE articles.

If you are interested in contributing to the writing or editing of a CE publication we would be delighted to hear from you.

Fresenius Medical Care (Middle East & Africa) & EDTNA/ERCA Renal Education Project – A Project Growing from Strength to Strength

The continued successful partnership between EDTNA/ERCA and Fresenius Middle East and Africa lead to the delivery of a highly successful 2nd renal education programme in Prague, Czech Republic, July 2008. Participants enjoyed the opportunities to lean about developments in contemporary renal care, in addition to sharing clinical practice experiences with nurses from approximately 10 different countries. The programme is built upon strong learning and teaching approaches, which value the diversity of delegate practice expertise. Participants were actively encouraged to cascade knowledge gained from the programme to their colleagues in renal care.

For the first time during the programme a debate was held between two teams to:

  1. Examine the benefits of various renal therapies offered to patients
  2. Explore supported patient choice and decision making

This learning strategy proved to be highly effective, and was positively evaluated by delegates.

The 3rd Renal Nurse Education Programme took place in Sharm el Sheikh, Egypt, May 15th – 20th 2009.

Group photo Egypt

EDTNA/ERCA and Fresenius Medical Care (Middle East and Africa) are justifiably proud of the successful implementation of this programme.  The programme continues to see an increasing number of delegates from across the Middle East, North & South Africa attending the programme.

One of the hallmarks of the programme is the unique learning environment created which centres upon participative learning, problem solving and the sharing of practice based clinical case studies from delegates. One of the main themes for the 3rd programme related to the importance of screening for CKD and the role of the multi-disciplinary team in the pre-dialysis care of patients and their families. Sessions included CKD screening & assessment, optimising pre-dialysis care, mental health & Quality of Life in Renal Care.

In keeping with the theme of this 3rd programme, two teams of delegates debated the topic ‘Pre-dialysis care is the responsibility of physicians and not nurses’. This topic resulted in an exchange of some interesting arguments related to renal nurses’ specialist skills, the application of specialist knowledge as well as boundaries of professional responsibility and accountability. Throughout the 4 days of the programme sessions focusing upon Haemodiafiltration, Peritoneal Dialysis & CRRT were delivered to a highly enthusiastic group of delegates who took great pride in sharing their own practice experiences and clinical case studies. During the final day of the programme a number of delegates presented some excellent presentations related to the current state of nephrology care within Africa & the Middle East. All those involved in the programme valued the opportunity to come together to learn and share best practices in renal care.


4th Fresenius Medical Care (Middle East & Africa) & EDTNA/ERCA Renal Education Programme: 11 – 15 June 2010, Athens, Greece

Group photo Athens

The 4th Fresenius Medical Care (Middle East & Africa) & EDTNA/ERCA Renal Education Programme was successfully delivered 11- 15th June in Athens, Greece. This programme, a joint partnership project between FMC (MEA) & EDTNA/ERCA builds upon a successful programme which was originally launched in Madrid in 2007.  The programme Faculty from EDTNA/ERCA includes John Sedgewick (Chair of Faculty), Lesley Bennett, Clare Chavenel, Avril Redmond & Ann Jones. The team work closely with members of the Fresenius Medical Care team (MEA) namely Dr Aly Elkhodiary (Marketing Manager) & Maria Bautista (Education & Training Manager) as well as other members of the FMC team.

The programme provides the opportunity for delegates to engage in a highly interactive programme which focus upon new developments in renal care as well as provide an opportunity for delegates to share their own practices from their own countries. Nearly 100 participants from approximately 21 countries attended the programme in Athens.

The main theme of the 4th programme related to the prevention and early management of CKD and the role of the renal multi-disciplinary team in this process. Guest speakers from Greece provided an overview of renal care provision across Greece which delegates found highly informative. Additionally throughout the programme current developments related to haemodialysis, peritoneal dialysis, CRRT and renal transplantation were provided. One of the major strengths of the programme relates to its participatory philosophy where delegates bring to the programme clinical case studies from their own practices and share these in problem solving learning forums.

Additionally the programme encourages participants to consider strategies for enhancing both clinical practices as well as their own professional development. Presentations related to the importance of nursing research in enhancing patient outcomes as well as the value of writing for publication & presentation at conferences was provided which were well received.

The interactive nature of the programme enables participants to engage in a clinical debate related to a topic of importance to renal care. The topic of debate during the 4th programme was ‘PD Therapy is the best treatment for the individual with Diabetes & CKD’. This debate presented by two teams of 4 delegates provided best evidence for the motion presented – a highly informative debate was presented much to the enjoyment of the participants. Throughout the programme participants networked with each other sharing challenges within their own clinical practices. The final day of the programme saw a number of country focused presentations related to renal care from Kingdom of Saudi Arabia, Sultanate of Oman, South Africa & Kenya.

The Fresenius Medical Care (Middle East & Africa) & EDTNA/ERCA is a wonderful partnership which continues to grow from strength to strength. Plans are well underway in the preparation of the 5th programme which will be delivered in Bucharest, Romania, 10 – 15 June 2011; the theme of the 5th programme is ‘The Role of Nursing in Quality Improvement in Chronic Kidney Disease Management’. I look forward to reporting on this in the near future.

John Sedgewick, Education Consultant, EDTNA/ERCA


5th FMC (Middle East & Africa) & EDTNA/ERCA Renal Education Programme
Bucharest, Romania, 11 – 14th June 2011

Group photo BucharestBucharest open air session

It was with pleasure that the 5th FMC (Middle East & Africa) & EDTNA/ERCA Renal Education Programme was delivered in Bucharest in Romania to approximately 100 delegates. Since the original programme commenced in 2007 increasing numbers of delegates have attended the programme. The diversity in delegates attending include representatives from 11 Middle Eastern Countries including Kingdom of Saudi Arabia, Sultanate of Oman, Bahrain, Kuwait, Lebanon, Egypt, Tunisia, Morocco, United Arab Emirates (UAE), Jordan & Yemen. African delegates attended from Kenya, Uganda, South Africa, Ghana, Nigeria, Rwanda, Swaziland & Botswana. Such diversity in professional backgrounds truly makes for an extremely rewarding learning experience for all those involved.

The theme for the 5th programme focused around The Role of Nursing in Quality Improvement in Chronic Kidney Disease Management. This important theme was integrated within and across all sessions throughout the programme.  The importance of the patient & family experience of care and how this is important to quality improvement was presented on day one along with sessions related to ‘Making Quality Happen and Leading Quality Management in Renal Care.

Opportunities were provided for delegates to join clinically focused skills based workshops covering topics such as adequacy & dry weight assessment, Anaemia management, Bone & mineral disease and Pre-dialysis care. These workshops adopt a highly interactive and facilitative style where delegates are encouraged to share their own practices with each other. Central to these workshops was the importance of guidelines/ standards and best practice on which to promote and enhance quality improvement.

One of the features of the programme which is particularly enjoyed by delegates is the opportunity for the sharing of real practical challenges from delegates own clinical areas. This entails all delegates preparing a clinical case study (anonymised to protect patient confidentiality) which is discussed with delegates as a way of problem solving and generating new insights into care & management.

For the first time since the programme commenced, NephroCare provided some excellent learning opportunities which further enhanced delegate experience. Ms Maria Teresa Parisotto, Director of Nursing (NephroCare) worked alongside NephroCare Clinical Nurse Specialists and staff from local NephroCare renal units to deliver presentations related to patient safety and reporting. One of the highlights of the programme was the NephroCare World Café which was thoroughly enjoyed by all. This highly interactive approach to learning enabled participants to examine case studies related to patient safety and undertake extensive problem solving, analysis and determine solutions. Additionally, for the first time, the programme included a visit to a local NephroCare renal dialysis unit which enabled participants top view first hand renal care delivery in Romania which was highly informative.

To enhance the scholarly development of delegates, the introduction of a breakfast club session focusing upon Designing Posters for presentation was offered.  The workshop was oversubscribed with approx 35 delegates working over breakfast at 7am in a most interactive and team spirited way as teams explored what makes a good poster and finally designing ideas for their own posters. The commitment & enthusiasm for the breakfast club ensures that it will now remain an important feature of future programmes.

One of the highlights of the programme (amongst many!) was the delivery of a clinical leadership workshop which was facilitated in the open air…in a field…below the mountain in Romania; this was a truly memorable experience. Groups of delegates each with their own highly skilled facilitators examined key attributes of effective clinical leadership and there relationship to renal care practices. Group members were able to share their individual self assessments of their own leadership qualities and consider personal action plans to enhance their leadership potential.  With the blue sky & the warm Romania sun shinning against a backdrop of the Romanian mountains a superb learning opportunity was delivered.

Delegates also enjoyed the opportunity to engage in a clinical debate ( a key regular feature of the programme). Two delegate teams debated the topic ‘Clinical Guidelines are more important than the patient experience in Quality Improvement’. Some excellent points were presented by both teams in a true spirit of learning.

As the programme drew to a close, the final day included country presentations related to specific topics which provided a wonderful overview of some exciting work and challenges in a number of countries across the Middle East & Africa. Presentations from the UAE & South Africa focused upon the development of nursing competencies in their countries,. Projects related to the theme of Education and Professional Development were presented from the Sultanate of Oman & UAE. Some interesting work focusing upon leading Quality Improvement & Change were presented from Kingdom of Bahrain & UAE. Finally delegates from Kenya and Rwanda discussed examples of applying findings of nursing research into clinical practice.

As the programme drew to a close, it was agreed by all that the 5th programme had been a huge success. New friendships were made, professional networks established and above all a real sense of the value of the important role that nursing has in quality improvement in renal care.

Preparations are now underway for the 6th FMC (Middle East & Africa) & EDTNA/ERCA Renal Education programme which will be delivered in Yas Island; in the United Arab Emirates in March 2012…..I look forward to reporting on that in the future!

Renal Education Programme Faculty Teams:
John Sedgewick (Faculty Chair) Dr Aly Elkhodiary (Marketing Manager)
Lesley Bennett Maria Bautista (Training & Education Manager)
Avril Redmond Moosa Ahmed
Clare Chavanel Raeed Ibrahim
Ann Jones Samir Zuglahmi


National Association Presidents Project - State of Nephrology Nursing across Europe

Project Lead : John Sedgewick
Plans are underway to develop a Descriptive pan European Delphi survey of Presidents of National Nursing Associations. The Title of the Project :- ‘Exploring the Challenges & Opportunities for Renal Care Across Europe - A survey of National Presidents of Renal Nursing Associations’

This project aims to

  1. Identify the current concerns/challenges facing the delivery of renal care across Europe as perceived by Presidents of National Associations
  2. Explore the particular challenges encountered by healthcare workers in renal care related specifically to practice , research and education as a basis for enhancing renal care.
  3. Determine where priorities need to be focused in terms of ensuring provision of quality care and how this is influenced by unique cultural, social and political dimensions

Data collection will be undertaken in a number of  phases. The purpose of the Delphi technique will be to successively & progressively focus on the key areas as determined by National Presidents.

The results of this Delphi study will greatly help inform future priorities and focus for research, practise & education activities within EDTNA/ERCA

Journal of Renal Care
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