SS Nephrology, San Luigi University Hospital, Orbassano, Turin, Italy.
J Nephrol. 2012 Nov-Dec;25(6):926-32. doi: 10.5301/jn.5000155.
The resurgence of home hemodialysis (HHD) underlines the importance of educational programs. Brainstorming is a powerful tool for innovation, widely employed in industry but seldom used in medicine. The aim of this study was to define an e-learning Web platform for HHD patients via a brainstorming approach.
Four brainstorming sessions were held 2-6 weeks apart. Twelve people were involved: 2 dialysis physicians, 2 nurses, 2 HHD patients, 2 caregivers, a filmmaker, 2 computer experts (1 with a psychology degree) and a senior engineer. Each session was summarized as the starting point for the following one. The topics discussed were the platform structure and its logo.
For the platform, the following requirements were defined: teaching should be extensive and tailored to different levels of knowledge; all available teaching tools (tutorials, demonstrations, recorded and written materials) should be used; films enhance emotional participation and can be used to reduce fears; the contents should include general information on chronic kidney disease, details of all types of renal replacement therapy (RRT) (how and why), dialysis accidents, blood and imaging tests, laws and reimbursements, direct experiences and history of RRT. Remote monitoring and visual interactions are important for reassurance about HHD and should be provided. The requirements for the logo were that it be innovative, related to daily life, representative of a holistic approach and convey happiness. The logo "Hom-e-hem" was created, playing on the assonance between the religious term Om and the word home, with the e of electronic linking it with hem, short for hemodialysis.
Brainstorming sessions can be used to design patient-tailored educational interventions. The key message, "self-care is a bridge from illness back to life," may apply to a wider context.
家庭血液透析（HHD）的复兴凸显了教育计划的重要性。头脑风暴是一种创新的有力工具，广泛应用于工业界，但在医学领域很少使用。本研究旨在通过头脑风暴方法为 HHD 患者定义一个电子学习网络平台。
每隔 2-6 周进行 4 次头脑风暴会议。共有 12 人参与：2 名透析医生、2 名护士、2 名 HHD 患者、2 名护理人员、1 名电影制片人、2 名计算机专家（其中 1 名具有心理学学位）和 1 名高级工程师。每次会议的总结都是下一次会议的起点。讨论的主题是平台结构和徽标。
对于该平台，定义了以下要求：教学应广泛且针对不同知识水平进行定制；应使用所有可用的教学工具（教程、演示、录制和书面材料）；电影可以增强情感参与度，可用于减少恐惧；内容应包括慢性肾脏病的一般信息、所有类型肾脏替代治疗（RRT）的详细信息（如何以及为何）、透析事故、血液和成像测试、法律和报销、直接经验和 RRT 历史。远程监测和视觉交互对于 HHD 的安心很重要，应该提供。徽标的要求是创新、与日常生活相关、代表整体方法并传达幸福感。创建了徽标“Hom-e-hem”，利用宗教术语 Om 和单词 home 的谐音，e 代表电子，与 hem 相连，hem 是 hemodialysis 的缩写。
头脑风暴会议可用于设计针对患者的教育干预措施。关键信息“自我护理是从疾病回归生活的桥梁”可能适用于更广泛的背景。
