Phillips Matthew, Wile Colleen, Bartol Carolyn, Stockman Cynthia, Dhir Minakshi, Soroka Steven D, Hingwala Jay, Bargman Joanne M, Chan Christopher T, Tennankore Karthik K
Capital District Health Authority/QEII Renal Program, Halifax, Nova Scotia Canada.
Division of Nephrology, Dalhousie University, Halifax, Nova Scotia B3H 1V8 Canada.
Can J Kidney Health Dis. 2015 Apr 28;2:16. doi: 10.1186/s40697-015-0051-z. eCollection 2015.
It has been shown that in-center hemodialysis (HD) nurses prefer in-center HD for patients with certain characteristics; however it is not known if their opinions can be changed.
To determine if an education initiative modified the perceptions of in-center HD nurses towards home dialysis.
Cross-sectional survey of in-center HD nurses before and after a three hour continuing nursing education (CNE) initiative. Content of the CNE initiative included a didactic review of benefits of home dialysis, common misconceptions about patient eligibility, cost comparisons of different modalities and a home dialysis patient testimonial video.
All in-center HD nurses (including those working in satellite dialysis units) affiliated with a single academic institution.
Survey themes included perceived barriers to home dialysis, preferred modality (home versus in-center HD), ideal modality distribution in the local program, awareness of home dialysis and patient education about home modalities.
Paired comparisons of responses before and after the CNE initiative.
Of the 115 in-center HD nurses, 100 registered for the CNE initiative and 89 completed pre and post surveys (89% response rate). At baseline, in-center HD nurses perceived that impaired cognition, poor motor strength and poor visual acuity were barriers to peritoneal dialysis and home HD. In-center HD was preferred for availability of multidisciplinary care and medical personnel in case of catastrophic events. After the initiative, perceptions were more in favor of home dialysis for all patient characteristics, and most patient/system factors. Home dialysis was perceived to be underutilized both at baseline and after the initiative. Finally, in-center HD nurses were more aware of home dialysis, felt better informed about its benefits and were more comfortable teaching in-center HD patients about home modalities after the CNE session.
Single-center study.
CNE initiatives can modify the opinions of in-center HD nurses towards home modalities and should complement the multitude of strategies aimed at promoting home dialysis.
研究表明，中心血液透析（HD）护士更倾向于为具有某些特征的患者提供中心血液透析；然而，他们的观点是否能够改变尚不清楚。
确定一项教育举措是否能改变中心血液透析护士对家庭透析的看法。
在一项为期三小时的继续护理教育（CNE）举措前后，对中心血液透析护士进行横断面调查。CNE举措的内容包括对家庭透析益处的理论回顾、关于患者资格的常见误解、不同透析方式的成本比较以及一段家庭透析患者的推荐视频。
隶属于单一学术机构的所有中心血液透析护士（包括在卫星透析单位工作的护士）。
调查主题包括家庭透析的感知障碍、首选透析方式（家庭透析与中心血液透析）、当地项目中理想的透析方式分布、对家庭透析的认知以及对患者进行家庭透析方式的教育情况。
对CNE举措前后的回答进行配对比较。
在115名中心血液透析护士中，100人注册参加了CNE举措，89人完成了前后调查（回复率89%）。基线时，中心血液透析护士认为认知障碍、运动力量差和视力差是腹膜透析和家庭血液透析的障碍。由于在灾难性事件发生时可获得多学科护理和医疗人员，中心血液透析更受青睐。该举措实施后，对于所有患者特征和大多数患者/系统因素，看法更倾向于家庭透析。在基线和举措实施后，家庭透析均被认为利用不足。最后，中心血液透析护士对家庭透析的了解更多，对其益处的认识更充分，并且在CNE课程后更愿意向中心血液透析患者传授家庭透析方式。
单中心研究。
CNE举措可以改变中心血液透析护士对家庭透析方式的看法，并且应该补充旨在促进家庭透析的众多策略。
