Quality Improvement Director, Quality Insights, Inc., home-based in Kulpsville, PA.
member of ANNA's Susquehanna Chapter.
Nephrol Nurs J. 2021 May-Jun;48(3):227-235.
Prior research among patients with kidney failure has found peer mentoring to be an effective strategy for improving patient outcomes. However, a gap remains in understanding how peer mentoring can be utilized to support a patient's decision-making in choosing a kidney replacement treatment modality. Quality Insights, Inc., has developed and implemented a patient advocacy program (PAP) to support patients in choosing home dialysis as a treatment option and pursuing kidney transplant through waitlisting. Mentors, known as patient advocates, follow a three-step process that includes peer-to-peer mentor training, developing a patient testimonial, and integration into the quality improvement team. The PAP has increased interest among in-center patients on hemodialysis considering home dialysis or kidney transplant. Additionally, barriers, facilitators, and lessons learned have been identified in supporting a patient peer-to-peer mentoring program.
先前在肾衰竭患者中的研究发现，朋辈指导是改善患者预后的有效策略。然而，对于如何利用朋辈指导来支持患者在选择肾脏替代治疗方式时做出决策，仍存在空白。Quality Insights, Inc. 已经开发并实施了一项患者倡导计划 (PAP)，以支持患者选择家庭透析作为治疗选择，并通过候补名单进行肾脏移植。导师，即所谓的患者倡导者，遵循一个包括朋辈导师培训、制作患者证言以及融入质量改进团队的三步流程。该计划增加了中心血液透析患者对家庭透析或肾脏移植的兴趣。此外，在支持患者朋辈指导计划方面，已经确定了障碍、促进因素和经验教训。
