An Intervention Design: Supporting Skills Development for Peritoneal Dialysis Trainers.


Journal

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
ISSN: 1718-4304
Titre abrégé: Perit Dial Int
Pays: United States
ID NLM: 8904033

Informations de publication

Date de publication:
Historique:
received: 21 07 2018
accepted: 11 09 2018
pubmed: 21 1 2019
medline: 3 1 2020
entrez: 21 1 2019
Statut: ppublish

Résumé

Peritoneal dialysis (PD) is a home-based therapy where nurses train patients in its use. There has been no published randomized controlled trial (RCT) evaluating any specific protocol for nurses delivering PD training. A standardized education package based upon the best available evidence and utilizing modern educational practices may lead to improved patient outcomes. The aim is to develop a standardized, evidence-based curriculum for PD trainers and patients aligned with guidelines from the International Society for Peritoneal Dialysis (ISPD), using best practice pedagogy. A literature search and clinical audit were conducted to identify current practice patterns and best practice. Results were reviewed by a focus group of practitioners comprising PD nurses, nephrologists, consumers, a medical education expert, and an eLearning expert. From this, a training curriculum and modules were developed. A comprehensive PD training curriculum has been developed, which includes modules for training PD nurses (trainers) and patient training manuals. The package comprises 2 introductory modules and 2 clinical case modules. The curriculum is designed for both interactive digital media (trainers) and traditional paper-based teaching with practical demonstrations (patients). Assessment is also addressed. The need for the development of a comprehensive and standardized curriculum for PD nurse trainers and their patients was confirmed. This paper outlines the process of the development of this curriculum. Pilot testing of the modules was launched in late 2017 to examine feasibility, and planning has commenced for a RCT in 2019 to investigate the effect of the modules on clinical outcomes, and their wider application across Australia and New Zealand.

Sections du résumé

BACKGROUND
Peritoneal dialysis (PD) is a home-based therapy where nurses train patients in its use. There has been no published randomized controlled trial (RCT) evaluating any specific protocol for nurses delivering PD training. A standardized education package based upon the best available evidence and utilizing modern educational practices may lead to improved patient outcomes. The aim is to develop a standardized, evidence-based curriculum for PD trainers and patients aligned with guidelines from the International Society for Peritoneal Dialysis (ISPD), using best practice pedagogy.
METHODS
A literature search and clinical audit were conducted to identify current practice patterns and best practice. Results were reviewed by a focus group of practitioners comprising PD nurses, nephrologists, consumers, a medical education expert, and an eLearning expert. From this, a training curriculum and modules were developed.
RESULTS
A comprehensive PD training curriculum has been developed, which includes modules for training PD nurses (trainers) and patient training manuals. The package comprises 2 introductory modules and 2 clinical case modules. The curriculum is designed for both interactive digital media (trainers) and traditional paper-based teaching with practical demonstrations (patients). Assessment is also addressed.
CONCLUSION
The need for the development of a comprehensive and standardized curriculum for PD nurse trainers and their patients was confirmed. This paper outlines the process of the development of this curriculum. Pilot testing of the modules was launched in late 2017 to examine feasibility, and planning has commenced for a RCT in 2019 to investigate the effect of the modules on clinical outcomes, and their wider application across Australia and New Zealand.

Identifiants

pubmed: 30661004
pii: pdi.2018.00159
doi: 10.3747/pdi.2018.00159
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

134-141

Informations de copyright

Copyright © 2019 International Society for Peritoneal Dialysis.

Auteurs

Josephine S F Chow (JSF)

Clinical Innovation & Business Unit, South Western Sydney Local Health District, Sydney, Australia Josephine.Chow@health.nsw.gov.au.
Faculty of Nursing, University of Sydney, Sydney, Australia.
School of Health Science, University of Tasmania, Tasmania, Australia.

Yeoungjee Cho (Y)

Department of Nephrology, Princess Alexandra Hospital, Brisbane, Australia.
Australasian Kidney Trials Network, University of Queensland, Brisbane, Australia.
Translational Research Instittue, Brisbane, Australia.

Keri-Lu Equinox (KL)

Department of Renal Medicine, Cairns Hospital, Sydney, Australia.

Ana Figueiredo (A)

School of Health Sciences, Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, Brazil.

Serena Frasca (S)

Central Northern Adelaide Renal and Transplantation Service, Adelaide, Australia.

Carmel Hawley (C)

Department of Nephrology, Princess Alexandra Hospital, Brisbane, Australia.
Australasian Kidney Trials Network, University of Queensland, Brisbane, Australia.
Translational Research Instittue, Brisbane, Australia.

Kirsten Howard (K)

Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.

David W Johnson (DW)

Department of Nephrology, Princess Alexandra Hospital, Brisbane, Australia.
Australasian Kidney Trials Network, University of Queensland, Brisbane, Australia.
Translational Research Instittue, Brisbane, Australia.

Matthew Jose (M)

School of Medicine, University of Tasmania, Tasmania, Australia.

Anna Lee (A)

Department of Renal Medicine, Illawarra Shoalhaven Local Health District, NSW, Australia.

Moira Maley (M)

Medical School, University of Western Australia, Perth, Australia.

Jo-Anne Moodie (JA)

Department of Nephrology, The Royal Melbourne Hospital, Parkville, Australia.

Peta-Anne Brent (PA)

Australasian Kidney Trials Network, University of Queensland, Brisbane, Australia.

Elaine Pascoe (E)

Australasian Kidney Trials Network, University of Queensland, Brisbane, Australia.

Donna Reidinger (D)

Australasian Kidney Trials Network, University of Queensland, Brisbane, Australia.

Genevieve Z Steiner (GZ)

NICM Health Research Institute and Translational Health Research Institute (THRI), Western Sydney University, Penrith, Australia.

Melinda Tomlins (M)

Department of Renal Medicine, Hunter New England Local Health District, New Lambton, Australia.

David Voss (D)

Renal Medicine, Middlemore Hospital, Auckland, New Zealand.

Paula Woodward (P)

The Med Collective (Medical Education and Communications), Sydney, Australia.

Neil Boudville (N)

Medical School, University of Western Australia, Perth, Australia.

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Classifications MeSH