Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD): A feasibility study.

Adult Australia Curriculum Feasibility Studies Female Humans Kidney Failure, Chronic / therapy Male Middle Aged Nephrology Nursing / education New Zealand Patient Education as Topic Peritoneal Dialysis
Adult learning principle competency assessment peritoneal dialysis qualitative training

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:
03 2020
Historique:
pubmed: 18 2 2020
medline: 15 5 2021
entrez: 18 2 2020
Statut: ppublish

Résumé

There is substantial variation in peritonitis rates across peritoneal dialysis (PD) units globally. This may, in part, be related to the wide variability in the content and delivery of training for PD nurse trainers and patients. The aim of this study was to test the feasibility of implementing the Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD) curriculum in real clinical practice settings. This study used mixed methods including questionnaires and semi-structured interviews (pretraining and post-training) with nurse trainers and patients to test the acceptability and usability of the PD training modules implemented in two PD units over 6 months. Quantitative data from the questionnaires were analysed descriptively. Interviews were analysed using thematic analysis. Ten PD trainers and 14 incident PD patients were included. Mean training duration to complete the modules were 10.9 h (range 6-17) and 24.9 h (range 15-35), for PD trainers and patients, respectively. None of the PD patients experienced PD-related complications at 30 days follow-up. Three (21%) patients were transferred to haemodialysis due to non-PD-related complications. Ten trainers and 14 PD patients participated in the interviews. Four themes were identified including use of adult learning principles (trainers), comprehension of online modules (trainers), time to complete the modules (trainers) and patient usability of the manuals (patient). This TEACH-PD study has demonstrated feasibility of implementation in a real clinical setting. The outcomes of this study have informed refinement of the TEACH-PD modules prior to rigorous evaluation of its efficacy and cost-effectiveness in a large-scale study.

Sections du résumé

BACKGROUND
There is substantial variation in peritonitis rates across peritoneal dialysis (PD) units globally. This may, in part, be related to the wide variability in the content and delivery of training for PD nurse trainers and patients.
AIM
The aim of this study was to test the feasibility of implementing the Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD) curriculum in real clinical practice settings.
METHODS
This study used mixed methods including questionnaires and semi-structured interviews (pretraining and post-training) with nurse trainers and patients to test the acceptability and usability of the PD training modules implemented in two PD units over 6 months. Quantitative data from the questionnaires were analysed descriptively. Interviews were analysed using thematic analysis.
RESULTS
Ten PD trainers and 14 incident PD patients were included. Mean training duration to complete the modules were 10.9 h (range 6-17) and 24.9 h (range 15-35), for PD trainers and patients, respectively. None of the PD patients experienced PD-related complications at 30 days follow-up. Three (21%) patients were transferred to haemodialysis due to non-PD-related complications. Ten trainers and 14 PD patients participated in the interviews. Four themes were identified including use of adult learning principles (trainers), comprehension of online modules (trainers), time to complete the modules (trainers) and patient usability of the manuals (patient).
CONCLUSION
This TEACH-PD study has demonstrated feasibility of implementation in a real clinical setting. The outcomes of this study have informed refinement of the TEACH-PD modules prior to rigorous evaluation of its efficacy and cost-effectiveness in a large-scale study.

Identifiants

DOI: 10.1177/0896860819887283 PMID: 32063194
pubmed: 32063194
doi: 10.1177/0896860819887283
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

153-163

Auteurs

Josephine Sf Chow (JS)

Clinical Innovation and Business Unit, South Western Sydney Local Health District, Liverpool Hospital, NSW, Australia.
Faculty of Nursing, The University of Sydney, NSW, Australia.
School of Health Science, University of Tasmania, Hobart, Australia.

Kelly Adams (K)

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

Yeoungjee Cho (Y)

Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Department of Nephrology, Princess Alexandra Hospital, Brisbane, QLD, Australia.

Peter Choi (P)

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

Keri-Lu Equinox (KL)

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

Ana E Figueiredo (AE)

Faculty of Nursing, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

Carmel M Hawley (CM)

Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Department of Nephrology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.
Translational Research Institute, Brisbane, QLD, Australia.

Kirsten Howard (K)

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

David W Johnson (DW)

Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Department of Nephrology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Translational Research Institute, Brisbane, QLD, Australia.

Matthew D Jose (MD)

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

Anna Lee (A)

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

Maureen Longergan (M)

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

Karine E Manera (KE)

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
Centre for Kidney Research, The Children's Hospital at Westmead, NSW, Australia.

Jo-Anne Moodie (JA)

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

Peta-Anne Paul-Brent (PA)

Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.

Elaine M Pascoe (EM)

Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.

Donna Reidlinger (D)

Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.

Genevieve Z Steiner (GZ)

NICM Health Research Institute and Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia.

Melinda Tomlins (M)

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

Allison Tong (A)

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
Centre for Kidney Research, The Children's Hospital at Westmead, NSW, Australia.

David Voss (D)

Department of Renal Medicine, Middlemore Hospital, Auckland, New Zealand.

Neil C Boudville (NC)

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

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Éducation › Programme d'études › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études de faisabilité › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Targeted Education ApproaCH to improve...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Insuffisance rénale chronique › Défaillance rénale chronique › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins infirmiers › Soins infirmiers en néphrologie › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Nouvelle-Zélande › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Éducation pour la santé › Éducation du patient comme sujet › Targeted Education ApproaCH to improve...
questionsmedicales.fr › Thérapeutique › Détoxication par sorption › Dialyse rénale › Dialyse péritonéale › Targeted Education ApproaCH to improve...