Attitudes and perceptions of nephrology nurses towards dialysis modality selection: a survey study

BMC Nephrology

Research Article

Karthik K Tennankore¹  Joanne M Bargman²  Christopher T Chan²  Diane Watson²  Jay Hingwala² 

[1] From the Division of Nephrology, Dalhousie University, 5070 Dickson Building 5820 University Avenue, Halifax, NS, Canada;From the Division of Nephrology, University Health Network, B3H 2Y9, Toronto, Canada;

关键词: Dialysis;    Barriers;    Survey;    Home dialysis;    Peritoneal dialysis;    Home hemodialysis;   

DOI  :  10.1186/1471-2369-14-192

 received in 2013-06-05, accepted in 2013-09-04,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThere is a paucity of information about the views of dialysis nurses towards dialysis modality selection, yet nurses often have the most direct contact time with patients. We conducted a survey to better understand nurses’ attitudes and perceptions, and hypothesized that nurses with different areas of expertise would have differences in opinions.MethodsWe administered an electronic survey to all dialysis/predialysis nurses (n = 129) at a large, tertiary care center. The survey included questions about preferred therapy - in-center hemodialysis (CHD), versus home dialysis (home hemodialysis and peritoneal dialysis) and ideal modality mix. Responses were compared between nurses with home dialysis and CHD experience.ResultsThe survey response rate was 69%. Both nursing groups ranked patient caregivers and dialysis nurses as having the least impact on patient modality selection. For most patient characteristics (including age > 70 years and presence of multiple chronic illnesses), CHD nurses felt that CHD was somewhat or strongly preferred, while home dialysis nurses preferred a home modality (p < 0.001 for all characteristics studied). Similar differences in responses were noted for patient/system factors such as patient survival, cost to patients and nursing job security. Compared to CHD nurses, a higher proportion of home dialysis nurses felt that CHD was over-utilized (85% versus 58%, p = 0.024).ConclusionDialysis nurses have prevailing views about modality selection that are strongly determined by their area of experience and expertise.

【 授权许可】

CC BY   
© Tennankore et al.; licensee BioMed Central Ltd. 2013