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International survey of peritoneal dialysis training programs
Judith Bernardini1, Valerie Price, Ana Figueiredo
1University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA.
Summary
Global peritoneal dialysis (PD) training practices for nurses vary widely. Current PD patient training durations do not correlate with peritonitis rates, indicating a need for evidence-based approaches.
Area of Science:
- Nephrology Nursing
- Dialysis Patient Education
- Peritoneal Dialysis
Background:
- Peritoneal dialysis (PD) is a crucial home-based treatment requiring comprehensive patient training.
- Standardization of PD home training programs for nurses globally is lacking.
Purpose of the Study:
- To survey international nurses on current practices in peritoneal dialysis (PD) home training programs.
- To identify variations in PD training methods and their potential impact on patient outcomes.
Main Methods:
- A global survey was distributed to nurses via the International Society for Peritoneal Dialysis Nursing Liaison Committee.
- Data were collected from nurses in the United States, Canada, South America, Hong Kong, and The Netherlands.
- Statistical analyses included Kruskal-Wallis, Pearson correlation, and regression to assess training variables and peritonitis rates.
Main Results:
- 317 nurses responded, reporting significant variation in training duration (6-96 hours) and methods.
- Only 31% of respondents had formal adult education backgrounds.
- No correlation was found between training time and reported peritonitis rates (p = 0.38).
Conclusions:
- Significant global disparities exist in peritoneal dialysis (PD) home training practices.
- Current training durations do not appear to influence peritonitis rates.
- Randomized trials are essential to establish optimal PD training strategies for improved patient outcomes.
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