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The complexity in the implementation process of empowerment-based chronic kidney care: a case study
Annette Nygårdh1, Dan Malm2, Kerstin Wikby3
1School of Health Sciences, Jönköping University, P.O. Box 1026, Jönköping SE-551 11, Sweden.
BMC Nursing
|August 9, 2014
Summary
Implementing empowerment-based chronic kidney care requires organizational support and collaboration among healthcare professionals. Sustaining these improvements involves overcoming organizational limitations and fostering a supportive environment for long-term success.
Area of Science:
- Healthcare Improvement Interventions
- Chronic Kidney Care
- Patient Empowerment
Background:
- Challenges in implementing empowerment-based chronic kidney care.
- Need to study the implementation process for effective chronic kidney disease (CKD) management.
- Utilizing data from CKD patients and families for care improvement.
Purpose of the Study:
- To generate knowledge on the implementation process of an empowerment-based chronic kidney care intervention.
- To understand facilitators and barriers in a two-year improvement project.
- To inform future strategies for sustainable CKD care.
Main Methods:
- Prospective single qualitative case study design.
- Data collected over two years from 12 healthcare professionals via recorded meetings, field notes, and interviews.
- Qualitative latent content analysis used for data interpretation.
Main Results:
- Facilitator themes: 'Moving spirit' and 'Encouragement' among healthcare professionals.
- Healthcare professionals showed willingness for individualized care and professional development.
- Organizational limitations and lack of interplay were significant barriers to implementation.
Conclusions:
- Implementing sustainable, empowerment-based chronic kidney care is complex.
- Cooperation among healthcare professionals is crucial for successful implementation.
- Long-term interventions require organizational encouragement at all levels for sustained engagement.
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