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Teaching-learning partnership between nurses and long-term patients undergoing peritoneal dialysis: A qualitative
Nicole M T Radmore1, Kristiina Hyrkäs2
1Clinical Nurse II, Maine Medical Center, Portland, Maine, 04102, USA.
Journal of Renal Care
|July 13, 2019
Summary
The nurse-patient partnership is vital for people with end-stage kidney disease (ESKD) on peritoneal dialysis (PD). Effective communication and tailored education from nurses improve patient adherence and health outcomes.
Area of Science:
- Nephrology
- Nursing Education
- Patient Adherence
Background:
- Patients with end-stage kidney disease (ESKD) on peritoneal dialysis (PD) often alter treatment adherence post-initial nursing education.
- Adherence changes are linked to adverse health outcomes, highlighting the need for ongoing nurse support and re-education.
Purpose of the Study:
- To explore the teaching-learning partnership between patients on PD and PD nurses.
- To compare and contrast the perspectives of patients and nurses within this partnership.
Main Methods:
- Qualitative content analysis of individual semi-structured interviews.
- Involved four patients receiving PD and three PD nurses.
Main Results:
- Four shared themes emerged: motivation, acceptance, support, and partnership.
- Patient-specific motivations included avoiding peritonitis and seeking transplants, and finding meaning in life.
- Key elements of the partnership included professional, customized education, personal rapport, and mutual necessity for positive health outcomes.
Conclusions:
- The PD nurse-patient partnership is crucial for successful ESKD management and health outcomes.
- Partnerships are unique, evolve over time, and require nurses to adapt education and teaching styles.
- Nurses must prioritize making patients feel cared for and supported to foster successful partnerships.
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