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Training clinicians in a problem-solving fatigue programme for patients receiving maintenance haemodialysis
Janine F Farragher1, Jane A Davis1, Helene J Polatajko1
1Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Journal of Renal Care
|September 10, 2021
Summary
Training dialysis clinicians to coach Personal Energy Planning for patients on maintenance haemodialysis may be feasible. Modifications to training materials could enhance clinician coaching skills for this energy management program.
Area of Science:
- Nephrology
- Rehabilitation
- Health Services Research
Background:
- Personal Energy Planning (PEP) is a problem-solving program to aid patients on maintenance haemodialysis in managing energy for life participation.
- The feasibility of training dialysis clinicians as PEP coaches is unexplored.
Purpose of the Study:
- To assess the feasibility of training dialysis clinicians to administer the Personal Energy Planning program.
Main Methods:
- A feasibility study involving adherence evaluation of two clinician coaches' facilitation skills.
- Qualitative interviews with the two coaches were conducted and analyzed.
- Ten patients receiving maintenance haemodialysis treatment participated in 34 sessions.
Main Results:
- Clinicians consistently used core skills like patient-centered goal setting but less frequently employed others, such as guided discovery.
- Coaches reported challenges in supporting patient problem-solving and managing fluctuating patient health.
- Training resources like the coaching handbook and expert consultation were valued.
Conclusions:
- Training dialysis clinicians to deliver Personal Energy Planning to haemodialysis patients appears feasible with improved training materials.
- Refining training content is recommended to optimize clinician coaching effectiveness.
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