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Exploring Haemodialysis Nurses' Perceptions on Kidney Replacement Therapy Modality Education: A Framework Analysis.

Elke Jaibeeh Barah¹, Jennifer Jackson¹

¹Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.

Journal of Renal Care

|January 26, 2025

Summary

In-centre haemodialysis nurses face barriers to providing modality education, including knowledge gaps and limited resources. Enhancing nurses

Keywords:

in‐centre haemodialysis kidney replacement therapy modality education nurses qualitative research

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Area of Science:

Nephrology
Nursing Education
Behavioral Science

Background:

Many kidney failure patients remain on in-centre haemodialysis despite better outcomes with home dialysis.
High-quality modality education is crucial for informed patient decisions but is inconsistent.
In-centre haemodialysis nurses are key educators but face challenges in providing this information.

Purpose of the Study:

To explore in-centre haemodialysis nurses' perceptions of patient modality education.
To understand barriers and facilitators to modality education using the COM-B model.

Main Methods:

Framework analysis guided by the COM-B model.
Semi-structured interviews with 13 in-centre haemodialysis nurses in Canada.
Interviews conducted via Zoom, lasting 30-60 minutes.

Main Results:

Nurses reported knowledge deficits and limited experience with home dialysis modalities.
Lack of resources and varied views on their educational role were identified.
Strong nurse-patient relationships and prior experience with other modalities were facilitators.

Conclusions:

Nurses acknowledge a role in modality education but face significant barriers.
Addressing knowledge gaps and resource limitations is essential for effective patient education.
Leveraging existing strengths like therapeutic relationships can improve home dialysis uptake.