Developing and Evaluating a Home Hemodialysis Training Program-A Quality Improvement Study.

Area of Science:

• Nephrology
• Medical Education
• Patient Training

Background:

• Home hemodialysis (HHD) training programs can be lengthy, deterring patient participation.
• A previous HHD training program (Training Program 1.0) required 3-4 months, impacting patient choice.
• This study aimed to optimize HHD training through program revision and evaluation.

Purpose of the Study:

• To identify improvements for an existing HHD training program.
• To develop an enhanced HHD training program (Training Program 2.0).
• To assess the outcomes and patient experience of the revised HHD training program.

Main Methods:

• Literature review and focus groups with HHD nurses.
• Interviews with patients from the previous training program.
• Collaborative development of Training Program 2.0 using a 'learning by doing' approach, followed by qualitative and quantitative evaluation.

Main Results:

• Six key changes were implemented: increased session frequency, earlier self-cannulation, dedicated training nurses, a shorter/structured program, individualized schedules, and clearer instructions.
• Training frequency increased to four sessions/week, with self-cannulation introduced in week two.
• Qualitative data showed improved patient experience; quantitative data trended towards reduced training time.

Conclusions:

• Training Program 2.0 fostered a more effective learning environment, leading to enhanced patient satisfaction.
• While not statistically significant, qualitative improvements indicate a positive impact on the patient experience in HHD.
• Tailoring HHD training to patient needs is crucial for engagement and adoption of home dialysis therapies.