Attitudes and perceptions of nephrology nurses towards dialysis modality selection: a survey study

作者：Tennankore Karthik K^*; Hingwala Jay; Watson Diane; Bargman Joanne M; Chan Christopher T

来源：BMC Nephrology, 2013, 14(1): 192.

DOI：10.1186/1471-2369-14-192

• Dialysis
• Barriers
• Survey
• Home dialysis
• Peritoneal dialysis
• Home hemodialysis

Background: There is a paucity of information about the views of dialysis nurses towards dialysis modality selection, yet nurses often have the most direct contact time with patients. We conducted a survey to better understand nurses%26apos; attitudes and perceptions, and hypothesized that nurses with different areas of expertise would have differences in opinions. %26lt;br%26gt;Methods: We administered an electronic survey to all dialysis/predialysis nurses (n = 129) at a large, tertiary care center. The survey included questions about preferred therapy - in-center hemodialysis (CHD), versus home dialysis (home hemodialysis and peritoneal dialysis) and ideal modality mix. Responses were compared between nurses with home dialysis and CHD experience. %26lt;br%26gt;Results: The survey response rate was 69%. Both nursing groups ranked patient caregivers and dialysis nurses as having the least impact on patient modality selection. For most patient characteristics (including age %26gt; 70 years and presence of multiple chronic illnesses), CHD nurses felt that CHD was somewhat or strongly preferred, while home dialysis nurses preferred a home modality (p %26lt; 0.001 for all characteristics studied). Similar differences in responses were noted for patient/system factors such as patient survival, cost to patients and nursing job security. Compared to CHD nurses, a higher proportion of home dialysis nurses felt that CHD was over-utilized (85% versus 58%, p = 0.024). %26lt;br%26gt;Conclusion: Dialysis nurses have prevailing views about modality selection that are strongly determined by their area of experience and expertise.

• 出版日期2013-9-10