Perceptions and Practices of Nephrology Nurses Working in Home Dialysis: An International Survey.
Identifieur interne : 000403 ( Main/Exploration ); précédent : 000402; suivant : 000404Perceptions and Practices of Nephrology Nurses Working in Home Dialysis: An International Survey.
Auteurs : Paul N. Bennett [Australie] ; Denise Eilers ; Fang Yang [États-Unis] ; Christy Price RabetoySource :
- Nephrology nursing journal : journal of the American Nephrology Nurses' Association [ 1526-744X ]
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Abstract
Globally, home dialysis prevalence has been declining relative to the increase in end stage renal disease and renal replacement therapy. The goal of this study was to identify international perceptions and practices. A web-based questionnaire was disseminated to nephrology nurses in 30 home dialysis-prevalent nations. Global telehealth use was low (23%), contrasting with 83% respondents agreeing telehealth would improve care. Only 31% of all programs enabled patient training outside of normal working hours (e.g., nights and weekends), and 31% of all program patients had some cost reimbursement, with a significant difference between U.S. and non-U.S. programs (U.S. 11%, non-U.S. 59%, 2 = 93.6, p < 0.0001). Significant differences in the need for monthly clinic visits (U.S. 72%, non-US 44%, 2 = 83.7, p < 0.0001) were also found. Telehealth provision and patient training flexibility is limited, and patient cost reimbursement is low. Increased telehealth, patient cost reimbursement, and flexible training models may promote home dialysis growth.
PubMed: 31566344
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Bennett</name><affiliation wicri:level="1"><nlm:affiliation>Director of Research at Satellite Healthcare, San Jose, CA and Honorary Professor of Nursing, Faculty of Health, Deakin University. Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Director of Research at Satellite Healthcare, San Jose, CA and Honorary Professor of Nursing, Faculty of Health, Deakin University. Melbourne</wicri:regionArea><wicri:noRegion>Deakin University. Melbourne</wicri:noRegion></affiliation><affiliation><nlm:affiliation>member of ANNA.</nlm:affiliation><wicri:noCountry code="no comma">member of ANNA.</wicri:noCountry><wicri:noCountry code="no comma">member of ANNA.</wicri:noCountry></affiliation></author><author><name sortKey="Eilers, Denise" sort="Eilers, Denise" uniqKey="Eilers D" first="Denise" last="Eilers">Denise Eilers</name><affiliation><nlm:affiliation>Board Director at Home Dialyzors.</nlm:affiliation><wicri:noCountry code="no comma">Board Director at Home Dialyzors.</wicri:noCountry><wicri:noCountry code="no comma">Board Director at Home Dialyzors.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>member of the Kidney Health Initiative Patient and Family Council (PFPC).</nlm:affiliation><wicri:noCountry code="no comma">member of the Kidney Health Initiative Patient and Family Council (PFPC).</wicri:noCountry><wicri:noCountry code="no comma">member of the Kidney Health Initiative Patient and Family Council (PFPC).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Board member of the National Kidney Foundation (Illinois and Iowa).</nlm:affiliation><wicri:noCountry code="no comma">Board member of the National Kidney Foundation (Illinois and Iowa).</wicri:noCountry><wicri:noCountry code="no comma">Board member of the National Kidney Foundation (Illinois and Iowa).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>member of ANNA's Heart of Illinois Chapter.</nlm:affiliation><wicri:noCountry code="no comma">member of ANNA's Heart of Illinois Chapter.</wicri:noCountry><wicri:noCountry code="no comma">member of ANNA's Heart of Illinois Chapter.</wicri:noCountry></affiliation></author><author><name sortKey="Yang, Fang" sort="Yang, Fang" uniqKey="Yang F" first="Fang" last="Yang">Fang Yang</name><affiliation wicri:level="2"><nlm:affiliation>Senior Clinic Analyst at Satellite Healthcare, San Jose, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Senior Clinic Analyst at Satellite Healthcare, San Jose</wicri:cityArea></affiliation></author><author><name sortKey="Rabetoy, Christy Price" sort="Rabetoy, Christy Price" uniqKey="Rabetoy C" first="Christy Price" last="Rabetoy">Christy Price Rabetoy</name><affiliation><nlm:affiliation>Past President of the American Nephrology Nurses Association (ANNA).</nlm:affiliation><wicri:noCountry code="no comma">Past President of the American Nephrology Nurses Association (ANNA).</wicri:noCountry><wicri:noCountry code="no comma">Past President of the American Nephrology Nurses Association (ANNA).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>member of ANNA's Music City Chapter.</nlm:affiliation><wicri:noCountry code="no comma">member of ANNA's Music City Chapter.</wicri:noCountry><wicri:noCountry code="no comma">member of ANNA's Music City Chapter.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Nephrology nursing journal : journal of the American Nephrology Nurses' Association</title><idno type="ISSN">1526-744X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel (MeSH)</term><term>Hemodialysis, Home (nursing)</term><term>Humans (MeSH)</term><term>Internationality (MeSH)</term><term>Kidney Failure, Chronic (nursing)</term><term>Nephrology Nursing (MeSH)</term><term>Practice Patterns, Nurses' (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Attitude du personnel soignant (MeSH)</term><term>Défaillance rénale chronique (soins infirmiers)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Humains (MeSH)</term><term>Hémodialyse à domicile (soins infirmiers)</term><term>Internationalité (MeSH)</term><term>Modèles de pratique infirmière (MeSH)</term><term>Soins infirmiers en néphrologie (MeSH)</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Hemodialysis, Home</term><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Défaillance rénale chronique</term><term>Hémodialyse à domicile</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Humans</term><term>Internationality</term><term>Nephrology Nursing</term><term>Practice Patterns, Nurses'</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>Internationalité</term><term>Modèles de pratique infirmière</term><term>Soins infirmiers en néphrologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Globally, home dialysis prevalence has been declining relative to the increase in end stage renal disease and renal replacement therapy. The goal of this study was to identify international perceptions and practices. A web-based questionnaire was disseminated to nephrology nurses in 30 home dialysis-prevalent nations. Global telehealth use was low (23%), contrasting with 83% respondents agreeing telehealth would improve care. Only 31% of all programs enabled patient training outside of normal working hours (e.g., nights and weekends), and 31% of all program patients had some cost reimbursement, with a significant difference between U.S. and non-U.S. programs (U.S. 11%, non-U.S. 59%, 2 = 93.6, p < 0.0001). Significant differences in the need for monthly clinic visits (U.S. 72%, non-US 44%, 2 = 83.7, p < 0.0001) were also found. Telehealth provision and patient training flexibility is limited, and patient cost reimbursement is low. Increased telehealth, patient cost reimbursement, and flexible training models may promote home dialysis growth.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31566344</PMID><DateCompleted><Year>2019</Year><Month>10</Month><Day>28</Day></DateCompleted><DateRevised><Year>2019</Year><Month>10</Month><Day>28</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1526-744X</ISSN><JournalIssue CitedMedium="Print"><Volume>46</Volume><Issue>5</Issue><PubDate><MedlineDate>2019 Sep-Oct</MedlineDate></PubDate></JournalIssue><Title>Nephrology nursing journal : journal of the American Nephrology Nurses' Association</Title><ISOAbbreviation>Nephrol Nurs J</ISOAbbreviation></Journal><ArticleTitle>Perceptions and Practices of Nephrology Nurses Working in Home Dialysis: An International Survey.</ArticleTitle><Pagination><MedlinePgn>485-495</MedlinePgn></Pagination><Abstract><AbstractText>Globally, home dialysis prevalence has been declining relative to the increase in end stage renal disease and renal replacement therapy. The goal of this study was to identify international perceptions and practices. A web-based questionnaire was disseminated to nephrology nurses in 30 home dialysis-prevalent nations. Global telehealth use was low (23%), contrasting with 83% respondents agreeing telehealth would improve care. Only 31% of all programs enabled patient training outside of normal working hours (e.g., nights and weekends), and 31% of all program patients had some cost reimbursement, with a significant difference between U.S. and non-U.S. programs (U.S. 11%, non-U.S. 59%, 2 = 93.6, p < 0.0001). Significant differences in the need for monthly clinic visits (U.S. 72%, non-US 44%, 2 = 83.7, p < 0.0001) were also found. Telehealth provision and patient training flexibility is limited, and patient cost reimbursement is low. Increased telehealth, patient cost reimbursement, and flexible training models may promote home dialysis growth.</AbstractText><CopyrightInformation>Copyright© by the American Nephrology Nurses Association.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bennett</LastName><ForeName>Paul N</ForeName><Initials>PN</Initials><AffiliationInfo><Affiliation>Director of Research at Satellite Healthcare, San Jose, CA and Honorary Professor of Nursing, Faculty of Health, Deakin University. Melbourne, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>member of ANNA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eilers</LastName><ForeName>Denise</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Board Director at Home Dialyzors.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>member of the Kidney Health Initiative Patient and Family Council (PFPC).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Board member of the National Kidney Foundation (Illinois and Iowa).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>member of ANNA's Heart of Illinois Chapter.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Fang</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Senior Clinic Analyst at Satellite Healthcare, San Jose, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rabetoy</LastName><ForeName>Christy Price</ForeName><Initials>CP</Initials><AffiliationInfo><Affiliation>Past President of the American Nephrology Nurses Association (ANNA).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>member of ANNA's Music City Chapter.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Nephrol Nurs J</MedlineTA><NlmUniqueID>100909377</NlmUniqueID><ISSNLinking>1526-744X</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006437" MajorTopicYN="N">Hemodialysis, Home</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="Y">nursing</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D038622" MajorTopicYN="N">Internationality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="Y">nursing</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D064647" MajorTopicYN="Y">Nephrology Nursing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057184" MajorTopicYN="Y">Practice Patterns, Nurses'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">end stage kidney disease</Keyword><Keyword MajorTopicYN="N">end stage renal disease</Keyword><Keyword MajorTopicYN="N">home hemodialysis</Keyword><Keyword MajorTopicYN="N">nephrology nursing</Keyword><Keyword MajorTopicYN="N">peritoneal dialysis</Keyword></KeywordList><CoiStatement>The authors reported no actual or potential conflict of interest in relation to this continuing nursing education activity.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31566344</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Eilers, Denise" sort="Eilers, Denise" uniqKey="Eilers D" first="Denise" last="Eilers">Denise Eilers</name><name sortKey="Rabetoy, Christy Price" sort="Rabetoy, Christy Price" uniqKey="Rabetoy C" first="Christy Price" last="Rabetoy">Christy Price Rabetoy</name></noCountry><country name="Australie"><noRegion><name sortKey="Bennett, Paul N" sort="Bennett, Paul N" uniqKey="Bennett P" first="Paul N" last="Bennett">Paul N. Bennett</name></noRegion></country><country name="États-Unis"><region name="Californie"><name sortKey="Yang, Fang" sort="Yang, Fang" uniqKey="Yang F" first="Fang" last="Yang">Fang Yang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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