Tania Barnes1, Katy Hancock, Marissa Dainton. 1. Shared Haemodialysis Care Educators, Sheffield Kidney Institute, Sheffield Teaching Hospital Foundation Trust, Dover, UK.
Abstract
BACKGROUND: Evidence supports the view that people with long term conditions who are encouraged to take a greater interest in their treatment can experience a range of health benefits. Traditionally centre-based haemodialysis patients have been passive recipients whilst nurses have been deliverers of care. The Shared Haemodialysis Care (SHC) programme changes this relationship. OBJECTIVE: Our aim was to initiate a programme of education in SHC across Yorkshire and Humber in North England, with its objective to support centre-based patients to take on aspects of their own treatment. DESIGN & PARTICIPANTS: A three tiered training model was designed to educate all grades of nursing staff. Central to this approach was the development of a four day competency based course aimed at training 25% of junior sisters/charge nurses, staff nurses and Level 3 health care assistants (unqualified nurses). MEASUREMENTS/APPROACH: We measured the number of staff trained and assessed staff knowledge using a pre and post course questionnaire. Individual course day evaluations and 'Light bulb moment 'sessions captured qualitative data and a census form relating to interest in and uptake of SHC captured patient engagement data. RESULTS: The pre and post delegate questionnaires from every cohort have demonstrated significant positive shifts in all the objectives of the training programme. The target of 25% of staff trained has been reached in all but one group of units. A third of all patients across Yorkshire and Humber are significantly engaged in their haemodialysis care. CONCLUSION: A nurse-led education programme can provide nurse participants with the tools to encourage and support patients to become more engaged in their haemodialysis treatment.
BACKGROUND: Evidence supports the view that people with long term conditions who are encouraged to take a greater interest in their treatment can experience a range of health benefits. Traditionally centre-based haemodialysis patients have been passive recipients whilst nurses have been deliverers of care. The Shared Haemodialysis Care (SHC) programme changes this relationship. OBJECTIVE: Our aim was to initiate a programme of education in SHC across Yorkshire and Humber in North England, with its objective to support centre-based patients to take on aspects of their own treatment. DESIGN & PARTICIPANTS: A three tiered training model was designed to educate all grades of nursing staff. Central to this approach was the development of a four day competency based course aimed at training 25% of junior sisters/charge nurses, staff nurses and Level 3 health care assistants (unqualified nurses). MEASUREMENTS/APPROACH: We measured the number of staff trained and assessed staff knowledge using a pre and post course questionnaire. Individual course day evaluations and 'Light bulb moment 'sessions captured qualitative data and a census form relating to interest in and uptake of SHC captured patient engagement data. RESULTS: The pre and post delegate questionnaires from every cohort have demonstrated significant positive shifts in all the objectives of the training programme. The target of 25% of staff trained has been reached in all but one group of units. A third of all patients across Yorkshire and Humber are significantly engaged in their haemodialysis care. CONCLUSION: A nurse-led education programme can provide nurse participants with the tools to encourage and support patients to become more engaged in their haemodialysis treatment.
Authors: Victoria Alikari; Vasiliki Matziou; Maria Tsironi; Natasa Kollia; Paraskevi Theofilou; Adamantia Aroni; Evangelos Fradelos; Sofia Zyga Journal: Health Psychol Res Date: 2017-05-16
Authors: James Fotheringham; Tania Barnes; Louese Dunn; Sonia Lee; Steven Ariss; Tracey Young; Stephen J Walters; Paul Laboi; Andy Henwood; Rachel Gair; Martin Wilkie Journal: PLoS One Date: 2021-07-20 Impact factor: 3.240