Attitudes and perceptions of nephrology nurses towards dialysis

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#IVTEAM #Intravenous literature: Tennankore, K.K., Hingwala, J., Watson, D., Bargman, J.M. and Cha, C.T. (2013) Attitudes and perceptions of nephrology nurses towards dialysis modality selection: a survey study. BMC Nephrology. 14, September 2013.

Abstract (provisional):

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’ attitudes and perceptions, and hypothesized that nurses with different areas of expertise would have differences in opinions.

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.

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 > 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 < 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).

Conclusion: Dialysis nurses have prevailing views about modality selection that are strongly determined by their area of experience and expertise.

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