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Title: | Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD): A feasibility study | Authors: | Chow, Josephine Sf Adams, Kelly Cho, Yeoungjee Choi, Peter Equinox, Keri-Lu Figueiredo, Ana E Hawley, Carmel M Howard, Kirsten Johnson, David W Jose, Matthew D Lee, Anna Longergan, Maureen Manera, Karine E Moodie, Jo-Anne Paul-Brent, Peta-Anne Pascoe, Elaine M Reidlinger, Donna Steiner, Genevieve Z Tomlins, Melinda Tong, Allison Voss, David Boudville, Neil C |
Issue Date: | 2020 | Source: | Chow, J. S., Adams, K., Cho, Y., Choi, P., Equinox, K. L., Figueiredo, A. E., Hawley, C. M., Howard, K., Johnson, D. W., Jose, M. D., Lee, A., Longergan, M., Manera, K. E., Moodie, J. A., Paul-Brent, P. A., Pascoe, E. M., Reidlinger, D., Steiner, G. Z., Tomlins, M., Tong, A., … Boudville, N. C. (2020). Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD): A feasibility study. Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 40(2), 153–163. https://doi.org/10.1177/0896860819887283 | Journal: | Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis | Abstract: | Background: There is substantial variation in peritonitis rates across peritoneal dialysis (PD) units globally. This may, in part, be related to the wide variability in the content and delivery of training for PD nurse trainers and patients. Aim: The aim of this study was to test the feasibility of implementing the Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD) curriculum in real clinical practice settings. Methods: This study used mixed methods including questionnaires and semi-structured interviews (pretraining and post-training) with nurse trainers and patients to test the acceptability and usability of the PD training modules implemented in two PD units over 6 months. Quantitative data from the questionnaires were analysed descriptively. Interviews were analysed using thematic analysis. Results: Ten PD trainers and 14 incident PD patients were included. Mean training duration to complete the modules were 10.9 h (range 6-17) and 24.9 h (range 15-35), for PD trainers and patients, respectively. None of the PD patients experienced PD-related complications at 30 days follow-up. Three (21%) patients were transferred to haemodialysis due to non-PD-related complications. Ten trainers and 14 PD patients participated in the interviews. Four themes were identified including use of adult learning principles (trainers), comprehension of online modules (trainers), time to complete the modules (trainers) and patient usability of the manuals (patient). Conclusion: This TEACH-PD study has demonstrated feasibility of implementation in a real clinical setting. The outcomes of this study have informed refinement of the TEACH-PD modules prior to rigorous evaluation of its efficacy and cost-effectiveness in a large-scale study. | Description: | Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated author: Keri-Lu Equinox | DOI: | 10.1177/0896860819887283 | Keywords: | adult learning principle;competency assessment;peritoneal dialysis;qualitative;training | Type: | Article |
Appears in Sites: | Cairns & Hinterland HHS Publications |
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