Intervening on health literacy by knowledge translation processes in kidney transplantation: A feasibility study.

IF 1.5 4区 医学 Q3 NURSING
Journal of renal care Pub Date : 2022-03-01 Epub Date: 2021-05-30 DOI:10.1111/jorc.12379
Marit H Andersen, Kristin H Urstad, Marie H Larsen, Gina Fraas Henrichsen, Eivind Engebretsen, John Ødemark, Aud-Eldrid Stenehjem, Anna V Reisaeter, Arve Nordlie, Astrid K Wahl
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引用次数: 4

Abstract

Background: Patients awaiting kidney transplantation need to be prepared ahead of the upcoming transplantation by developing targeted pre- and post-transplant knowledge. On this background, we designed a new health literacy intervention, including a film and a counselling session, based on motivational interviewing for dialysis patients provided by dialysis nurses.

Aim: To explore patients' and nurses' experiences of the feasibility and acceptability of the intervention, focusing on the patient as a prepared knowledge actor.

Design: An explorative qualitative study.

Participants and methods: Data included in-depth interviews with nine patients and three nurses who participated in the intervention. The interviews were audiotaped and analysed following Kvale and Brinkmann's method for thematic data analysis.

Findings: Three main themes were identified: a different kind of health intervention stimulating new insight; a challenging kind of health conversation and changed relationships and increased security.

Conclusions: Both the patients and the nurses had an overall positive attitude toward the intervention, providing a kind of dialogue to prepare dialysis patients going through kidney transplantation. The nurses found the MI methodology to be challenging. When introducing a comprehensive communication method like MI, potential training and supervision needs for the nurses must be addressed.

肾移植患者知识转化过程干预健康素养的可行性研究。
背景:等待肾移植的患者需要在即将到来的移植前做好准备,发展有针对性的移植前和移植后知识。在此背景下,我们设计了一种新的健康素养干预措施,包括一部电影和一次咨询会议,基于透析护士对透析患者的动机性访谈。目的:探讨患者和护士对干预的可行性和可接受性的体验,重点关注患者作为有准备的知识行动者。设计:探索性质的研究。参与者和方法:数据包括对参与干预的9名患者和3名护士的深度访谈。对访谈进行录音,并按照Kvale和Brinkmann的主题数据分析方法进行分析。研究结果:确定了三个主题:一种不同的健康干预措施激发了新的见解;一种具有挑战性的健康对话,改变了关系,增加了安全感。结论:患者和护士对干预的态度总体上是积极的,为透析患者接受肾移植提供了一种对话。护士发现MI方法具有挑战性。在引入MI等综合沟通方法时,必须解决护士潜在的培训和监督需求。
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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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