Optimising health care for people living with chronic kidney disease: Health‐professional perspectives.
Background: People with chronic kidney disease are often multimorbid and have complex psychosocial needs. For health professionals to deliver holistic, person‐centred care to individuals and their carers living with this multifaceted disease, they are required to communicate complex information and...
| Publicado en: | Journal of Renal Care Vol. 48; no. 3; pp. 168 - 177 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158361516&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158361516 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17556678 56RH jtl: Journal of Renal Care issn: 17556678 maglogo: Y pubinfo: dt: Sep2022 vid: 48 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 158361516 154921225 158361516 158361516 10.1111/jorc.12409 158361516 ppf: 168 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Optimising health care for people living with chronic kidney disease: Health‐professional perspectives. aug: au: Fildes, Karen Stefoska‐Needham, Anita Atkinson, Josie Lambert, Kelly Lee, Anna Pugh, Debbie Smyth, Mikki Turner, Rebecca Wallace, Samantha Nealon, Jessica affil: School of Medicine, Faculty of Science Medicine and Health, Health Impact Research Cluster, University of Wollongong, Wollongong New South Wales,, Australia sug: subj: Renal Insufficiency, Chronic Therapy Health Care Delivery Attitude of Health Personnel Evaluation Tertiary Health Care Work Experiences Evaluation Multidisciplinary Care Team Physicians, Family Health Services Human Qualitative Studies Purposive Sample Health Personnel Australia Family Nurse Practitioners Dietitians Nephrologists Social Workers Interview Guides Semi-Structured Interview Content Analysis Consensus Patient Centered Care Descriptive Statistics Audiorecording Coding Thematic Analysis Data Analysis Software Male Female Male Female ab: Background: People with chronic kidney disease are often multimorbid and have complex psychosocial needs. For health professionals to deliver holistic, person‐centred care to individuals and their carers living with this multifaceted disease, they are required to communicate complex information and problem solve in a multifactorial health and disease context. Objectives: To explore the perspectives and experiences of tertiary care multidisciplinary team members and primary care providers of health care to people with chronic kidney disease; identify opportunities to innovate and improve the coordinated delivery of health services. Design: The qualitative study design used purposive sampling to recruit 39 health professionals, working in the primary and tertiary sector in a regional Australian health district. Participants included general practitioners, renal and general practice nurses, dietitians, nephrologists and social workers. Approach: The data were collected through semistructured interviews and analysed using a relativist ontological position and directed content analysis approach. Analysis of interviews was undertaken by three independent researchers and key themes were derived via consensus. Findings and Conclusions: A common goal to deliver person‐centred individualised care was evident among health care professionals. However a deficit in shared understanding of the disease within and between disciplines was identified. The complex nature of chronic kidney disease requires up‐skilling of health professionals to ensure patient education is targeted to individual health contexts and motivates self‐management. Improved communication and comprehension might best be achieved across disciplines with an integrated approach to delivery of primary health care to individuals living with early‐stage kidney disease. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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