Evidence map›Paper›PMID 25922688›Full record

ArticleCanadian journal of kidney health and disease2015

An education initiative modifies opinions of hemodialysis nurses towards home dialysis.

Matthew Phillips, Colleen Wile, Carolyn Bartol, Cynthia Stockman, Minakshi Dhir, Steven D Soroka, Jay Hingwala, Joanne M Bargman, Christopher T Chan, Karthik K Tennankore

Abstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A Systematic Review of the Qualitative Research on Barriers and Facilitators to Home Hemodialysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Home Dialysis in the Prospective Payment System Era.Journal of the American Society of Nephrology : JASN · 2017
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Matthew PhillipsCapital District Health Authority/QEII Renal Program, Halifax, Nova Scotia Canada.
Colleen WileCapital District Health Authority/QEII Renal Program, Halifax, Nova Scotia Canada.
Carolyn BartolCapital District Health Authority/QEII Renal Program, Halifax, Nova Scotia Canada.
Cynthia StockmanCapital District Health Authority/QEII Renal Program, Halifax, Nova Scotia Canada.
Minakshi DhirCapital District Health Authority/QEII Renal Program, Halifax, Nova Scotia Canada.
Steven D SorokaDivision of Nephrology, Dalhousie University, Halifax, Nova Scotia B3H 1V8 Canada.
Jay HingwalaHealth Sciences Center/Manitoba Renal Program, Winnipeg, Manitoba Canada.
Joanne M BargmanDivision of Nephrology, University Health Network, University of Toronto, Toronto, Ontario Canada.
Christopher T ChanDivision of Nephrology, University Health Network, University of Toronto, Toronto, Ontario Canada.
Karthik K TennankoreDivision of Nephrology, Dalhousie University, Halifax, Nova Scotia B3H 1V8 Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been shown that in-center hemodialysis (HD) nurses prefer in-center HD for patients with certain characteristics; however it is not known if their opinions can be changed.

objectiveTo determine if an education initiative modified the perceptions of in-center HD nurses towards home dialysis.

designCross-sectional survey of in-center HD nurses before and after a three hour continuing nursing education (CNE) initiative. Content of the CNE initiative included a didactic review of benefits of home dialysis, common misconceptions about patient eligibility, cost comparisons of different modalities and a home dialysis patient testimonial video.

settingAll in-center HD nurses (including those working in satellite dialysis units) affiliated with a single academic institution. MEASUREMENTS: Survey themes included perceived barriers to home dialysis, preferred modality (home versus in-center HD), ideal modality distribution in the local program, awareness of home dialysis and patient education about home modalities.

methodsPaired comparisons of responses before and after the CNE initiative.

resultsOf the 115 in-center HD nurses, 100 registered for the CNE initiative and 89 completed pre and post surveys (89% response rate). At baseline, in-center HD nurses perceived that impaired cognition, poor motor strength and poor visual acuity were barriers to peritoneal dialysis and home HD. In-center HD was preferred for availability of multidisciplinary care and medical personnel in case of catastrophic events. After the initiative, perceptions were more in favor of home dialysis for all patient characteristics, and most patient/system factors. Home dialysis was perceived to be underutilized both at baseline and after the initiative. Finally, in-center HD nurses were more aware of home dialysis, felt better informed about its benefits and were more comfortable teaching in-center HD patients about home modalities after the CNE session. LIMITATIONS: Single-center study.

conclusionsCNE initiatives can modify the opinions of in-center HD nurses towards home modalities and should complement the multitude of strategies aimed at promoting home dialysis.

Indexed as

AttitudesContinuing nursing educationDialysis nurseHome hemodialysisPerceptionsPeritoneal dialysis

Identifiers

PMID25922688
PMCPMC4411822

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.