Evidence map›Paper›PMID 34721884›Full record

ArticleCanadian journal of kidney health and disease2021

Patient, Caregiver, and Provider Perspectives on Improving Information Delivery in Hemodialysis: A Qualitative Study.

Priscila Ferreira da Silva, Melanie D Talson, Juli Finlay, Krista Rossum, Kaytlynn V Soroka, Michael McCormick, Arlene Desjarlais, Hans Vorster, George Fontaine, Rachelle Sass and 8 more

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
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, 16 citations in OpenAlex.

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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

18 authors at 7 institutions in 2 countries.

Priscila Ferreira da SilvaMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Melanie D TalsonMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Juli FinlayCumming School of Medicine, University of Calgary, AB, Canada.
Krista RossumMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Kaytlynn V SorokaCumming School of Medicine, University of Calgary, AB, Canada.
Michael McCormickCan-SOLVE CKD Network Patient Council, Canada.
Arlene DesjarlaisCan-SOLVE CKD Network Patient Council, Canada.
Hans VorsterCan-SOLVE CKD Network Patient Council, Canada.
George FontaineCan-SOLVE CKD Network Patient Council, Canada.
Rachelle SassMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Matthew JamesCumming School of Medicine, University of Calgary, AB, Canada.ORCID https://orcid.org/0000-0002-1876-3917
Manish M SoodDepartment of Medicine, Ottawa Hospital Research Institute, University of Ottawa, ON, Canada.
Allison TongSydney School of Public Health, The University of Sydney, NSW, Australia.
Neesh PannuDepartment of Medicine, University of Alberta, Edmonton, Canada.
Karthik TennankoreDepartment of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID https://orcid.org/0000-0002-7919-6709
Stephanie ThompsonDepartment of Medicine, University of Alberta, Edmonton, Canada.ORCID https://orcid.org/0000-0003-3109-6837
Marcello TonelliCumming School of Medicine, University of Calgary, AB, Canada.
Clara BohmMax Rady College of Medicine, University of Manitoba, Winnipeg, Canada.ORCID https://orcid.org/0000-0001-7710-7162
University of Calgary · CAUniversity of Manitoba · CAUniversity of Alberta · CADalhousie University · CASeven Oaks General Hospital · CAThe University of Sydney · AUUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with kidney failure are exposed to a surfeit of new information about their disease and treatment, often resulting in ineffective communication between patients and providers. Improving the amount, timing, and individualization of information received has been identified as a priority in in-center hemodialysis care.

objectiveTo describe and explicate patient, caregiver, and health care provider perspectives regarding challenges and solutions to information transfer in clinical hemodialysis care.

designIn this multicenter qualitative study, we gathered perspectives of patients, their caregivers, and health care providers conducted through focus groups and interviews.

settingFive Canadian hemodialysis centers: Calgary, Edmonton, Winnipeg, Ottawa, and Halifax.

participantsEnglish-speaking adults receiving in-center hemodialysis for longer than 6 months, their caregivers, and hemodialysis health care providers.

methodsBetween May 24, 2017, and August 16, 2018, data collected through focus groups and interviews with hemodialysis patients and their caregivers subsequently informed semi-structured interviews with health care providers. For this secondary analysis, data were analyzed through an inductive thematic analysis using grounded theory, to examine the data more deeply for overarching themes.

resultsAmong 82 patients/caregivers and 31 healthcare providers, 6 main themes emerged. Themes identified from patients/caregivers were (1) overwhelmed at initiation of hemodialysis care, (2) need for peer support, and (3) improving comprehension of hemodialysis processes. Themes identified from providers were (1) time constraints with patients, (2) relevance of information provided, and (3) technological innovations to improve patient engagement. LIMITATIONS: Findings were limited to Canadian context, English speakers, and individuals receiving hemodialysis in urban centers.

conclusionsParticipants identified challenges and potential solutions to improve the amount, timing, and individualization of information provided regarding in-center hemodialysis care, which included peer support, technological innovations, and improved knowledge translation activities. Findings may inform the development of interventions and strategies aimed at improving information delivery to facilitate patient-centered hemodialysis care.

Indexed as

hemodialysisinformationpatient-oriented researchqualitative researchquality of care

Identifiers

PMID34721884
PMCPMC8552378
OpenAlexW3210109953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.