Evidence map›Paper›PMID 39737440›Full record

ArticleKidney medicine2025

"The Heart of the Center": Exploring the Role of the Patient Care Technician in US Dialysis Care.

Megan Urbanski, Emma Blythe, Alicia Hamblin, Alexis A Bender, Courtney Hoge, Clarica Douglas-Ajayi, Fran Rickenbach, Jessica Joseph, Kelli Collins Damron, Jennifer Craft Morgan and 2 more

Abstract read
In one paragraph

Article in Kidney medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Megan UrbanskiDivision of Transplant, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
Emma BlytheHealth Services Research Center, Emory University, Atlanta, GA.
Alicia HamblinDivision of Rheumatology, Department of Medicine, University of California San Francisco, San Francisco, CA.
Alexis A BenderDivision of Geriatrics and Gerontology, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Courtney HogeDepartment of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA.
Clarica Douglas-AjayiNational Association of Nephrology Technicians/Technologists, Dayton, OH.
Fran RickenbachNational Association of Nephrology Technicians/Technologists, Dayton, OH.
Jessica JosephNational Kidney Foundation, New York, NY.
Kelli Collins DamronNational Kidney Foundation, New York, NY.
Jennifer Craft MorganGerontology Institute, Georgia State University, Atlanta, GA.
Bernard JaarDivision of Nephrology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Laura PlantingaDivision of Rheumatology, Department of Medicine, University of California San Francisco, San Francisco, CA.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
AHRQ HHS R03 HS029245NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

Rationale & Objective: Dialysis patient care technicians (PCTs) provide essential, frontline care for patients receiving in-center hemodialysis. We qualitatively explored perceptions of the PCT job role, responsibilities, and training among current PCTs, non-PCT dialysis staff, and patients receiving hemodialysis. Study Design: Focus group study. Setting & Participants: Discussions were conducted in March-May 2023 among US PCTs, non-PCT staff, and patients. Analytical Approach: Thematic analysis was conducted using inductive and deductive strategies. Results: Seven focus groups (N = 36 participants) were conducted (3 with PCTs [n = 19], 2 with non-PCT staff [n = 6], and 2 with patients [n = 11]). Eight themes emerged: (1) value of PCT role is not reflected in job or organizational policies and structures; (2) PCTs play a flexible and often ill-defined role in dialysis clinics; (3) despite being in a position with high risk of burnout, PCTs find ways to persevere and provide high-quality care; (4) PCTs are often perceived as "helpers" or ancillary rather than an integral part of the dialysis care team; (5) PCT job training and qualifications are not standardized and often not commensurate with job expectations and responsibilities; (6) PCT-patient relationships are deeply valued, but boundaries can be fluid and become blurred because of the frequency and nature of dialysis care; (7) dialysis patients and staff are vulnerable to multilevel workplace safety issues; and (8) PCT-staff dynamics have a strong impact on employee morale, clinic efficiency, and patient satisfaction. Limitations: Non-English-speaking participants and physicians were excluded, limiting diversity in perspectives. Conclusions: PCTs play a multifaceted role in dialysis care that is highly valued among patients and staff but not always reflected in actual tasks performed by PCTs, training received by PCTs, or the respect afforded to PCTs. Our findings are actionable and can inform future intervention-based work aimed at improving the PCT role in US hemodialysis care.

Indexed as

Focus groupshealth care workershemodialysiskidney failurepatient care technicianqualitative research

Identifiers

PMID39737440
PMCPMC11683225

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.