ArticleBMC nursing2025
Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Application of Q-methodology in chronic disease research: a scoping review.BMC medical research methodology · 2026Article
- Delphi study on evidence-based CKD prevention strategies for nurses in resource-limited settings: focus on e-learning implementation.BMC nephrology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective prevention is a proactive approach to safeguard individual health, reduce systemic healthcare costs, and enhance overall community well-being, yet barriers often impede the implementation of CKD prevention strategies. This study aims to use the Q-methodology to examine the feasibility of overcoming these barriers, which impedes healthcare professionals (HCPs) in Syria from effectively preventing CKD, with the aim of facilitating behavior change and implementing appropriate interventions.
methodsWe utilized the Q-methodological approach to rank 37 statements made by HCPs regarding barriers to the prevention of CKD. A Q-sample was constructed from interviews with 12 HCPs from different healthcare settings in Syria, followed by selecting a P-sample (the participants who ranked the statements) of 25 HCPs through structured questionnaires. They would perform Q-sorting under professional guidance. To analyze the data, KADE software, which includes techniques of principal component analysis and factor rotation, was used.
resultsA total of eight distinct factors were identified, with eigenvalues ranging from 14.7804 to 0.5351 and accounting for 88% of the cumulative variance. The eigenvalues of the first five factors are all greater than 1, and the cumulative explained variation is 80%. The most significant, amenable barriers were categorized into individual factors ('lack of knowledge and awareness about risk factors and early detection among nursing staff, clinical guidelines and consulting among physicians', 'perceived challenging nature of CKD prevention for timely diagnosis and management preconditions among HCPs,' and 'perceived lack of adequate training among nurses'); interpersonal factors ('poor communication between physicians and nephrologists'); and community/societal factors ('lower apriority of CKD as a clinical issue,' 'lack of patient education resources about CKD prevention', and 'a fragmented healthcare system').
conclusionThe findings from this study provide valuable insight for policymakers, healthcare administrators, and practitioners in Syria, providing them with targeted strategies for improving the prevention of CKD. Therefore, by addressing these barriers, CKD-related burdens in Syria may be reduced, alongside improvements in patient outcomes and healthcare costs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.