Quality initiative to inform dialysis modality selection for veterans with advanced kidney disease

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dc.contributor.advisorMurphey, Christina
dc.contributor.authorMathews, Betcy Babu
dc.contributor.committeeMemberFomenko, Julie
dc.date.accessioned2021-10-08T21:30:21Z
dc.date.available2021-10-08T21:30:21Z
dc.date.issued2021-08
dc.description.abstractChronic kidney disease (CKD) is the ninth leading cause of death in the United States. Approximately two million people worldwide suffer from kidney failure requiring dialysis, and the number of patients diagnosed with the disease continues to increase at a rate of 5-7% per year. Despite the significant benefits of home-based dialysis (HBD) over in-center dialysis, HBD continues to be an underused modality worldwide. Underutilization is largely the result of an existing knowledge gap regarding dialysis options in advanced kidney disease patients. The purpose of this quality improvement project was to determine if a structured educational program implemented in a nephrology clinic serving veterans increased patients’ awareness and knowledge of the different dialysis modalities, increased informed selection of the HBD modality and improved provider adherence to providing the education. A before-after design structured clinical education was used to deliver a three-session educational program using interactive PowerPoint presentations, videos, and online educational tools. Thirteen patients received the educational program either in person or via phone call or telehealth visit over the three-month project period. Post-intervention, participants’ Kidney Knowledge Survey (KiKS) score significantly increased (t (12) = -12.84, p = <.001, d= 3.08); participants selecting HBD as their modality choice increased 46%; and providers’ adherence to education delivery reached 81%. Planned and timely discussions educating advanced kidney disease patients and their families about all dialysis modalities, including HBD, should be consistently provided to maximize informed decisions and quality of life.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent56 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/89801
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectdialysisen_US
dc.subjectkidney diseaseen_US
dc.subjectQuality Initiativeen_US
dc.subjectveteransen_US
dc.titleQuality initiative to inform dialysis modality selection for veterans with advanced kidney diseaseen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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