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Optimising health care for people living with chronic kidney disease: Health-professional perspectives

Journal Article


Abstract


  • Background: People with chronic kidney disease are often multimorbid and have complex psychosocial needs. For health professionals to deliver holistic, person-centred care to individuals and their carers living with this multifaceted disease, they are required to communicate complex information and problem solve in a multifactorial health and disease context. Objectives: To explore the perspectives and experiences of tertiary care multidisciplinary team members and primary care providers of health care to people with chronic kidney disease; identify opportunities to innovate and improve the coordinated delivery of health services. Design: The qualitative study design used purposive sampling to recruit 39 health professionals, working in the primary and tertiary sector in a regional Australian health district. Participants included general practitioners, renal and general practice nurses, dietitians, nephrologists and social workers. Approach: The data were collected through semistructured interviews and analysed using a relativist ontological position and directed content analysis approach. Analysis of interviews was undertaken by three independent researchers and key themes were derived via consensus. Findings and Conclusions: A common goal to deliver person-centred individualised care was evident among health care professionals. However a deficit in shared understanding of the disease within and between disciplines was identified. The complex nature of chronic kidney disease requires up-skilling of health professionals to ensure patient education is targeted to individual health contexts and motivates self-management. Improved communication and comprehension might best be achieved across disciplines with an integrated approach to delivery of primary health care to individuals living with early-stage kidney disease.

Publication Date


  • 2022

Citation


  • Fildes, K., Stefoska-Needham, A., Atkinson, J., Lambert, K., Lee, A., Pugh, D., . . . Nealon, J. (2022). Optimising health care for people living with chronic kidney disease: Health-professional perspectives. Journal of Renal Care, 48(3), 168-176. doi:10.1111/jorc.12409

Scopus Eid


  • 2-s2.0-85123882097

Start Page


  • 168

End Page


  • 176

Volume


  • 48

Issue


  • 3

Abstract


  • Background: People with chronic kidney disease are often multimorbid and have complex psychosocial needs. For health professionals to deliver holistic, person-centred care to individuals and their carers living with this multifaceted disease, they are required to communicate complex information and problem solve in a multifactorial health and disease context. Objectives: To explore the perspectives and experiences of tertiary care multidisciplinary team members and primary care providers of health care to people with chronic kidney disease; identify opportunities to innovate and improve the coordinated delivery of health services. Design: The qualitative study design used purposive sampling to recruit 39 health professionals, working in the primary and tertiary sector in a regional Australian health district. Participants included general practitioners, renal and general practice nurses, dietitians, nephrologists and social workers. Approach: The data were collected through semistructured interviews and analysed using a relativist ontological position and directed content analysis approach. Analysis of interviews was undertaken by three independent researchers and key themes were derived via consensus. Findings and Conclusions: A common goal to deliver person-centred individualised care was evident among health care professionals. However a deficit in shared understanding of the disease within and between disciplines was identified. The complex nature of chronic kidney disease requires up-skilling of health professionals to ensure patient education is targeted to individual health contexts and motivates self-management. Improved communication and comprehension might best be achieved across disciplines with an integrated approach to delivery of primary health care to individuals living with early-stage kidney disease.

Publication Date


  • 2022

Citation


  • Fildes, K., Stefoska-Needham, A., Atkinson, J., Lambert, K., Lee, A., Pugh, D., . . . Nealon, J. (2022). Optimising health care for people living with chronic kidney disease: Health-professional perspectives. Journal of Renal Care, 48(3), 168-176. doi:10.1111/jorc.12409

Scopus Eid


  • 2-s2.0-85123882097

Start Page


  • 168

End Page


  • 176

Volume


  • 48

Issue


  • 3