Renal Transplantation Nurse Training on Patient-Centered Care Competence and Counseling Skills

NCT ID: NCT06015984

Last Updated: 2023-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-01

Study Completion Date

2024-12-01

Brief Summary

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There are two main treatments for end-stage renal disease (ESRD): dialysis and transplantation.Renal transplantation is the best and most preferred treatment for ESRD patients.Self management after renal transplantation is difficult. Individuals need appropriate care,education, counseling and support in order to change their behavior to cope with health problems during the transplantation process.The aim of nursing care and education is to enable the individual to acquire the knowledge, skills and attitude to independently carry out daily life activities and to adopt this as a lifestyle.Nursing care and education requires an interdisciplinary teamwork, and in this process, the nurse plays a key role as she constantly interacts with the donor, recipient and family.The research was designed as a randomized controlled experimental study with pretest-posttest design.A total of 60 nurses, 30 in the control group and 30 in the intervention group,who met the criteria for inclusion in the study, will form the sample of the study.After obtaining consent from the nurses in the intervention and control groups, they will be asked to fill out the Nurse InformationForm, the Patient-Centered Care Competency Scale and the Nurses Counseling Skills Scale. Aftercompleting the web-based training, intervention group nurses will be asked to fill in the Patient Centered Care Competency Scale and the Counseling Skills in Nurses Scale at the 1st and 3rd months. No training will be given to the nurses in the control group and they will be asked to fill the Patient-Centered Care Competency Scale and the Counseling Skills for Nurses Scale again.

Detailed Description

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There are two main treatments for end-stage renal disease (ESRD): dialysis and transplantation. Renal transplantation (RTx) is the best and most preferred treatment for ESRD patients. A successful RTx, made from a living or cadaver donor, improves the quality of life compared to dialysis and fully fulfills the function of the kidney.Self-management after renal transplantation is difficult. Individuals need appropriate care, education, counseling and support in order to change their behavior to cope with health problems during the transplantation process. The aim of nursing care and education is to enable the individual to acquire the knowledge, skills and attitude to independently carry out daily life activities and to adopt this as a lifestyle. Nursing care and education requires an interdisciplinary teamwork, and in this process, the nurse plays a key role as she constantly interacts with the donor, recipient and family.Today, technology-based methods are used to increase compliance with transplantation and are increasingly seen as valuable tools. The aim of this research is to develop and implement a web-based nurse training program for renal transplantation nurses and to examine the effect of this training on nurses' patient-centered care competence and counseling skills. The research was designed as a randomized controlled experimental study with pretest-posttest design.

The population of the research will be 1870 nurses registered to the Turkish Nephrology, Dialysis and Transplantation Nurses Association. A total of 60 nurses, 30 in the control group and 30 in the intervention group, who met the criteria for inclusion in the study, will form the sample of the study.The research will be carried out on the website www.bobreknakliokulu.com, which will be developed after a preliminary interview with the nurses working in the renal transplantation clinics between April and August 2023, and they will be included in the web-based training as self-managed and asynchronous for 8 weeks.After obtaining consent from the nurses in the intervention and control groups, they will be asked to fill out the Nurse Information Form, the Patient-Centered Care Competency Scale and the Nurses Counseling Skills Scale. After completing the web-based training, intervention group nurses will be asked to fill in the Patient-Centered Care Competency Scale and the Counseling Skills in Nurses Scale at the 1st and 3rd months. No training will be given to the nurses in the control group and they will be asked to fill the Patient-Centered Care Competency Scale and the Counseling Skills for Nurses Scale again.It is expected that the renal transplantation nurses who receive this training will contribute positively to the increase of evidence-based knowledge and the development of clinical practices, the competence of patient-centered care and the management of counseling skills in line with clinical guidelines.

Conditions

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Kidney Transplantation Nursing Education Care Counseling

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Caregivers

Study Groups

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Web-Based 8-week Asynchronous Renal Transplantation Nurse Training

1\. Week: application of pre-tests

1\. Month: administration of post-tests 3. Month: administration of post-tests

Group Type EXPERIMENTAL

Traning

Intervention Type BEHAVIORAL

In order to participate in the training module, a user name and password will be given to the initiative group, the link to be used in the self-managed and asynchronous training platform will be shared, and it will be ensured that it participates in the web-based nurse training, and the training will last for eight weeks.

non-trained nurse group

1\. Week: application of pre-tests

1\. Month: administration of post-tests 3. Month: administration of post-tests

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Traning

In order to participate in the training module, a user name and password will be given to the initiative group, the link to be used in the self-managed and asynchronous training platform will be shared, and it will be ensured that it participates in the web-based nurse training, and the training will last for eight weeks.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Having a maximum of 3 years of working experience in the Renal Transplantation clinic
* Having a bachelor's degree in nursing

Exclusion Criteria

* Nurses not completing all web-based nursing education modules
* It will be caused by nurses not completing the 20-minute website usage period determined for each training module.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Istanbul Gedik University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emek Bakanoğlu Kalkavan

Role: PRINCIPAL_INVESTIGATOR

Istanbul Gedik University

Central Contacts

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Emek Bakanoğlu Kalkavan

Role: CONTACT

05447683055

Merdiye Şendir

Role: CONTACT

05304585737

References

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Chiaranai C. The Lived Experience of Patients Receiving Hemodialysis Treatment for End-Stage Renal Disease: A Qualitative Study. J Nurs Res. 2016 Jun;24(2):101-8. doi: 10.1097/jnr.0000000000000100.

Reference Type BACKGROUND
PMID: 26275156 (View on PubMed)

Samarehfekri A, Dehghan M, Arab M, Ebadzadeh MR. Effect of Foot Reflexology on Pain, Fatigue, and Quality of Sleep after Kidney Transplantation Surgery: A Parallel Randomized Controlled Trial. Evid Based Complement Alternat Med. 2020 Aug 1;2020:5095071. doi: 10.1155/2020/5095071. eCollection 2020.

Reference Type BACKGROUND
PMID: 32831868 (View on PubMed)

Mathes T, Grosspietsch K, Neugebauer EAM, Pieper D. Interventions to increase adherence in patients taking immunosuppressive drugs after kidney transplantation: a systematic review of controlled trials. Syst Rev. 2017 Nov 29;6(1):236. doi: 10.1186/s13643-017-0633-1.

Reference Type BACKGROUND
PMID: 29187249 (View on PubMed)

Kleber J, Cohen B. Reducing Waste and Increasing Sustainability in Health Care Settings. Am J Nurs. 2020 Apr;120(4):45-48. doi: 10.1097/01.NAJ.0000660032.02514.ec.

Reference Type BACKGROUND
PMID: 32218047 (View on PubMed)

Kohler B, Kellerer C, Schultz K, Wittmann M, Atmann O, Linde K, Hapfelmeier A, Schneider A. An Internet-Based Asthma Self-Management Program Increases Knowledge About Asthma. Dtsch Arztebl Int. 2020;117(5):64-71. doi: 10.3238/arztebl.2020.0064.

Reference Type BACKGROUND
PMID: 32070472 (View on PubMed)

Coresh J, Hu JR, Bello AK, Feldman HI, Fogo AB, Ganji MR, Harris DC, Levey AS, Okpechi IG, Stengel B, Thomas B, Wiecek A, Gansevoort RT. Action plan for determining and monitoring the prevalence of chronic kidney disease. Kidney Int Suppl (2011). 2017 Oct;7(2):63-70. doi: 10.1016/j.kisu.2017.07.002. Epub 2017 Sep 20.

Reference Type BACKGROUND
PMID: 30675421 (View on PubMed)

Chisholm-Burns M, Pinsky B, Parker G, Johnson P, Arcona S, Buzinec P, Chakravarti P, Good M, Cooper M. Factors related to immunosuppressant medication adherence in renal transplant recipients. Clin Transplant. 2012 Sep-Oct;26(5):706-13. doi: 10.1111/j.1399-0012.2011.01589.x. Epub 2012 Feb 10.

Reference Type BACKGROUND
PMID: 22324912 (View on PubMed)

Zala P, Schmid-Mohler G. Patients' Experiences of a Nurse-Led Self-Management Intervention After Kidney Transplantation. Nephrol Nurs J. 2022 Jan-Feb;49(1):45-57.

Reference Type BACKGROUND
PMID: 35225495 (View on PubMed)

Horka K. Optimizing Care in Kidney Transplantation. Crit Care Nurs Clin North Am. 2022 Dec;34(4):443-451. doi: 10.1016/j.cnc.2022.08.003. Epub 2022 Oct 12.

Reference Type BACKGROUND
PMID: 36336434 (View on PubMed)

Other Identifiers

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EBK-01

Identifier Type: -

Identifier Source: org_study_id

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