<p>Patient engagement activities with health care professionals in continuous ambulatory peritoneal dialysis therapy: an exploratory pilot study</p>

Abstract

Background: This pilot study aimed to explore the engagement activities between patients on continuous ambulatory peritoneal dialysis (CAPD) therapy and their health care professionals. Methods: An exploratory qualitative study was conducted. In-depth semi-structured interviews were undertaken involving four CAPD patients who were selected through purposive sampling. The participants were asked questions about their engagement experiences with their health care professionals. Results: Six main engagement activities were derived from the interview analysis: obtaining initial knowledge, developing knowledge and skills, feeling confident, following clinical advice, updating health condition, and supporting CAPD therapy. Conclusion: Patients engagement activities played an important role in CAPD therapy. The engagement activities covered the cognitive, emotional, and behavioral dimensions. Obtaining initial knowledge as well as developing knowledge and skills are essential engagement activities before patients perform CAPD therapy.

Peritoneal Dialysis Patient Training Program to Enhance independence and Prevent Complications: A Scoping Review

“… 13 , 35 Patient self-care abilities can be obtained through structured training patterns or criteria to enhance knowledge, skills, and attitudes. 54 , 55 Poorly performed self-care procedures such as skipping the use of masks and other standard procedures are independent risk factors for peritonitis. 9 , 21 …”

“…All of these conditions indicate that the acceptance of training program patterns or criteria is highly influenced by the capabilities and involvement of individual participants, companions, or family members, as well as the competencies of the trainers themselves. 35 , 44 , 54 , 57 …”

“…13,35 Patient self-care abilities can be obtained through structured training patterns or criteria to enhance knowledge, skills, and attitudes. 54,55 Poorly performed self-care procedures such as skipping the use of masks and other standard procedures are independent risk factors for peritonitis. 9,21 A training program utilizing computerized guidelines (Cycler Training Curriculum) can achieve the goal of increasing patient independence, even in the presence of barriers such as physical disabilities, differences in education, and technical experience in computer or technology usage.…”

“…All of these conditions indicate that the acceptance of training program patterns or criteria is highly influenced by the capabilities and involvement of individual participants, companions, or family members, as well as the competencies of the trainers themselves. 35,44,54,57 Various media such as video playback, booklets, and manikins greatly facilitate the accelerated improvement of patient self-care abilities, particularly during training intervals or when training is conducted. Several concept-or-theorybased learning approaches, such as the Health Belief Model (HBM) 58 and Orem's nursing theory, 59,60 have been proven to enhance knowledge, skills, attitudes and create a supportive environment for PD patients' self-care at home.…”

Improved Inpatient Care through Greater Patient–Doctor Contact under the Hospitalist Management Approach: A Real-Time Assessment

“…Although some studies associated these outcomes with patient–doctor contact, others did not [ 4 , 10 ]. In studies where positive relationships were reported, patients had an opportunity to be involved in their plan of care and receive education about their treatment [ 11 , 12 , 13 ]. These care conditions contribute to establishing a solid rapport between patients and doctors [ 7 , 8 , 12 , 13 , 14 , 15 ] and are linked to improved quality of care, patient safety, and satisfaction, including reduced medical errors and mortality [ 3 , 4 , 5 , 7 , 12 , 13 ].…”