Proposed Topic (Most preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Chan YY(1), Yau LTP(1), Tsang WY(1), Ho KM(1), Ching SY(1), Sung KMD(1)
Affiliation :
(1)Renal Dialysis Unit, Queen Elizabeth Hospital
Introduction :
The population of End Stage Kidney Disease (ESKD) patients is increasing in Hong Kong. When their kidney function deteriorates to an end stage, patients need to make choices on renal replacement therapy (RRT). The renal nurse clinic offers newly diagnosed ESKD patients a platform to comprehend their disease progression, explore available treatment modalities, and understand the implications and potential outcomes of their choices and RRT journey. Ensuring the nurse clinic's quality is crucial for providing education, guidance, and addressing personal concerns to empower participants to make informed RRT choices.
Objectives :
To evaluate participant's (patients and family members) knowledge and understanding of ESKD and RRT options.
To evaluate the effectiveness of multimedia teaching (video and pamphlet with QR codes) in enhancing education and guidance during nurse clinic.
Methodology :
This is a longitudinal study. All newly diagnosed ESKD patients who were referred by nephrologists for RRT introduction and their family members were recruited. A 10-item questionnaire on ESKD knowledge and RRT options were given to participants before (pre-test) and after (post-test) watching a video. Senior renal nurses were operated the renal nurse clinic and distributed the pamphlet to participants. A 6-item questionnaire was given to involved nurses to evaluate the effectiveness of the multimedia teaching used in operating the nurse clinic.
Result & Outcome :
From August 2023 to September 2023, 50 participants were recruited. 48(96%) completed the pre-post-test. The mean score of participants on knowledge of ESKD was significantly increased after watching the video, 7.77 in pre-test versus 8.83 in post-test (t=5.02, p< 0.0001). 89% of participants expressed the content of video was clear, 93% believed the pamphlet with QR codes facilitated their decision making with other family members. All senior renal nurses commented the multimedia teaching shortened the time used in introducing factual information in which 88% of nurses can have in-depth discussion with participants according to patient’s specific and individual needs.
Conclusion
The multimedia teaching significantly improved participants' understanding of disease progression and RRT options, and allowed nurses to discuss with participants on living with ESKD and empower participants to make constructive decisions according to their values, lifestyle, and personal and family’s circumstances.
