Impact of Nurses´ Solution-focused Communication on the Fluid Adherence of Adult Patients on Hemodialysis

NCT03432988 | Completed

• 1 other identifier: UMH-SFNursing
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: To test the hypothesis that fluid adherence in patients on hemodialysis can be improved through nurses´ solution-focused communication with patients on issues of adherence. Design: Single-group quasi-experimental study. Method: A one-month baseline of inter-dialytic weight gain was taken for a group of 36 adult patients in a hospital hemodialysis unit. Then, the nurses of the unit received an 5-hour training in solution-focused communication on issues of fluid adherence and applied it with the patients of the sample. Inter-dialytic weight gains (IDWG) were measured during another month. Six months after the training, IDWG was again measured during one month.

Conditions

Renal Dialysis

Keywords

Nursing Solution-Focused; hemodialysis; Psychosocial intervention; Adherence

Outcome Measures

Primary Outcomes (1)

• ANOVA

  Analysis of Variance

  Three months

Study Arms (1)

nurses in the hemodialysis service

EXPERIMENTAL

Nursing Solution-Focused: Two two-hour training modules were designed by two recognized solution-focused therapy experts. In each module, participants watched videos that illustrated solution-focused communication on fluid adherence, and practiced the skills in role-plays.

Behavioral: Nursing Solution-Focused

Interventions

Nursing Solution-Focused BEHAVIORAL

Two two-hour training modules were designed. In each module, participants watched videos that illustrated solution-focused communication on fluid adherence, and practiced the skills in role-plays. Solution-focused communication on IDWG. In the case of IDWG improvement, nurses were trained to congratulate the patient and then to explore in detail, from a stance of curiosity, how s/he had accomplished the weight reduction. Nurses were trained to invite patients to share specific behavioral details, to describe their own behavior from the perspective of significant family members and also to compliment patients on their accomplishments and to invite them to keep track of anything else they might find useful to control fluid intake over the next days.

nurses in the hemodialysis service

Eligibility Criteria

• Age: 20 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Universidad Miguel Hernandez de Elche: lead

Study Sites (1)

María del Carmen Neipp

Elche, Alicante, 03202, Spain

Location

Related Publications (9)

• Baines LS, Jindal RM. Non-compliance in patients receiving haemodialysis: an in-depth review. Nephron. 2000 May;85(1):1-7. doi: 10.1159/000045622. No abstract available.

  PMID: 10773748 BACKGROUND

• Idier L, Untas A, Koleck M, Chauveau P, Rascle N. Assessment and effects of Therapeutic Patient Education for patients in hemodialysis: a systematic review. Int J Nurs Stud. 2011 Dec;48(12):1570-86. doi: 10.1016/j.ijnurstu.2011.08.006. Epub 2011 Sep 14.

  PMID: 21924423 BACKGROUND

• Kugler C, Maeding I, Russell CL. Non-adherence in patients on chronic hemodialysis: an international comparison study. J Nephrol. 2011 May-Jun;24(3):366-75. doi: 10.5301/JN.2010.5823.

  PMID: 20954134 BACKGROUND

• McAllister M. Doing practice differently: solution-focused nursing. J Adv Nurs. 2003 Mar;41(6):528-35. doi: 10.1046/j.1365-2648.2003.02564.x.

  PMID: 12622862 BACKGROUND

• McGee D, Del Vento A, Bavelas JB. An interactional model of questions as therapeutic interventions. J Marital Fam Ther. 2005 Oct;31(4):371-84. doi: 10.1111/j.1752-0606.2005.tb01577.x. No abstract available.

  PMID: 16294686 BACKGROUND

• Morgan L. A decade review: methods to improve adherence to the treatment regimen among hemodialysis patients. Nephrol Nurs J. 2000 Jun;27(3):299-304.

  PMID: 11249328 BACKGROUND

• Matteson ML, Russell C. Interventions to improve hemodialysis adherence: a systematic review of randomized-controlled trials. Hemodial Int. 2010 Oct;14(4):370-82. doi: 10.1111/j.1542-4758.2010.00462.x. Epub 2010 Aug 27.

  PMID: 20796047 BACKGROUND

• Bowles N, Mackintosh C, Torn A. Nurses' communication skills: an evaluation of the impact of solution-focused communication training. J Adv Nurs. 2001 Nov;36(3):347-54. doi: 10.1046/j.1365-2648.2001.01979.x.

  PMID: 11686749 BACKGROUND

• Beyebach M, Neipp MDC, Garcia-Moreno M, Gonzalez-Sanchez I. IMPACT of nurses' solution-focused communication on the fluid adherence of adult patients on haemodialysis. J Adv Nurs. 2018 Nov;74(11):2654-2657. doi: 10.1111/jan.13792. Epub 2018 Aug 19.

  PMID: 29992599 DERIVED

Study Officials

• Alberto Pastor

  Universidad Miguel Hernández de Elche

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: February 6, 2018
• First Posted: February 14, 2018
• Study Start: April 1, 2016
• Primary Completion: July 29, 2016
• Study Completion: November 30, 2016
• Last Updated: February 14, 2018

Record last verified: 2018-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Starting one month after publication
• Access Criteria: Researcher should write an email to the principal investigator, telling the reasons for asking for the data

Locations

ES (1)