A Peer-to-Peer Mentoring Program for In-Center Hemodialysis: A Patient-Centered Quality Improvement Program

A patient-centered quality improvement program implemented in one Virginia hemodialysis facility sought to determine if peer-to-peer (P2P) programs can assist patients on in-center hemodialysis with self-management and improve outcomes. Using a single-arm, repeatedmeasurement, quasi-experimental des...

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Published inNephrology nursing journal : journal of the American Nephrology Nurses' Association Vol. 44; no. 6; pp. 481 - 496
Main Authors St Clair Russell, Jennifer, Southerland, Shiree, Huff, Edwin D, Thomson, Maria, Meyer, Klemens B, Lynch, Janet R
Format Journal Article
LanguageEnglish
Published United States Jannetti Publications, Inc 01.11.2017
Anthony J. Jannetti, Inc
Subjects
Chronic illnesses
Clinical trials
Cognitive ability
Disease management
Health aspects
Health behavior
Hemodialysis
Hemodialysis patients
Holistic medicine
Hospitalization
Intervention
Kidney diseases
Mentoring
Methods
Patient compliance
Patient education
Patient outcomes
Patient-centered care
Patients
Peer tutoring
Quality control
Quality improvement
Quality management
Quality of life
Self care (Health)
Social aspects
Social support
Virginia
United States > US
social support
hemodialysis
mentor
mentee
peer to peer
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ISSN1526-744X
2163-5390

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Summary:A patient-centered quality improvement program implemented in one Virginia hemodialysis facility sought to determine if peer-to-peer (P2P) programs can assist patients on in-center hemodialysis with self-management and improve outcomes. Using a single-arm, repeatedmeasurement, quasi-experimental design, 46 patients participated in a four-month P2P intervention. Outcomes include knowledge, self-management behaviors, and psychosocial health indicators: self-efficacy, perceived social support, hemodialysis social support, and healthrelated quality of life (HRQoL). Physiological health indicators included missed and shortened treatments, arteriovenous fistula placement, interdialytic weight gain, serum phosphorus, and hospitalizations. Mentees demonstrated increased knowledge, self-efficacy, perceived social support, hemodialysis social support, and HRQoL. Missed treatments decreased. Mentors experienced increases in knowledge, self-management, and social support. A P2P mentoring program for in-center hemodialysis can benefit both mentees and mentors.
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ISSN:1526-744X
2163-5390