Date of Award

12-2024

Document Type

Campus Access Dissertation

Degree Name

Doctor of Philosophy (PhD)

Department

Nursing

First Advisor

Jacqueline Fawcett

Second Advisor

Priscilla Gazarian

Third Advisor

Nahla Tayyib

Abstract

Objective: Guided by the Conceptual Model of Nursing and Health Policy, this pilot exploratory study was designed to describe peritoneal dialysis nurses’ knowledge, values, and implementation of evidence-based practice, extent of use of the Saudi Clinical Guidelines for Peritoneal Dialysis in pre-dialysis education, and barriers and facilitators to implementation of these guidelines. Background: Little is known about nurses’ knowledge, values, and implementation of the SCGPD. No studies have investigated nurses’ implementation of these guidelines in pre-dialysis education for patients with chronic kidney disease. Methods: Twenty-eight peritoneal dialysis nurses were recruited from peritoneal and hemodialysis units in eight hospitals in the Western region of Saudi Arabia. Data were collected using an online survey including a demographic data form, the Quick-EBP-VIK (values, implementation, knowledge), questions about extent of implementation of the Use of the Saudi Clinical Guidelines for Peritoneal Dialysis and open ended-questions about the barriers of and facilitators for the pre-dialysis education. Results: The nurses scored highest in the Quick EBP VIK value domain, moderate on knowledge, and lowest on implementation, and frequently implementing the recommendations of the SCGPD. Perceived barriers were patient/family readiness, communication, healthcare educators' lack of knowledge and resources. Perceived facilitators were improving self-management, health educators’ active communication and knowledge of patient education, availability of teaching resources, and institutional support. Conclusion: The study findings identified a gap in the nurses’ use of evidence from clinical guidelines and can inform nursing practice to implement the clinical guidelines, overcome barriers, and facilitate the delivery of high-quality and evidence-based pre-dialysis education.

Comments

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