Clinical trial NCT03432988: Impact of Nurses´ Solution-focused Communication on the Fluid Adherence of Adult Patients on Hemodialysis
Official title: Impact of Nurses´ Solution-focused Communication on the Fluid Adherence of Adult Patients on Hemodialysis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Renal Dialysis
Keywords: Nursing Solution-Focused
hemodialysis
Psychosocial intervention
Adherence
Lead sponsor: Universidad Miguel Hernandez de Elche
Sponsor class: OTHER
First posted: 2018-02-14
Enrollment: 36
Sex: ALL
Minimum age (years): 20
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Intervention model: SEQUENTIAL
Primary purpose: SUPPORTIVE_CARE

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.

Detailed description: Design A single-group quasi-experimental design was carried out. The IDWG was the dependent variable, expressed as the weight gain in kilograms between dialysis sessions. A base-line was established by taking IDWG data for one month; after the nurses training, IDWG data were taken for another month. Follow-up was carried out six months later.

Methods

Participants 36 patients of a hemodialysis unit in a public hospital were invited to participate in the study. All accepted and gave written informed consent. Nurses were two women (39 and 37 years old) and one man (30 years old).

The intervention Training. 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.

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 nurses had accomplished the weight reduction. Nurses were trained to invite patients to share specific behavioral details and also to describe their own behavior from the perspective of significant family members. Nurses were also taught 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.

In the case of IDWG worsening, nurses were encouraged to validate patients´ difficulties and empathize with their predicament.

A repeated measure analysis of variance (ANOVA) and Student's t were used to analyze the changes in patient's IDWG over time.

Eligibility criteria: Inclusion Criteria:

* 0

Exclusion Criteria:

* 0

Primary outcomes:
measure: ANOVA
timeFrame: Three months
Secondary outcomes:
Other outcomes:
Locations:
city: Elche
country: Spain
facility: María del Carmen Neipp
state: Alicante
Study officials:
affiliation: Universidad Miguel Hernández de Elche
name: Alberto Pastor
role: STUDY_CHAIR
References:
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citation: 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.
citation: 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.