Patient, Caregiver, and Provider Perspectives on Improving Provider-Patient Interactions in Hemodialysis: A Qualitative Study
What is the Goal?
The objective of this article is to describe the challenges and proposed solutions to improving interactions between health care providers and patients undergoing facility-based hemodialysis as identified by people receiving hemodialysis, their caregivers, and health care providers.
Key Findings
Challenges were grouped into 4 main themes as follows:
- (1) culture of care provision
- (2) mistrust between patients and health care providers
- (3) time constraints for clinical interactions, and
- (4) lack of collaboration and care coordination among health care team.
Potential solutions were identified for each challenge.
Why It Matters
Providers could seek to build a rapport through mutual respect, cultural sensitivity, and taking time to build a relationship and trust, thus encouraging questions, knowledge sharing, and self-care management. Training and capacity-building for health care providers to improve authentic communication could help to ensure information is transferred bidirectionally and understood by patients. Promoting and expanding the concept of a multidisciplinary health care team within the hemodialysis unit could help alleviate time constraints and improve continuity of care and health outcomes.
Where can I Learn More?
- Authors
- Melanie D. Talson, Priscila Ferreira da Silva, Juli Finlay, Krista Rossum, Kaytlynn V. Soroka, Michael McCormick, Arlene Desjarlais, Hans Vorster, Rachelle Sass, Matthew James, Manish M. Sood, Allison Jaure, Neesh Pannu, Karthik K. Tennankore, Stephanie Thompson, Marcello Tonelli, Clara Bohm