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S 21 Parallel session
S 21 E – technology in renal care
Saal 1, 28th September 2015, 11:00 – 12:30
Programme of the Session:
GS: Paula Ormandy (UK)
Impact of social media on patient information provision, networking and communication
O 50
Effective use of technology to reach geographically dispersed dialysis clinics
Paul Burdis (UK)
O 51
Information technology facilitates high safety and quality standards in haemodialysis therapy
Dumitra Mariana Marita (Romania)
O 52
Humanisation of haemodialysis nursing care versus technology
Ana Cunha (Portugal)
O 53
Multidisciplinary collaboration: design and implementation of a vascular access e - learning module for renal staff
Monica Schoch (Australia)
Abstracts:
GUEST SPEAKER
Impact of social media on patient information provision, networking and communication
P. Ormandy1, C. Vasilica1
1University of Salford, UK
This paper examines the impact of social media technologies to facilitate web based patient communication, information sharing and networking. A kidney information network (www.gmkin.org.uk) was developed by patients and staff, using different types of social media tool: a confidential group on Facebook, website, blogging, Twitter and video-sharing (YouTube). Access to the internet using an Ipad, and training was provided to a small cohort of people who had not previously engaged with the technology, others used their existing devices. An in-depth longitudinal study observed activity and measured outcomes using self-efficacy questionnaires, interviews and analytics. Facebook was the most powerful tool to engage people because it had a dual purpose; stimulating both personal and health conversations, easy to use, and provided quick access to blogs and news. People used blogging to generate content for the site, writing their own blog,or reading and commenting on others real life stories, was found to be therapeutic. Three levels of engagement were identified: influencing roles, conversationalists and browsers, and people moved between these roles at different times. Engagement was a continuous and voluntary process, with activity supported by a community manager and patient moderator, influenced by factors such as: compassion, light discussion, trust, quality of the information and sociability. Reasons for disconnection included illness, lack of time and literacy. Medical information, real life stories and scientific advances satisfied people’s information needs. Positive real life stories had a direct impact on self-efficacy, people reported increased confidence and self-management activity. Social online activity influenced social outcomes, increasing an individual’s confidence to seek employment or return to work.
BIOGRAPHY OF THE GUEST SPEAKER
O 50
Effective use of technology to reach geographically dispersed dialysis clinics
P.M. Burdis1, C. Poole1
1Training & Education, Fresenius Medical Care Renal Services Ltd, Birmingham, United Kingdom
Background: Nursing requires compliance with statutory learning along with commitment to continuing professional development. In order to meet the challenge of delivering standardised learning accessible to colleagues across two countries, the use of an online meeting platform with screen-sharing capabilities combined with teleconferencing facilities was adopted.
Objectives: To capitalise on existing platforms to enable Renal Teacher Practitioners to deliver consistent, quality learning opportunities to diverse, geographically spread clinicians in a cost-effective and time-efficient manner.
Methods: A pilot programme combining online meeting platform and teleconferencing facilities was used to launch eLearning programmes to clinic managers across the two countries. Benefits identified from this pilot led to the method being applied to delivering actual learning activity across 58 clinics simultaneously; providing an additional learning method to eLearning and face to face / centralised sessions.
Results: Over eight months, nineteen sessions covering five subject areas were delivered to 457 delegates. Benefits identified include reduction in costs (travel/accommodation) and, critically, time spent away from patient care compared to training delivered in a centralised area. The interaction of the programme generated improved positive learner feedback compared to independent eLearning.
Conclusion/Application to practice: This development in learning has met clinical and nursing needs, has provided consistency in delivery, and flexibility to meet patient need. The programme’s success in cascade learning in an interactive and cost effective manner has resulted in its integration into our Training Strategy for 2015. A wider portfolio of learning activities is currently under development to support clinical practice.
Disclosure: No conflict of interest declared
O 51
Information technology facilitates high safety and quality standards in haemodialysis therapy
D.M. Marita1
1FNC C.Davila, Fresenius Medical Care, Bucharest, Romania
Background: Our unit provides high-quality standard dialysis care to 340 patients. Information technologies are important tools for the daily work of the medical staff and for an efficient monitoring of haemodialysis treatments.
Objectives: To determine advantages of using information technology tools during haemodialysis treatments.
Methods: In 2012, a data management tool was implemented to assist, visualise, support, record and document haemodialysis sessions in order to improve the performance. By means of a personalised card, the system sends the medical prescription from a clinical database directly to the dialysis machine.
Results: The implementation of the tool in combination with the clinical data base offers the following advantages:
- Precise records of
• patient weight pre/post dialysis treatment
• previous treatments and quick visualisation
• efficiency of the dialysis treatment
- Optimal ultrafiltration management (a warning appears when the intradialytic ultrafiltration exceeds the prescribed ultrafiltration).
- Reduction of
• time for data setup on the dialysis machine display according to the prescription.
• number of different measurements through the registration and visualisation of the last measurements.
- Visualisation of the dialysis machine alarm on the computer display.
Conclusion/Application to practice: Our unit, part of a private network, is the only one in Romania that uses this system that facilitates an accurate and continuous monitoring of treatment parameters as well as comparisons to previous treatments. Modern technology is the future in haemodialysis therapy and its continuous improvement may enhance treatment quality and patient safety.
Disclosure: No conflict of interest declared
O 52
Humanisation of haemodialysis nursing care versus technology
A. Cunha1, A. Seabra1, L. Rosa1, J. Fazendeiro Matos2, M.T. Parisotto3
1NephroCare Coimbra, Fresenius Medical Care, Coimbra, Portugal; 2NephroCare Portugal, Fresenius Medical Care, Porto, Portugal; 3NephroCare Coordination, Fresenius Medical Care, Bad Homburg, Portugal
Background: Advances in science and technology over the past few decades have a direct impact on health care professionals and organisations. We experience a lack of professional preparation, gap of health organisations to engage in and support technological progress, and an appeal for the humanisation of care.
Objectives: To understand how important humanisation of haemodialysis nursing care is for nurses. To find out whether technology positively or negatively affects the humanisation of care in haemodialysis. To identify strategies for nurses to improve the humanisation of care as compared to technology.
Methods: We performed a descriptive study based on qualitative methodology. Data were collected using a questionnaire for nurses working in the clinic.
Results: It is well known that communication is essential to establish an empathetic relationship between the nurse and the patient, thus contributing to the humanisation of care. Initially, technology had a negative impact, because of the learning requirements and open-mindedness of nurses towards innovation. However, after adapting to technology, they find out that this enables close monitoring/control of nursing care, thus providing more time for nurses to meet the needs of patients. Some nurses believe that the insufficient number of professionals may jeopardize the safety of patients and nurses. The team’s performance and security are influenced by stress.
Conclusion/Application to practice: Haemodialysis requires skilled nursing care and is not limited to technical care. Nursing professionals need to be aware of the importance of their role in maintaining the patients’ quality of life.
Disclosure: No conflict of interest declared
O 53
Multidisciplinary collaboration: design and implementation of a vascular access e-learning module for renal staff
M. Schoch1, P. Sinclair2, D. DuToit3, F. Grainer4, C. Osborne5, J. Hamilton6, D. Cowan7, T. Vachharajani8
1School of Nursing and Midwifery, Deakin University, Victoria, Australia; 2School of Nursing and Midwifery, University of Newcastle, New South Wales, Australia; 3Torres and Cape Hospital and Health Service, Queensland, Australia; 4Cairns and Hinterland Health Service District, Queensland, Australia; 5Northern New South Wales local Health District, New South Wales, Australia; 6Bairnsdale Regional Health Service, Victoria, Australia; 7Central Coast Local Health Network, New South Wales, Australia; 8W.G.(Bill) Hefner VA Medical Center, Salisbury, United States
Background: An Australian renal education network has been providing evidence based peer-reviewed e-learning modules for renal health professionals since 2010. The network modules follow the tenets of e-learning – accessible, easy to use, actively engaging, innovative and flexible. As vascular access patency is paramount for the delivery of hemodialysis and the core principles are transferrable, it was identified that a nationally consistent e-learning module was developed to educate renal staff in vascular access management best practice.
Objectives: To mobilise a team of international educational and vascular access experts to develop an evidence based e-learning program. Methods: Expressions of interest were sought from qualified experts to create the content development team. The vascular access module was then developed providing a nationally consistent message relating to best practice surrounding management of dialysis related to the vascular access. Post development, the program underwent rigorous peer review. The final product provides an interactive and immersive learning experience via virtual ultrasound imaging to facilitate content delivery of principles and practice related to point of care ultrasound. Other multimedia are used to inform surgical and endovascular interventions and updates on anatomy and physiology. A variety of multi-choice, drag and drop and ‘hot-spot’ questions are used to assess learners formatively and summatively.
Conclusion/Application to practice: This project demonstrates that international collaboration offers multiple benefits in the development of vascular access educational resources. This process is replicable to other education contexts within renal services whether it be e-learning or other educational practices.
Disclosure: No conflict of interest declared