Perspectives on clinical use of bioimpedance in hemodialysis: focus group interviews with renal care professionals.

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Perspectives on clinical use of bioimpedance in hemodialysis : focus group interviews with renal care professionals.

Stenberg, Jenny, 1976- (author): Uppsala universitet,Njurmedicin,Department of Medical Sciences, University Hospital, Uppsala, Sweden

Henriksson, Catrin, 1961- (author): Uppsala universitet,Kardiologi,Department of Medical Sciences, Uppsala University, Uppsala, Sweden

Lindberg, Magnus (author): Uppsala universitet,Högskolan i Gävle,Medicin- och vårdvetenskap,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden,Centrum för klinisk forskning, Gävleborg,Vårdvetenskap

Furuland, Hans (author): Uppsala universitet,Njurmedicin,Department of Medical Sciences, University Hospital, Uppsala, Sweden

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2018-05-23
2018
English.
In: BMC Nephrology. - : Springer Science and Business Media LLC. - 1471-2369. ; 19:1

Related links:: https://doi.org/10.1...; show more...; https://bmcnephrol.b...; https://uu.diva-port... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

BACKGROUND: Inadequate volume control may be a main contributor to poor survival and high mortality in hemodialysis patients. Bioimpedance measurement has the potential to improve fluid management, but several dialysis centers lack an agreed fluid management policy, and the method has not yet been implemented. Our aim was to identify renal care professionals' perceived barriers and facilitators for use of bioimpedance in clinical practice.METHODS: Qualitative data were collected through four focus group interviews with 24 renal care professionals: dieticians, nephrologists and nurses, recruited voluntarily from a nation-wide selection of hemodialysis centers, having access to a bioimpedance-device. The participants were connected to each other and a moderator via equipment for telemedicine and the sessions were recorded. The interviews were semi-structured, focusing on the participants' perceptions of use of bioimpedance in clinical practice. Thematic content analysis was performed in consecutive steps, and data were extracted by employing an inductive, interactive, comparative process.RESULTS: Several barriers and facilitators to the use of bioimpedance in clinical practice were identified, and a multilevel approach to examining barriers and incentives for change was found to be applicable to the ideas and categories that arose from the data. The determinants were categorized on five levels, and the different themes of the levels illustrated with quotations from the focus groups participants.CONCLUSIONS: Determinants for use of bioimpedance were identified on five levels: 1) the innovation itself, 2) the individual professional, 3) the patient, 4) the social context and 5) the organizational context. Barriers were identified in the areas of credibility, awareness, knowledge, self-efficacy, care processes, organizational structures and regulations. Facilitators were identified in the areas of the innovation's attractiveness, advantages in practice, and collaboration. Motivation, team processes and organizational capacities appeared as both barriers and facilitators.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)

Keyword

Barriers
Bioimpedance
Dry weight
Facilitators
Focus groups
Renal dialysis
Health-Promoting Work
Hälsofrämjande arbete
Medical Science

Publication and Content Type

ref (subject category)
art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Urology and Neph ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

Articles in the publication: BMC Nephrology

By the university: University of Gävle; Uppsala University

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