Competencies of Factor Analysis of the Competency in Caring for Peritoneal Dialysis Patients among Professional Nurses at a Tertiary Hospital
Keywords:
Competency in Caring for Patients Undergoing Peritoneal Dialysis, Tertiary Hospitals, Professional Nurses, Exploratory Factor AnalysisAbstract
This descriptive research aimed to: 1) analyze the exploratory components of the competency in caring for patients undergoing peritoneal dialysis among professional nurses in a tertiary hospital, and 2) evaluate the competency level of those professional nurses. The sample group consisted of 340 professional nurses working in inpatient or outpatient departments at a tertiary hospital, selected through stratified random sampling. The research instruments included a personal information questionnaire, as well as a professional nurse competency assessment form on caring for patients undergoing peritoneal dialysis. The content validity of assessment form by IOC ranged from .60 to 1.00, and its reliability was at the .88 level. Data were analyzed using descriptive statistics and exploratory factor analysis. The results were as follows.
1. The competency in caring for patients undergoing peritoneal dialysis among professional nurses in tertiary hospitals was divided in 6 distinct components: 1) communication, teaching, and technology (23 variables), 2) knowledge and skills in peritoneal dialysis (14 variables), 3) counseling (6 variables), 4) research and development (6 variables), 5) pre- and post-Tenckhoff catheter insertion care (4 variables), and 6) ethics and patient rights advocacy (4 variables), measured by 57 component indicators, with factor loadings ranging from .458 to .830. All components together explained 74.82% of the competency in caring for patients undergoing peritoneal dialysis among professional nurses.
2. The overall competency level of professional nurses in caring for patients undergoing peritoneal dialysis in tertiary hospitals was at a moderate level (M = 3.45, SD = 0.82).
Therefore, tertiary hospitals should implement the six competency components as a framework for developing professional competency of nurses who care for peritoneal dialysis patients.
References
American Nephrology Nurses Association (ANNA). (2011). Information and Documentation. In N. Gomez & D. Castner (Eds.), Nephrology Nursing Scope and Standards (7th ed.) pp. 16-36.
Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics (8th ed.). Oxford University Press. (in Thai)
Butler, C. R., Vig, E. K., O'Hare, A. M., Liu, C. F., Hebert, P. L., & Wong, S. P. Y. (2020). Ethical concerns in the care of patients with advanced kidney disease: A national retrospective study, 2000-2011. Journal of General Internal Medicine, 35(4), 1035–1043. doi.org/10.1007/s11606-019-05466-w
Canadian Association of Nephrology Nurses and Technologists (CANNT). (2014). Nursing Standards and Practice Recommendations. Retrieved April 2, 2025 from https://www.researchgate.net/publication/269693028_Canadian_Association_of_Nephrology_Nurses_and_Technologists_Nephrology_Nursing_Standards_and_Practice_Recommendations
Castro, M. C. M. D., Dell'Aquila, R., Fernandes, N. M. D. S., Pecoits-Filho, R., Burdmann, E. A., & Divino-Filho, J. C. (2018). Knowledge and attitudes of nurses in peritoneal dialysis units in relation to peritonitis prevention. Nephrology Nursing Journal, 45(3), 261-270.
Chatrattanalux, W., Peampoonsavat, S., Wongsakorn, P., Posayaanuwat, S. (2016). The development model of nursing in patients with continuous ambulatory peritoneal dialysis at Samutprakan hospital. Journal of Nursing and Therapeutic Care, 34(2), 58–66. https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/64305 (in Thai)
Chen, Y. C., Chang, L. C., Liu, C. Y., Ho, Y. F., Weng, S. C., & Tsai, T. I. (2018). The roles of social support and health literacy in self‐management among patients with chronic kidney disease. Journal of Nursing Scholarship, 50(3), 265-275. doi.org/10.1111/jnu.12377
Chongjarearn, A. (2023). Role of registered nurse in peritoneal dialysis patients caring towards best nursing practice in new-normal era. Journal of Health and Health Management, 9(2), 1–15. (in Thai)
Diamantidis, C. J., & Becker, S. (2014). Health information technology (IT) to improve the care of patients with chronic kidney disease (CKD). BMC Nephrology, 15(1), 7. doi.org/10.1186/1471-2369-15-7
Goethals, S., Gastmans, C., & de Casterlé, B. D. (2020). Nurses' ethical reasoning and behaviour: A literature review. International Journal of Nursing Studies, 102, 103443. doi.org/10.1016/j.ijnurstu.2019.103443
Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O'Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. (2016). Global prevalence of chronic kidney disease - A systematic review and meta-analysis. PloS one, 11(7), e0158765. doi.org/10.1371/journal.pone.0158765.
Kanjanabuch, T., & Takkavatakarn, K. (2020). Global dialysis perspective: Thailand. Kidney360, 1(7), 671–675. doi.org/10.34067/KID.0000762020
Khansamree, O. (2009). Competency of Professional Nurses Providing Care to Peritoneal Dialysis Patients at Government Hospitals [Master's thesis, Chulalongkorn University]. NRCT DOI System. https://doi.nrct.go.th/ListDoi/listDetail?Resolve_doiI=10.14457/CU.the.2009.209 (in Thai)
Ladin, K., Lin, N., Hahn, E., Zhang, G., Koch-Weser, S., & Weiner, D. E. (2017). Engagement in decision-making and patient satisfaction: A qualitative study of older patients' perceptions of dialysis initiation and modality decisions. Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association - European Renal Association, 32(8), 1394–1401. doi.org/10.1093/ndt/gfw307
Li, P. K., Szeto, C. C., Piraino, B., de Arteaga, J., Fan, S., Figueiredo, A. E., et al. (2016). ISPD peritonitis recommendations: 2016 update on prevention and treatment. Peritoneal Dialysis International, 36(5), 481-508. doi.org/10.3747/pdi.2016.00078
Lindberg, M., Lundström-Landegren, K., Johansson, P., Lidén, S., & Holm U. (2012). Competencies for practice in renal care: a national Delphi study. Journal of Renal Care, 38(2). 69-75.
Ljungqvist, O., Scott, M., & Fearon, K. C. (2017). Enhanced recovery after surgery: A review. JAMA Surgery, 152(3), 292-298. doi.org/10.1001/jamasurg. 2016.4952
Luweera. U. (2018). Manual of Dialysis. Bangkok: Numdaxon Printing. (in Thai)
Lv, J. C., & Zhang, L. X. (2019). Prevalence and disease burden of chronic kidney disease. Advances in Experimental Medicine and Biology, 1165, 3–15. doi.org/10.1007/978-981-13-8871-2_1
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5-15. doi.org/10.1111/wvn.12021
Oliver, M. J., Abra, G., Béchade, C., Brown, E. A., Sanchez-Escuredo, A., Johnson, D. W., Guedes, A. M. et al. (2024). Assisted peritoneal dialysis: Position paper for the ISPD. Peritoneal Dialysis International, 44(3), 160-170. doi.org/10.1177/08968608241246447
Rajhi, F. A., Koura, H., & Hussein, G. (2024). Ethics sensitivity among dialysis nurses in Jazan region: A descriptive cross-sectional study. Journal of Family Medicine and Primary Care, 13(1), 93–100. doi.org/10.4103/jfmpc.jfmpc_1688_22
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. The Cochrane database of systematic reviews, 6(6), CD000072. doi.org/10.1002/14651858.CD000072.pub3
Schell, J. O., & Green, J. A. (2014). Communication skills training for dialysis decision-making and end-of-life care in nephrology. Clinical Journal of the American Society of Nephrology, 9(12), 2049-2051. doi.org/10.2215/CJN.08880914
Srisaard, B. (2014). Preliminary Research (8th ed.). Bangkok: Sureewiyasarn. (in Thai)
The Nephrology Society of Thailand. (2020). Thailand renal replacement therapy 2020. Thailand Renal Replacement Therapy, 1, 1–102. (in Thai)
Yodchai, K., Oumtanee, A., Matchim, Y., & Niyomthai, N. (2018). Thai nephrology nurse competency: A Delphi technique. Journal of Renal Care, 44(2), 81-89. (in Thai)
Downloads
Published
Issue
Section
License
Copyright (c) 2025 The Southern College Network Journal of Nursing and Public Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารเครือข่าย วิทยาลัยพยาบาลและการสาธารณสุขภาคใต้ ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการหรือเครือข่ายวิทยาลัยพยาบาลและวิทยาลัยการสาธารณสุขภาคใต้ ไม่จำเป็นต้องเห็นด้วย
2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารเครือข่ายวิทยาลัยพยาบาลและการสาธารณสุขภาคใต้
