Development of an Educational Dialysis Catheter Insertion Model for Chronic Kidney Disease Patients
Keywords:
Educational Tools, A dialysis Catheter Insertion Model, Patients with Chronic Kidney Disease (CKD), Kidney Replacement Therapy Decision-MakingAbstract
This research and innovation research aimed to develop and evaluate the effectiveness of an educational simulation model for dialysis catheter in patients with chronic kidney disease (CKD). The study was conducted in two phases. The first phase focused on problem analysis and innovation development, using the five steps of the Design Thinking approach: empathize, define, ideate, prototype, and test. The participants included dialysis nurses, who provided kidney replacement therapy (KRT) counseling, as well as CKD patients and their family members receiving counseling at the dialysis unit. The effectiveness of the educational innovation was investigated in the second phase, where the sample group consisted of end-stage CKD patients who had not yet made a decision about their RRT modality and came to receive counseling at the hospital. Participants were selected using purposive sampling. Instruments for data collection consisted of general and clinical information questionnaires and a decision-making assessment form for KRT. The experimental tools included a structured KRT counseling dataset and the educational simulation model with dialysis catheter. Data were analyzed using descriptive statistics, including frequency and percentage.
1. The results demonstrated that the educational model was designed as a human upper-body simulator. The posterior view illustrated internal organs relevant to peritoneal dialysis catheter insertion, while the anterior view displayed various catheter exit-site locations.
2. Following the implementation of this educational tool, 88.24% of CKD patients opted for kidney replacement therapy.
The dialysis catheter insertion model represents a nursing innovation designed to enhance patient education during consultations on renal replacement therapy. This educational tool enables patients and their families to better visualize the procedure, thereby reducing fear and anxiety associated with catheter insertion. Moreover, it supports informed decision-making by helping patients and caregivers select the most appropriate renal replacement method based on their individual contexts.
References
Apiwatnakorn, A., & Ruengorn, C. (2018). Factors affecting rejection of dialysis in end-stage renal disease patients under universal health coverage in Uttaradit province. Boromarajonani College of Nursing, Uttaradit Journal, 10(2), 29-43. (in Thai)
Best, J. W. (1977). Research in Education (3rd ed.). Prentice Hall, Inc.
Brown, T. (2009). Change by Design: How Design Thinking Creates New Alternatives for Business and Society. Harper Business.
Daengsibua, A., Topark-ngarm, A., Tatiyanupanwong, S., Limwattananont, C. (2015). Following up of stage 5 chronic kidney disease patients managed with non-dialytic treatment. Journal of Health Systems Research, 9(2), 181-192. (in Thai)
Isarasena, P., & Treerattanaphan, C. (2018). Design Thinking: Learning by Doing. Retrieved March 25, 2023 from https://resource.tcdc.or.th/ebook/Design.Thingking.Learning.by.Doing.pdf. (in Thai)
Lindberg, J., Johansson, M., & Broström, L. (2019). Temporising and respect for patient self- determination. Journal of Medical Ethics, 45(3), 161–167. doi.org/10.1136/medethics-2018-104851
Naradhiwas Rajanagarindra Hospital. (2023). Hemodialysis Unit Registry, 2023. Naradhiwas Rajanagarindra Hospital.
Park, J. I., Kim, M., Kim, H., An, J. N., Lee, J., Yang, S.H., et al. (2015). Not early referral but planned dialysis improves quality of life and depression in newly diagnosed end stage renal disease patients: a prospective cohort study in Korea. PLoS One, 10(2), 1-11. doi.org/10.1371/journal.pone.0117582
Plattner, H., Meinel, C., & Leifer, L. (2011). Design Thinking: Understand, Improve, Apply. Springer.
Saeed, F., Muhammad, S., Khalid, R., Raza, N., Ronald, E., Sarah, D., et al. (2020). Dialysis decision-making and preferences for end-of-life care: perspectives of Pakistani patients receiving maintenance dialysis. Journal of Pain and Symptom Management, 59(3), 1-8. doi.org/10.1016/j.jpainsymman.2020.03.009
Song, M. K., Lin, F. C., Gilet, C. A., Arnold, R. M., Bridgman, J. C., & Ward, S. E. (2013). Patient perspectives on informed decision-making surrounding dialysis initiation. Nephrol Dial Transplant, 28(11), 2815-2823. doi.org/10.1093/ndt/gft238
Sudee, P., Komany, K., U-Pachitakul, S., Musikpodok, D., & Penreabroy, O. (2021). Medical model making for peritoneal dialysis. Srinagarind Med Journal, 36(2), 217-221. (in Thai)
Thanakitcharu, P. (2015). Current situation of chronic kidney disease in Thailand. Journal of the Department of Medical Services, 2(5), 5-17. (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
