Doctor of Nursing Practice (DNP) Projects

Access Control

Open Access

Embargo Period

4-23-2021

Degree Program

Doctor of Nursing Practice

Degree Track

Family Nurse Practioner

Year Degree Awarded

2021

Month Degree Awarded

May

Advisor

Kimberly Dion, PhD, RN, CNE, CARN

DNP Project Chair

Joanne Churak, PA-C

Abstract

Background: Maintaining low serum phosphorus (PO4) levels is recommended in patients receiving hemodialysis through a low phosphorus diet and binder medication compliance, however this remains a struggle for many patients. The literature shows that educational interventions focused on phosphate management can increase patients’ knowledge and improve patient outcomes.

Purpose: To implement an educational intervention focused on low phosphorus diet and adherence to binder regimen to increase patients’ knowledge base, receiving hemodialysis at an outpatient unit at a Veterans Affairs (VA) Hospital.

Methods: An interactive educational intervention involving two 30-minute, one-to-one counseling sessions with educational materials including short videos and a take-home pamphlet were given to patients receiving hemodialysis at an outpatient unit in a VA hospital over three weeks. Demographics, pre/post surveys, and a satisfaction survey were collected.

Results: Following the intervention, all participants reported increased knowledge on adherence to a low phosphorus diet and phosphate binder prescription. A paired samples t-test showed a statistically significant increase in the test scores from pre to post results.

Conclusion: Findings from the quality improvement (QI) project show that a focused and interactive educational intervention about phosphorus diet and binder adherence can increase knowledge in patients receiving hemodialysis. One-to-one sessions with interactive videos, discussion, and pamphlets are successful means to engage the patient in learning new material.

Keywords: hemodialysis education, interventions, compliance, diet, phosphorus

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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