{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T03:28:22Z","timestamp":1769916502415,"version":"3.49.0"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many people with kidney failure start and remain on in\u2010centre haemodialysis treatment despite evidence of improved outcomes with home dialysis. To make an informed modality decision patients must receive frequent, high\u2010quality modality education. This education is inconsistent in the in\u2010centre haemodialysis setting, where patients spend the most time with nurses while receiving haemodialysis treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to examine in\u2010centre haemodialysis nurses' perceptions around modality education for patients receiving in\u2010centre haemodialysis using the COM\u2010B model of behaviour change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>We used framework analysis as a research method, applying the COM\u2010B model as a theoretical framework to understand nurses' perceptions of modality education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>We interviewed 13 in\u2010centre haemodialysis nurses in a single province in Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Approach<\/jats:title><jats:p>We completed semi\u2010structured interviews via Zoom, which ranged from 30 to 60\u2009min.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Participants reported knowledge deficits, lack of experience or exposure to other dialysis modalities, and lack of resources to support modality education practices. In\u2010centre haemodialysis nurses reported some factors that enhanced modality education, including strong nurse\u2013patient therapeutic relationships and previous experience in other dialysis modalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nurses could have a role in modality education but had different views on what this role should be. Nurses faced barriers in modality education such as knowledge deficits, a lack of experience with home modalities, and limited patient teaching resources. Factors that favoured modality education were strong nurse\u2013patient relationships and previous experience with other modalities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jorc.70002","type":"journal-article","created":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T02:48:42Z","timestamp":1737773322000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring Haemodialysis Nurses' Perceptions on Kidney Replacement Therapy Modality Education: A Framework Analysis"],"prefix":"10.1111","volume":"51","author":[{"given":"Elke","family":"Jaibeeh Barah","sequence":"first","affiliation":[{"name":"Faculty of Nursing University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9401-761X","authenticated-orcid":false,"given":"Jennifer","family":"Jackson","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2018.00285"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.5430\/jnep.v6n3p59"},{"key":"e_1_2_12_4_1","unstructured":"Canadian Agency for Drugs and Technologies in Health.2016. \u201cDialysis Modalities for the Treatment of End\u2010Stage Kidney Disease: A Health Technology Assessment\u2014Project Protocol.\u201dhttp:\/\/www.ncbi.nlm.nih.gov\/books\/NBK409527\/."},{"key":"e_1_2_12_5_1","unstructured":"Canadian Council for Practical Nurse Regulators.2020. \u201cStandards of Practice for Lisenced Practical Nurses in Canada.\u201dhttps:\/\/www.clpna.com\/wp-content\/uploads\/2023\/08\/Standards-of-Practice-for-LPNs-in-Canada.pdf."},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2054358118803323"},{"key":"e_1_2_12_7_1","unstructured":"College of Registered Nurses of Alberta.2021. \u201cScope of Practice for Registered Nurses.\u201dhttps:\/\/www.nurses.ab.ca\/media\/ruwb0xql\/scope-of-practice-for-registered-nurses-mar-2021.pdf."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0751-y"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.05.010"},{"issue":"1","key":"e_1_2_12_10_1","first-page":"51","article-title":"Perspectives and Experiences of a Nephrology Nurse on Home Hemodialysis","volume":"40","author":"Ding D.","year":"2013","journal-title":"Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-020-01956-w"},{"issue":"3","key":"e_1_2_12_12_1","first-page":"195","article-title":"Contrasting Perceptions of Home Dialysis Therapies Among In\u2010Center and Home Dialysis Staff","volume":"43","author":"Firanek C. A.","year":"2016","journal-title":"Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association"},{"issue":"2","key":"e_1_2_12_13_1","first-page":"75","article-title":"Improving the Uptake of Home Dialysis in Australia and New Zealand","volume":"10","author":"Fortnum D.","year":"2014","journal-title":"Renal Society of Australasia Journal"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2017.00243"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/03610910600591610"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0426-2"},{"key":"e_1_2_12_19_1","first-page":"15","article-title":"Renal Replacement Therapy and Barriers to Choice: Using a Mixed Methods Approach to Explore the Patient's Perspective","volume":"32","author":"Jennette C.","year":"2009","journal-title":"Journal of Nephrology Social Work"},{"issue":"5","key":"e_1_2_12_20_1","first-page":"513","article-title":"Perceptions of Adult Patients on Hemodialysis Concerning Choice Among Renal Replacement Therapies","volume":"34","author":"Landreneau K.","year":"2007","journal-title":"Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association"},{"key":"e_1_2_12_21_1","first-page":"6","article-title":"Australian Nephrology Nurses Views on Home Dialysis: A National Survey","volume":"7","author":"Lauder L. 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