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Effective management during this phase requires understanding the lived experiences of those directly involved in care. This study therefore aims to explore the experiences and perspectives of both patients and healthcare professionals (HCPs) in managing CKD prior to the routine dialysis phase. Semi\u2010structured online interviews were conducted with 33 participants. Data were analyzed using reflexive thematic analysis to identify key themes. Two themes were identified: (1) Low engagement with early\u2010stage CKD management, encompassing four subthemes\u2014limited recognition of disease progression, inadequate information, role ambiguity, and discordant communication; and (2) Opportunities for improvement, highlighting the value of the partnership model and the provision of personalized advice for patients. Suboptimal early management of CKD is driven by limited awareness, poor information exchange, and unclear professional roles. Strengthening HCP competencies and adopting partnership\u2010based communication from the early\u2010stage of CKD may help to delay disease progression.<\/jats:p>","DOI":"10.1111\/nhs.70386","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T03:39:49Z","timestamp":1783913989000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Managing Early\u2010Stage Chronic Kidney Disease: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0477-7728","authenticated-orcid":false,"given":"Melyza","family":"Perdana","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Nottingham  Nottingham UK"},{"name":"Department of Medical Surgical Nursing Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada  Yogyakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6099-9600","authenticated-orcid":false,"given":"Julie","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences College of Life Sciences, University of Leicester  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0467-6860","authenticated-orcid":false,"given":"Fiona","family":"Moffatt","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3080-2306","authenticated-orcid":false,"given":"Holly","family":"Blake","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Nottingham  Nottingham UK"},{"name":"NIHR Nottingham Biomedical Research Centre  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0000000000000369"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2020.05.008"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/9609266"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781036232078.n9"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/qup0000196"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135\u2010021\u201001182\u2010y"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijans.2019.04.001"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.08.033"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2024.107070"},{"issue":"4","key":"e_1_2_13_12_1","first-page":"20","article-title":"The Situational Analysis of Nursing Education and Workforce in Indonesia","volume":"9","author":"Efendi F.","year":"2018","journal-title":"Malaysian Journal of Nursing"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0230512"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17193"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325\u2010021\u201001927\u2010z"},{"issue":"3","key":"e_1_2_13_16_1","first-page":"2288","article-title":"Paternalism VS Patient Empowerment: Nursing Challenges From Spain and Greece","volume":"13","author":"Fountouki A.","year":"2020","journal-title":"International Journal of Caring Sciences"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581\u2010024\u201000820\u20106"},{"issue":"1","key":"e_1_2_13_18_1","first-page":"31","article-title":"Early Detection of Chronic Kidney Disease in Diabetes Population and Hypertension in Project Sunrise in East Jakarta","volume":"3","author":"Gaol D. 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