Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients
Purpose Clinical guidelines call for the inclusion of exercise interventions in every patient’s dialysis session, but these recommendations are rarely adopted. Healthcare providers play a key role in this. Therefore, the aim of this study was to explore how healthcare providers perceive the benefits...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Qualitative Studies on Health & Well-Being |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/17482631.2023.2287597 |
| _version_ | 1797392495235039232 |
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| author | Aurel Zelko Ivana Skoumalova Denisa Kravcova Zuzana Dankulincova Veselska Jaroslav Rosenberger Andrea Madarasova Geckova Jitse P. van Dijk Sijmen A. Reijneveld |
| author_facet | Aurel Zelko Ivana Skoumalova Denisa Kravcova Zuzana Dankulincova Veselska Jaroslav Rosenberger Andrea Madarasova Geckova Jitse P. van Dijk Sijmen A. Reijneveld |
| author_sort | Aurel Zelko |
| collection | DOAJ |
| description | Purpose Clinical guidelines call for the inclusion of exercise interventions in every patient’s dialysis session, but these recommendations are rarely adopted. Healthcare providers play a key role in this. Therefore, the aim of this study was to explore how healthcare providers perceive the benefits, risks and barriers of intradialytic exercise (IDE). Methods We conducted 21 individual, semi-structured interviews with 11 nurses, 5 nephrologists, 3 training assistants and 2 managers from two dialysis centres in Slovakia. Verbatim transcripts of digitally recorded interviews were thematically analysed using MAXQDA®. Results Participants reported the benefits of IDE as improvements in patients’ physical and psychosocial functioning, independence and self-efficacy, clinical profile and quality of therapy. As risks of IDE, they most frequently reported exercise-related damage to vascular access, insufficient individualization of training and musculoskeletal injuries. The presence of psychological problems among patients was reported as a major barrier for initiating and maintaining patients’ exercise. Other reported barriers included limitations in financial and personnel resources of haemodialysis care. Conclusions Safe and sustainable implementation of IDE, which might improve a patient’s well-being, need to be prescribed in alignment with the patient’s clinical profile, be delivered individually according to the patient’s characteristics and requires adjustments in the available resources. |
| first_indexed | 2024-03-08T23:48:13Z |
| format | Article |
| id | doaj.art-db506e1ec8944739a5d7876ed9ba77f9 |
| institution | Directory Open Access Journal |
| issn | 1748-2623 1748-2631 |
| language | English |
| last_indexed | 2024-03-08T23:48:13Z |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Qualitative Studies on Health & Well-Being |
| spelling | doaj.art-db506e1ec8944739a5d7876ed9ba77f92023-12-13T15:41:09ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312024-12-0119110.1080/17482631.2023.22875972287597Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patientsAurel Zelko0Ivana Skoumalova1Denisa Kravcova2Zuzana Dankulincova Veselska3Jaroslav Rosenberger4Andrea Madarasova Geckova5Jitse P. van Dijk6Sijmen A. Reijneveld7Pavol Jozef Safarik UniversityPavol Jozef Safarik UniversityPavol Jozef Safarik UniversityPavol Jozef Safarik UniversityPavol Jozef Safarik UniversityPavol Jozef Safarik UniversityPavol Jozef Safarik UniversityUniversity Medical Center Groningen, University of GroningenPurpose Clinical guidelines call for the inclusion of exercise interventions in every patient’s dialysis session, but these recommendations are rarely adopted. Healthcare providers play a key role in this. Therefore, the aim of this study was to explore how healthcare providers perceive the benefits, risks and barriers of intradialytic exercise (IDE). Methods We conducted 21 individual, semi-structured interviews with 11 nurses, 5 nephrologists, 3 training assistants and 2 managers from two dialysis centres in Slovakia. Verbatim transcripts of digitally recorded interviews were thematically analysed using MAXQDA®. Results Participants reported the benefits of IDE as improvements in patients’ physical and psychosocial functioning, independence and self-efficacy, clinical profile and quality of therapy. As risks of IDE, they most frequently reported exercise-related damage to vascular access, insufficient individualization of training and musculoskeletal injuries. The presence of psychological problems among patients was reported as a major barrier for initiating and maintaining patients’ exercise. Other reported barriers included limitations in financial and personnel resources of haemodialysis care. Conclusions Safe and sustainable implementation of IDE, which might improve a patient’s well-being, need to be prescribed in alignment with the patient’s clinical profile, be delivered individually according to the patient’s characteristics and requires adjustments in the available resources.http://dx.doi.org/10.1080/17482631.2023.2287597haemodialysisintradialytic exercisequalitative researchbenefitsrisksbarriersimplementation |
| spellingShingle | Aurel Zelko Ivana Skoumalova Denisa Kravcova Zuzana Dankulincova Veselska Jaroslav Rosenberger Andrea Madarasova Geckova Jitse P. van Dijk Sijmen A. Reijneveld Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients International Journal of Qualitative Studies on Health & Well-Being haemodialysis intradialytic exercise qualitative research benefits risks barriers implementation |
| title | Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients |
| title_full | Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients |
| title_fullStr | Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients |
| title_full_unstemmed | Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients |
| title_short | Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients |
| title_sort | perceptions of healthcare providers on benefits risks and barriers regarding intradialytic exercise among haemodialysis patients |
| topic | haemodialysis intradialytic exercise qualitative research benefits risks barriers implementation |
| url | http://dx.doi.org/10.1080/17482631.2023.2287597 |
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