Academic Journal
Managing Early-Stage Chronic Kidney Disease: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives.
| Τίτλος: | Managing Early-Stage Chronic Kidney Disease: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives. |
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| Συγγραφείς: | Perdana M; School of Health Sciences, University of Nottingham, Nottingham, UK.; Department of Medical Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia., Roberts J; Department of Population Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK., Moffatt F; School of Health Sciences, University of Nottingham, Nottingham, UK., Blake H; School of Health Sciences, University of Nottingham, Nottingham, UK.; NIHR Nottingham Biomedical Research Centre, Nottingham, UK. |
| Πηγή: | Nursing & health sciences [Nurs Health Sci] 2026 Sep; Vol. 28 (3), pp. e70386. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Blackwell Science Asia Country of Publication: Australia NLM ID: 100891857 Publication Model: Print Cited Medium: Internet ISSN: 1442-2018 (Electronic) Linking ISSN: 14410745 NLM ISO Abbreviation: Nurs Health Sci Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Carlton, Vic. : Blackwell Science Asia, c1999- |
| Ιατρικοί όροι (MeSH): | Renal Insufficiency, Chronic*/psychology , Renal Insufficiency, Chronic*/therapy , Health Personnel*/psychology , Patients*/psychology , Patients*/statistics & numerical data , Perception*, Interviews as Topic/methods ; Humans ; Qualitative Research ; Male ; Female ; Middle Aged ; Adult ; Aged ; Disease Progression |
| Περίληψη: | Early-stage chronic kidney disease (CKD), before the initiation of renal replacement therapy represents a critical period for delaying the onset of end-stage kidney failure; however, it remains underexplored. 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-structured 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-stage CKD management, encompassing four subthemes-limited 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-based communication from the early-stage of CKD may help to delay disease progression. (© 2026 John Wiley & Sons Australia, Ltd.) |
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| Grant Information: | Education Endowment Fund investment, Ministry of Finance Republic of Indonesia |
| Contributed Indexing: | Keywords: chronic kidney disease; early‐stage CKD; health education; paternalistic |
| Entry Date(s): | Date Created: 20260712 Date Completed: 20260713 Latest Revision: 20260813 |
| Update Code: | 20260814 |
| PubMed Central ID: | PMC13357675 |
| DOI: | 10.1111/nhs.70386 |
| PMID: | 42437971 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1442-2018 |
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| DOI: | 10.1111/nhs.70386 |