An interpretative phenomenological analysis of dialysis unit staff experiences following the integration of intradialytic cycling

Meddick, Leighan, Bampouras, Theodoros and Miller, Paul K. (2015) An interpretative phenomenological analysis of dialysis unit staff experiences following the integration of intradialytic cycling. In: BASES Student Conference, 31 March - 1 April 2015, Liverpool John Moore's University, UK. (Unpublished)

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Abstract

Background: Despite strong evidence regarding the beneficial effects of intra-dialytic exercise in the end stage renal disease population, the number of ESRD patients performing intra-dialytic exercise is low, and the compliance rates to exercise regimes remain poor. Many dialysis providers struggle to incorporate exercise into the routine treatment of the patients, with most renal units not including it at all (Bennett, et al., 2010), and many of the barriers of integration are yet to be revealed.

Objective: Some barriers ESRD patients face with regards to exercising have been revealed in the two published studies available examining exercise and the European dialysis patient population as of the time of writing (Heiwe and Tollin, 2012; Fiaccadori, et al., 2014). Currently, there are no studies within the U.K determining whether incorporating exercise into the routine treatment of ESRD patients within our health service proves to be a smooth process, or problematic. Therefore, two areas need exploring: 1) how smooth is the integration of intra-dialytic exercise in the U.K, and 2) what are the staff opinions of exercise integration?

Method: Following institutional ethical approval, an interpretative phenomological analysis study of semi-structured interviews with a small sample (N = 3) of nursing and medical staff from a dialysis unit in the North West of England was carried out. Discussed were experiences of integrating intra-dialytic exercise into the patients’ care schemes. All participants were practicing in the North West of England at the time of writing, and had been actively involved in the implementation of intra-dialytic cycling.

Results: Three core superordinate themes were revealed, including “Quality of life increases for patients who exercise, but exercise intervention is difficult to integrate”; “An external exercise facilitator makes the exercise integration process run smoother and more effectively, and exercise uptake is increased”; “Many members of the medical staff still consider exercise as a low priority, even after seeing the benefits of exercise intervention”

Conclusion: The results suggest that the attendance of an external exercise facilitator would not only make exercise integration run smoother, but resolve many if not all of the barriers reported by participants within the unit. All participants were in favour of the attendance of an exercise specialist to the unit.

Item Type: Conference or Workshop Item (Poster)
Departments: Faculty of Health and Science > Medical and Sports Sciences > Sports and Physical Activity > Sport
Depositing User: Paul Miller
Date Deposited: 26 Jun 2015 14:04
Last Modified: 23 May 2017 16:50
URI: http://insight.cumbria.ac.uk/id/eprint/1779

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