Patient satisfaction with nurse-led chronic kidney disease clinics: a multicentre evaluation

Coleman, Sonya, Havas, Kathryn, Ersham, Susanne, Stone, Cassandra, Taylor, Berndatte, Graham, Anne, Bublitz, Lorraine, Purtell, Louise and Bonner, Ann (2017) Patient satisfaction with nurse-led chronic kidney disease clinics: a multicentre evaluation. Journal of Renal Care, 43 1: 11-20. doi:10.1111/jorc.12189

Author Coleman, Sonya
Havas, Kathryn
Ersham, Susanne
Stone, Cassandra
Taylor, Berndatte
Graham, Anne
Bublitz, Lorraine
Purtell, Louise
Bonner, Ann
Title Patient satisfaction with nurse-led chronic kidney disease clinics: a multicentre evaluation
Journal name Journal of Renal Care   Check publisher's open access policy
ISSN 1755-6686
Publication date 2017-03-01
Sub-type Article (original research)
DOI 10.1111/jorc.12189
Open Access Status Not yet assessed
Volume 43
Issue 1
Start page 11
End page 20
Total pages 10
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Background: There is growing international evidence that nurse-led chronic kidney disease (CKD) clinics provide a comprehensive approach to achieving clinical targets effective in slowing the progression of CKD. Across Queensland, Australia, these clinics have been established in many renal outpatient departments although patient satisfaction with these clinics is unknown.

Objectives: To measure patient satisfaction levels with CKD nurse-led clinics.

Method: This was a cross-sectional study undertaken at five clinics located in metropolitan, regional and remote hospitals in Queensland. Participants were >18 years of age (no upper age limit) with CKD (non-dialysis) who attended CKD nurse-led clinics over a six month period (N = 873). They completed the Nurse Practitioner Patient Satisfaction questionnaire which was modified for CKD.

Results: The response rate was 64.3 % (n = 561); half of the respondents were male (55.5 %), there was a median age range of 71–80 years (43.5 %) and most respondents were pensioners or retired (84.2 %). While the majority reported that they were highly satisfied with the quality of care provided by the nurse (83.8 %), we detected differences in some aspects of satisfaction between genders, age groups and familiarity with the nurse. Overall, patients’ comments were highly positive with a few improvements to the service being suggested; these related to car-parking, providing more practical support, and having accessible locations.

Conclusion: In an era of person-centred care, it is important to measure patient satisfaction using appropriate and standardised questionnaires. Our results highlight that, to improve services, communication strategies should be optimised in nurse-led clinics.
Keyword Chronic kidney disease
Nurse-led clinics
Patient satisfaction
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
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