title: Educational needs for blood pressure control in chronic kidney disease.
abstract: Strict blood pressure control reduces the risk of adverse outcomes in chronic kidney disease but is difficult to achieve. To inform the design of an educational intervention for patients with chronic kidney disease and hypertension, we used focus groups to identify key patient issues, from both patient and healthcare professional perspectives. Framework methodology was used to analyse data and patient confusion emerged as the core concept. This was both an effect and, in some cases, a cause of the six key themes identified: lack of basic knowledge; conflicting advice; nature of diagnosis; changes in evidence-based practice; views on patient empowerment and views on the patient-health professional relationship. Educational needs identified involved addressing confusion by increasing both knowledge and motivation. In people with chronic kidney disease, confusion can lead to a lack of motivation and negative views that need to be addressed through appropriate education and support.
authors.affiliation: Department of Nephrology, University Hospitals of Leicester NHS Trust, Leicester, UK. jo.l.mason@uhl-tr.nhs.uk
authors.forename: Jo
authors.initials: J
authors.lastname: Mason
authors.forename: Margaret
authors.initials: M
authors.lastname: Stone
authors.forename: Kamlesh
authors.initials: K
authors.lastname: Khunti
authors.forename: Azhar
authors.initials: A
authors.lastname: Farooqi
authors.forename: Sue
authors.initials: S
authors.lastname: Carr
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003627:Data Interpretation, Statistical; D055317:Evidence-Based Practice; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000517:prevention & control*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000458:organization & administration*; D015402:Nursing Education Research; D015404:Nursing Methodology Research; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000458:organization & administration*; D011209:Power, Psychological; D016730:Program Development; D036301:Qualitative Research; D012107:Research Design; D006113:United Kingdom