title: From the "PD First" policy to the innovation in PD care.
abstract: OBJECTIVE
  Due to the rapid growth of peritoneal dialysis (PD) program under the "PD First" policy of Thailand, it is necessary to have many voluntary well-training PD staffs and a good education program for PD nurses to serve an excellent PD outcome. In the present study novel devices, which could be practically used in PD patients, were developed by the creative PD trainee idea of to facilitate PD self-care and decrease work load of PD staffs.
  
  
  METHODS
  Young PD nurses in the 3rd generation of PD trainee program from King Chulalongkorn Memorial Hospital were assigned to develop novel tools in order to assisting patient care in real practice. The efficacy of these inventions and patient satisfaction were assessed by comparing with the standard method.
  
  
  RESULTS
  The authors presented two interesting innovations in the present study. The first one, "Troubleshooting Wheel", contained six common complaints and the advice for correcting each problem in the platform of rotating wheel. Participants could solve problems more rapidly than using the standard handbook for PD (p < 0.01) and also found the correct responses more frequently than the handbook (p < 0.01). The second one, "Exit Site Abacus", the sliding platform with automatic calculation of the sum of exit site score, was the easier method in evaluating the exit site infection than the conventional exit site scoring using the Prowant's table or their own memory.
  
  
  CONCLUSIONS
  Reinforcement of the development of PD nursing program not only increases the number of PD staffs but also contributes to the innovations for improving quality of PD care by the young new staffs.
authors: Division of Nephrology, Department of Medicine, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Thai Red Cross Society and Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
authors: Worapot
authors: W
authors: Treamtrakanpon
authors: Pisut
authors: P
authors: Katavetin
authors: Khanittha
authors: K
authors: Yimsangyad
authors: Pasunun
authors: P
authors: Keawsinark
authors: Suthasinee
authors: S
authors: Sanganunttakan
authors: Sukannika
authors: S
authors: Pandon
authors: Darunee
authors: D
authors: Buddeewong
authors: Auengpha
authors: A
authors: Prakot
authors: Chanpen
authors: C
authors: Khumsupo
authors: Noppadon
authors: N
authors: Thamsutee
authors: Ranu
authors: R
authors: Yaibuaiam
authors: Sawida
authors: S
authors: Khumwong
authors: Piyaporn
authors: P
authors: Towannang
authors: Yuwadee
authors: Y
authors: Theerasin
authors: Nanta
authors: N
authors: Mahatnan
authors: Somchai
authors: S
authors: Eiam-Ong
authors: Talerngsak
authors: T
authors: Kanjanabuch
mesh_terms: D004059:Diffusion of Innovation; D006291:Health Policy; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D010530:Peritoneal Dialysis / Q000295:instrumentation / Q000451:nursing; D011340:Problem Solving; D016730:Program Development; D012648:Self Care / Q000379:methods*; D013785:Thailand