Abstract: PUB232
Navigating Glomerulonephritis After Kidney Transplantation: Nephrology Nursing Continuing Medical Educational Program
Session Information
Category: Transplantation
- 2002 Transplantation: Clinical
Authors
- Swanson, Kurtis J., University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, United States
- Aziz, Fahad, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, United States
Background
Post-transplant glomerulonephritis (PTGN) is a challenging problem. Kidney transplant registered nurse coordinators play an integral role diagnosing/managing PTGN. In this institutionally grant supported project, we aimed to provide a continuing medical education (CME) program to address post-transplant GN.
Methods
We created a lecture series for our transplant registered nurse coordinators to improve PTGN comfort/understanding. Lectures were created by board certified transplant nephrologists. 10 question pre- and post-course surveys were created and refined by trained statisticians within our institutional survey center. Coordinators were emailed explaining the study along with opt-out language. Statistical analyses were trialed on the data. However, with our small sample sizes, these measures were limited. As such, we will report raw data describing differences. This study was deemed exempt by the University of Wisconsin-Madison Institutional Review Board.
Results
7/32 (22%) kidney transplant coordinators completed the pre-course survey; 6/32 (19%) completed the post-course survey. Despite limited statistical analysis, notable differences exist pre- versus post-course. 5/7 (71%) of coordinators felt very uncomfortable with diagnosing PTGN pre-course vs 1/5 (20%) post. 1/7 (14%) of coordinators felt somewhat comfortable managing PTGN pre-course vs 3/5 (60%) feeling somewhat/little comfortable post. 7/7 (100%) of coordinators pre-course had varying degrees of uncomfort taking with patients about PTGN vs 1/5 (20%) post describing uncomfortability. 4/7 (57%) of coordinators pre-course felt very/extremely supported by the transplant team versus 5/5 (100%) post-course. Lecture series was the preferred CME approach compared to paper handouts, simulation, intranet documents both pre- and post-course.
Conclusion
In this institution-based educational grant supported study, we observed that a PTGN CME course improved coordinator comfort in diagnosis, management, and patient-based comminication per survey data. This lecture series also improved perceived coordinator support. While this study was limited, it shows promise for future CME study within this context as well as additional interprofessional CME within our transplant section and nephrology division respectively.
Acknowledgment
University of Wisconsin-Madison Department of Medicine for support with the Innovation Educational Grant
Suzanne Norby MD
Jess Viste CNS
Heather Bluhm RN
Kelly Elver, Associate Director, University of Wisconsin-Madison Survey Center
Griselle Sanchez-Diettert, Senior Project Director, University of Wisconsin-Madison Survey Center