A narrative review of peer support barriers and facilitators in kidney care

Journal article

Trasolini, A., Wood, E. and Thomas, N. (2020). A narrative review of peer support barriers and facilitators in kidney care. Journal of Renal Care. 47 (1), pp. 9-16. https://doi.org/10.1111/jorc.12350
AuthorsTrasolini, A., Wood, E. and Thomas, N.
Abstract

Introduction
Patients with CKD often experience emotional/mental challenges and benefit from peer support as it provides insight/information from others with the same condition. Previous studies show it is effective in improving health outcomes and aids in treatment decisions.
Literature review
There is low peer support uptake among patients with CKD in the UK and staff do not utilise it fully. Few studies within the UK have focused on peer support barriers/facilitators so this narrative review aimed to understand them from staff and patient perspectives.
Material and methods
A comprehensive search strategy and inclusion/exclusion criteria was applied with a two-step process of article selection employed, using two reviewers. Thematic analysis was applied.
Results
Five articles were included and six themes emerged. Low referrals and difficulty matching were staff barriers; concern regarding the relationship dynamic and the format/delivery were patient barriers. Promotion of the service aided the uptake from staff whilst patients valued inclusivity.
Discussion
Increased promotion of peer support benefits through training/awareness may improve staff referrals and there should be greater exposure nationally. A flexible format is essential to ensure ample opportunity for access.
Implications for clinical practice
Staff training should include peer support details and potential recipients should be empowered to access it in a way which suits their needs. A programme needs passionate individuals involved in the set-up/delivery.
Conclusion
This review highlights the current literature on peer support barriers/facilitators. Further study is needed to evidence which approaches best overcome staff- and patient-barriers.

KeywordsNephrology; Advanced and Specialised Nursing
Year2020
JournalJournal of Renal Care
Journal citation47 (1), pp. 9-16
PublisherWiley
ISSN1755-6678
1755-6686
Digital Object Identifier (DOI)https://doi.org/10.1111/jorc.12350
Publication dates
Online08 Oct 2020
Publication process dates
Accepted11 Sep 2020
Deposited30 Sep 2020
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Open
Accepted author manuscript
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Controlled
Additional information

This is the peer reviewed version of the following article: A Narrative Review of Peer Support Barriers and Facilitators in Kidney Care, which has been published in final form at: https://onlinelibrary.wiley.com/journal/17556686. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions

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