ICE-HD

  • Research type

    Research Study

  • Full title

    A Qualitative Study to Explore what Influences Patients' Experiences of Cannulation for Haemodialysis performed by Healthcare Professionals

  • IRAS ID

    300898

  • Contact name

    Catherine Fielding

  • Contact email

    katie.fielding@nhs.net

  • Sponsor organisation

    University Hospitals of Derby and Burton NHS Foundation Trust

  • Duration of Study in the UK

    1 years, 2 months, 0 days

  • Research summary

    Haemodialysis is a treatment for chronic kidney disease. It sustains life in the presence of Chronic Kidney Disease Stage 5, replacing the function of the kidneys. Haemodialysis is need 3 times a week, normally for the remainder of the patients’ life. A necessary part of the haemodialysis treatment is having needles inserted to enable access to the circulation.

    ICE-HD is a qualitative study aiming to explore patients’ experiences of the needle insertion for haemodialysis. We want to understand what influences variation in the needle insertion, understand what can make patients worry, feel safe and how control affects their experience and how we may be able to improve this needle insertion. This exploration will help us understand what influences patients’ experiences of this needle insertion and understand how to improve this, promoting good and consistent needle insertion.

    We plan to complete a maximum of 30 semi-structured interviews across 2 haemodialysis units, Nottingham and Derby. This will include haemodialysis patients who undergo needle insertion for haemodialysis performed by healthcare professionals. Participants will complete interviews either via telephone, MS teams or face-to-face (when the COVID-19 global pandemic allows this).

    This qualitative study uses a grounded theory approach, where constant comparison analysis will be used. Initially 8-16 haemodialysis patients will be interviewed to gain a broad understanding of their experiences of the needle insertion for haemodialysis. These initial interviews will be analysed. As concepts start to emerge, the interview schedule will be adapted to explore these concepts, using intensive interviewing. Theoretical sampling will then be used to recruit participants who will further enlighten these emerging themes.

    Techniques will be used to maintain trustworthiness and authenticity, including use of a reflexive diary, member checking, peer debrief, and maintaining field notes and memos of insights and changes to interview schedules and the analysis.

  • REC name

    Yorkshire & The Humber - South Yorkshire Research Ethics Committee

  • REC reference

    21/YH/0188

  • Date of REC Opinion

    1 Sep 2021

  • REC opinion

    Favourable Opinion