A learning process to deliver virtual staff training involving patients in shared haemodialysis care

Shared haemodialysis (HD) care (SHC) is a person-centred approach delivering a flexible choice of options for centre-based HD patients to become more involved in their treatment. To support this, a 4-day course was developed to provide healthcare professionals with the confidence and skills to engage, involve, support and train patients in their care and has been accessed by >700 UK staff over 9 years. The disruption caused by the coronavirus disease 2019 pandemic in 2020 prompted a revision of what was deliverable within the restrictions. In response to this, we designed, developed and tested a virtual training program that was shorter and more accessible while remaining effective in meeting its core objectives. This provides a greater geographical reach and enables a collaborative team approach with patients and staff learning from and with each other, thus supporting a partnership approach advocated in shared decision making. In this review we explore the learning that informed the virtual training program 2022 and provide qualitative evaluation to demonstrate evidence of understanding, behavioural change and organisational benefit. Using a validated evaluation, we present key themes that support the initiation, development and sustainability of SHC in the form of a roadmap to guide strategic planning. LAY SUMMARY Shared haemodialysis care (SHC) is a method of working with patients that involves and supports them to manage aspects of their own dialysis treatment so that they remain more in control of their own healthcare. This review describes the development of a virtual educational course that involves healthcare staff and patients learning how to work together and support decision making to implement SHC using tried and tested methods and utilising the expertise and experience of each other for improvement. It reflects on and incorporates learning from previous SHC training programs, presents evaluation examples from patients and healthcare staff who have participated in the training and draws on educational theories to summarise the key components that impact on success. [GRAPHICS] .