Nurse-led education for adults receiving maintenance hemodialysis: A scoping review
4 affiliations
- 1Program Studi Spesialis Kerawatan Medikal Bedah, Fakultas Keperawatan, Universitas Padjajaran, Bandung, Indonesia; Sekolah Tinggi Ilmu Kesehatan Hesti Wira Sriwijaya, Palembang, Indonesia
- 2Program Studi Spesialis Kerawatan Medikal Bedah, Fakultas Keperawatan, Universitas Padjajaran, Bandung, Indonesia; Program Studi Ilmu Keperawatan-Ners, STIKes Al Ma’arif Baturaja, Indonesia
- 3Hemodialysis Unit, Rumah Sakit Tingkat II dr AK Gani, Palembang, Indonesia
- 4Fakultas Keperawatan, Universitas Padjajaran, Bandung, Indonesia
Abstract
Background: Adults receiving maintenance hemodialysis manage complex treatment schedules, medicines, vascular access, and dietary and fluid restrictions. Nurse-led education may support these tasks, but intervention formats and reported outcomes are heterogeneous.
Objective: To map the characteristics, delivery methods, educational components, and reported outcomes of nurse-led education for adults receiving maintenance hemodialysis.
Methods: Original quantitative, qualitative, or mixed-methods studies published in English from 2020 through 2026 were eligible when adults receiving maintenance hemodialysis were included and nurses led or coordinated the educational intervention. PubMed, ScienceDirect, CINAHL, and ProQuest were searched. The source records did not preserve a defensible database-specific last-search date. Study characteristics, intervention content and delivery, outcomes, and authors’ reported findings were charted and synthesized descriptively. The number of independent reviewers and pilot-testing of the charting form were not documented in the source records.
Results: Of 245 records identified, 45 duplicates were removed, 200 records were screened, 40 full-text reports were assessed, and 9 studies were included. Interventions used individualized education, teach-back with booklets, theory-informed education, the 5A model, telephone or SMS follow-up, counseling, and hierarchical nurse-led management. Studies most often reported knowledge, self-management, treatment adherence, dietary or fluid management, quality of life, and hospitalization. Most studies reported improvement in at least one outcome, although designs, intervention intensity, measures, and follow-up varied.
Conclusion: Nurse-led education for hemodialysis was delivered through diverse, often individualized and longitudinal approaches. The mapped evidence suggests potentially useful strategies for routine nursing practice, but this scoping review does not establish comparative effectiveness. Future research should report intervention components and outcomes consistently and use robust controlled designs with longer follow-up.
Related
- Experiences of moderate-to-severe demoralization syndrome among patients receiving maintenance hemodialysis: a qualitative study
- Association of hemodialysis vascular access type with dialysis adequacy and access-related outcomes in patients receiving maintenance hemodialysis.
- Systemic inflammatory response index as an independent predictor of all-cause mortality in patients receiving maintenance hemodialysis: a retrospective cohort study
- Predictors of physical performance decline in patients receiving maintenance hemodialysis: a prospective observational study
- Development of a nomogram for identifying prevalent medication discrepancy in maintenance hemodialysis patients: a multicenter cross-sectional study
BibTeX
@article{sari2026nurseled,
title = {{Nurse-led education for adults receiving maintenance hemodialysis: A scoping review}},
author = {Fermata Sari and Elsa Sylvia and Neny Nursahaza and Ayu Prasweti Priambodo and Anastasia Anna and Indra Frana Jaya KK},
journal = {Lentera Perawat},
year = {2026},
month = sep,
doi = {10.52235/lp.v7i3.905},
url = {https://doi.org/10.52235/lp.v7i3.905},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Nurse-led education for adults receiving maintenance hemodialysis: A scoping review
AU - Fermata Sari
AU - Elsa Sylvia
AU - Neny Nursahaza
AU - Ayu Prasweti Priambodo
AU - Anastasia Anna
AU - Indra Frana Jaya KK
PY - 2026
DA - 2026/09/01
JO - Lentera Perawat
DO - 10.52235/lp.v7i3.905
UR - https://doi.org/10.52235/lp.v7i3.905
AB - Background: Adults receiving maintenance hemodialysis manage complex treatment schedules, medicines, vascular access, and dietary and fluid restrictions. Nurse-led education may support these tasks, but intervention formats and reported outcomes are heterogeneous. Objective: To map the characteristics, delivery methods, educational components, and reported outcomes of nurse-led education for adults receiving maintenance hemodialysis. Methods: Original quantitative, qualitative, or mixed-methods studies published in English from 2020 through 2026 were eligible when adults receiving maintenance hemodialysis were included and nurses led or coordinated the educational intervention. PubMed, ScienceDirect, CINAHL, and ProQuest were searched. The source records did not preserve a defensible database-specific last-search date. Study characteristics, intervention content and delivery, outcomes, and authors’ reported findings were charted and synthesized descriptively. The number of independent reviewers and pilot-testing of the charting form were not documented in the source records. Results: Of 245 records identified, 45 duplicates were removed, 200 records were screened, 40 full-text reports were assessed, and 9 studies were included. Interventions used individualized education, teach-back with booklets, theory-informed education, the 5A model, telephone or SMS follow-up, counseling, and hierarchical nurse-led management. Studies most often reported knowledge, self-management, treatment adherence, dietary or fluid management, quality of life, and hospitalization. Most studies reported improvement in at least one outcome, although designs, intervention intensity, measures, and follow-up varied. Conclusion: Nurse-led education for hemodialysis was delivered through diverse, often individualized and longitudinal approaches. The mapped evidence suggests potentially useful strategies for routine nursing practice, but this scoping review does not establish comparative effectiveness. Future research should report intervention components and outcomes consistently and use robust controlled designs with longer follow-up.
SN - 2722-2837
SN - 2830-1846
ER -