A Culturally Sensitive Training Model for Health Volunteers in the Management and Support of Family Caring for People undergoing Continuous Ambulatory Peritoneal DialysisDialysis

Abstract

Caring for patients with chronic kidney disease who received Continuous Ambulatory Peritoneal Dialysis (CAPD) at home affects the quality of life of patients and caregivers. Public health volunteers play an important role in supporting patients with CAPD and their caregivers. This article presents a contextually and culturally sensitive training model for health volunteers to support family caring of patients receiving CAPD. The authors reviewed the local situations regarding home-based CAPD care, roles of family and volunteers, as well as relevant literature. We drafted a model of competency development, and consulted the model with experts, health personnel, and public health volunteers. It was found that a culturally sensitive training model consists of three components: 1) required CAPD care competencies, 2) competency development strategies, and 3) evaluation of the training. The required competencies for CAPD care for health volunteers included: CAPD knowledge and skills, stress management of patients, stress management of caregivers, and coordination of service and care. Competency development strategies include educational interventions to develop knowledge and skills for home-based CAPD care, and continuous support for the learning process. Evaluation will be informed by Kirkpatrick’s Model of evaluation including reaction, learning, behavior and result. Experts, health personnel, and public health volunteers agreed that this culturally sensitive training model is appropriate.