Supporting skills development for peritoneal dialysis trainers

Prof Josephine Sau Fan Chow1,2,3, Doctor Yeoungjee  Cho4,5, Ms Keri-Lu  Equinox6, Professor Ana  Figueiredo7, Ms Serena  Frasca8, Associate Professor Carmel Hawley4,5,9, Professor Kirsten  Howard2, Professor David Johnson4,5,9, Professor Matthew  Jose3, Ms Anna Lee10, Ms Moira  Maley11, Ms Jo-Anne  Moodie12, Ms Peta  Paul-Brent9, Ms Elaine  Pascoe9, Ms Donna  Reidlinger9, Dr. Genevieve  Steiner13, Ms Melinda  Tomlins14, Dr. David  Voss15, Dr Paula  Woodward16, Professor Neil  Boudville11

1South Western Sydney Local Health District, Liverpool, Australia, 2University of Sydney, Camperdown, australia, 3University of Tasmania, Hobart, Australia, 4University of Queensland, QLD, Australia, 5Princess Alexandra Hospital, Hospital, Australia, 6Cairns Hospital, CAIRNS, Australia, 7Pontifícia Universidade Católica do Rio Grande do Sul, Brazil, Australia, 8Central Northern Adelaide Renal Transplant Service, Adelaide, Australia, 9Australasian Kidney Trials Network, QLD, Australia, 10Illawarra Shoalhaven Local Health District, Wollongong, Australia, 11University of Western Australia, Perth, Australia, 12The Royal Melbourne Hospital, Melbourne, Australia, 13Western Sydney University, Penrith, Australia, 14Hunter New England Local Health District, Newsastle, Australia, 15Middlemore Hospital, Auckland, Australia, 16Science and Medical Communications, NSW, Australia


Nurses are responsible for training patients in the technique of Peritoneal Dialysis (PD) which is a home-based therapy. There has been no published randomised controlled trial (RCT) evaluating any specific protocol for nurses delivering PD training and patients being trained. We hypothesised that a standardised education package based upon best available evidence and utilising modern educational practices may lead to improved patient outcomes. This paper outlines the process to develop a standardised, evidence-based curriculum for PD trainers.


A literature search and clinical audit were conducted to identify current practice patterns and best practice that also aligned with guidelines from the International Society for Peritoneal Dialysis (ISPD). Delphi technique was used in the development of the “Train the Trainer” curriculum and its supporting material.  Results were reviewed by a focus group of practitioners comprising PD nurses, nephrologists, consumers, a medical education expert, and an eLearning expert. From this, a training curriculum and modules were developed.


A comprehensive PD training curriculum which includes training modules for PD nurses have been developed. The package comprises 2 introductory modules and 2 clinical case modules. The curriculum is designed with interactive digital media.  Assessment is also addressed.


There have been no published RCT data evaluating any specific protocol for training PD nurse trainers. It is highly likely that there are unrealised gains to be made for PD clinical outcomes with the adoption of best practice guidelines. A comprehensive PD training curriculum has been developed by experts, utilising adult learning principles and eLearning techniques, following the guidelines outlined by the ISPD.


Coming from a career specialty background as a renal nurse, Josephine Chow is currently the Director Strategy and Partnerships of South Western Sydney Local Health District and manages a team of staff in supporting a large number of innovations, major contracts/tenders and model of care redesign.  She is also the Co-Director of the Renal Clinical Research Centre in Liverpool Hospital and very active in both clinical trial and clinical researches.  Josephine also contributes to academic activities with the number of publications in local and international journal and has supervised a number of post graduate and PhD students in nursing, psychology and management degree.

She completed her PhD, Master of Business Administration, Diploma of Project Management, Diploma of Government.  In 2012, Josephine was awarded the prestigious Winston Churchill Fellowship and travelled oversea to investigate strategies for improving the uptake of home-based dialysis therapies.  She is the Project Lead for a number of local and international awards and funding grants.  Her research interests include home dialysis, end of life management, model of care telehealth and integrated care.

Josephine is the Chair of a number of state-wide and national-wide high cost equipment and consumables tender.  She is advisor for a number of national and international committee on business model in health care.



The ASM is hosted by Australian and New Zealand Society of Nephrology.

The aims of the Society are to promote and support the study of the kidney and urinary tract in health and disease, and to ensure the highest professional standards for the practice of nephrology in Australia and New Zealand.

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