Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study
Abstract Background Effective prevention is a proactive approach to safeguard individual health, reduce systemic healthcare costs, and enhance overall community well-being, yet barriers often impede the implementation of CKD prevention strategies. This study aims to use the Q-methodology to examine...
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| Format: | Article |
| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-03375-4 |
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| author | Fatema Ahmed Qingyuan Ye Li Li Waleed Ksebe Ruiyang Xu Haya Radwan Chen Wu Kefang Wang |
| author_facet | Fatema Ahmed Qingyuan Ye Li Li Waleed Ksebe Ruiyang Xu Haya Radwan Chen Wu Kefang Wang |
| author_sort | Fatema Ahmed |
| collection | DOAJ |
| description | Abstract Background Effective prevention is a proactive approach to safeguard individual health, reduce systemic healthcare costs, and enhance overall community well-being, yet barriers often impede the implementation of CKD prevention strategies. This study aims to use the Q-methodology to examine the feasibility of overcoming these barriers, which impedes healthcare professionals (HCPs) in Syria from effectively preventing CKD, with the aim of facilitating behavior change and implementing appropriate interventions. Methods We utilized the Q-methodological approach to rank 37 statements made by HCPs regarding barriers to the prevention of CKD. A Q-sample was constructed from interviews with 12 HCPs from different healthcare settings in Syria, followed by selecting a P-sample (the participants who ranked the statements) of 25 HCPs through structured questionnaires. They would perform Q-sorting under professional guidance. To analyze the data, KADE software, which includes techniques of principal component analysis and factor rotation, was used. Results A total of eight distinct factors were identified, with eigenvalues ranging from 14.7804 to 0.5351 and accounting for 88% of the cumulative variance. The eigenvalues of the first five factors are all greater than 1, and the cumulative explained variation is 80%. The most significant, amenable barriers were categorized into individual factors (‘lack of knowledge and awareness about risk factors and early detection among nursing staff, clinical guidelines and consulting among physicians’, ‘perceived challenging nature of CKD prevention for timely diagnosis and management preconditions among HCPs,’ and ‘perceived lack of adequate training among nurses’); interpersonal factors (‘poor communication between physicians and nephrologists’); and community/societal factors (‘lower apriority of CKD as a clinical issue,’ ‘lack of patient education resources about CKD prevention’, and ‘a fragmented healthcare system’). Conclusion The findings from this study provide valuable insight for policymakers, healthcare administrators, and practitioners in Syria, providing them with targeted strategies for improving the prevention of CKD. Therefore, by addressing these barriers, CKD-related burdens in Syria may be reduced, alongside improvements in patient outcomes and healthcare costs. |
| format | Article |
| id | doaj-art-becc76c99c1a4094af7331c6fc0f86da |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-becc76c99c1a4094af7331c6fc0f86da2025-08-20T03:37:29ZengBMCBMC Nursing1472-69552025-07-0124111110.1186/s12912-025-03375-4Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology studyFatema Ahmed0Qingyuan Ye1Li Li2Waleed Ksebe3Ruiyang Xu4Haya Radwan5Chen Wu6Kefang Wang7School of Nursing and Rehabilitation, Shandong UniversitySchool of Nursing and Rehabilitation, Shandong UniversitySchool of Nursing and Rehabilitation, Shandong UniversitySchool of Nursing, Xi’an Jiaotong UniversitySchool of Nursing and Rehabilitation, Shandong UniversityPrivate Nephrology Clinic, Consultant NephrologistSchool of Nursing and Rehabilitation, Shandong UniversitySchool of Nursing and Rehabilitation, Shandong UniversityAbstract Background Effective prevention is a proactive approach to safeguard individual health, reduce systemic healthcare costs, and enhance overall community well-being, yet barriers often impede the implementation of CKD prevention strategies. This study aims to use the Q-methodology to examine the feasibility of overcoming these barriers, which impedes healthcare professionals (HCPs) in Syria from effectively preventing CKD, with the aim of facilitating behavior change and implementing appropriate interventions. Methods We utilized the Q-methodological approach to rank 37 statements made by HCPs regarding barriers to the prevention of CKD. A Q-sample was constructed from interviews with 12 HCPs from different healthcare settings in Syria, followed by selecting a P-sample (the participants who ranked the statements) of 25 HCPs through structured questionnaires. They would perform Q-sorting under professional guidance. To analyze the data, KADE software, which includes techniques of principal component analysis and factor rotation, was used. Results A total of eight distinct factors were identified, with eigenvalues ranging from 14.7804 to 0.5351 and accounting for 88% of the cumulative variance. The eigenvalues of the first five factors are all greater than 1, and the cumulative explained variation is 80%. The most significant, amenable barriers were categorized into individual factors (‘lack of knowledge and awareness about risk factors and early detection among nursing staff, clinical guidelines and consulting among physicians’, ‘perceived challenging nature of CKD prevention for timely diagnosis and management preconditions among HCPs,’ and ‘perceived lack of adequate training among nurses’); interpersonal factors (‘poor communication between physicians and nephrologists’); and community/societal factors (‘lower apriority of CKD as a clinical issue,’ ‘lack of patient education resources about CKD prevention’, and ‘a fragmented healthcare system’). Conclusion The findings from this study provide valuable insight for policymakers, healthcare administrators, and practitioners in Syria, providing them with targeted strategies for improving the prevention of CKD. Therefore, by addressing these barriers, CKD-related burdens in Syria may be reduced, alongside improvements in patient outcomes and healthcare costs.https://doi.org/10.1186/s12912-025-03375-4Renal insufficiencyQ-methodologyEarly detectionPreventionHealthcare professionalsSyria |
| spellingShingle | Fatema Ahmed Qingyuan Ye Li Li Waleed Ksebe Ruiyang Xu Haya Radwan Chen Wu Kefang Wang Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study BMC Nursing Renal insufficiency Q-methodology Early detection Prevention Healthcare professionals Syria |
| title | Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study |
| title_full | Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study |
| title_fullStr | Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study |
| title_full_unstemmed | Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study |
| title_short | Exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria: a Q-methodology study |
| title_sort | exploring feasible factors to improve the practice of chronic kidney disease prevention among healthcare professionals in syria a q methodology study |
| topic | Renal insufficiency Q-methodology Early detection Prevention Healthcare professionals Syria |
| url | https://doi.org/10.1186/s12912-025-03375-4 |
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