Factors Affecting Cypriot Nurses' Roles in the Care and Education of Patients with CKD: An Interpretive Phenomenological Study

doi:10.3390/healthcare13131601

. 2025 Jul 3;13(13):1601.

doi: 10.3390/healthcare13131601.

Factors Affecting Cypriot Nurses' Roles in the Care and Education of Patients with CKD: An Interpretive Phenomenological Study

Evangelos Latzourakis¹, Panayiotis Angelides¹, Marianna Diomidous², Monica Nikitara¹, Costas S Constantinou³

Affiliations

¹ Department of Health Sciences, University of Nicosia, 2417 Nicosia, Cyprus.
² Department of Public Health, National and Kapodistrian University of Athens, 15772 Athens, Greece.
³ Department of Basic and Clinical Sciences, Medical School, University of Nicosia, 1700 Nicosia, Cyprus.

PMID: 40648625
PMCID: PMC12250000
DOI: 10.3390/healthcare13131601

Factors Affecting Cypriot Nurses' Roles in the Care and Education of Patients with CKD: An Interpretive Phenomenological Study

Evangelos Latzourakis et al. Healthcare (Basel). 2025.

. 2025 Jul 3;13(13):1601.

doi: 10.3390/healthcare13131601.

Authors

Evangelos Latzourakis¹, Panayiotis Angelides¹, Marianna Diomidous², Monica Nikitara¹, Costas S Constantinou³

Affiliations

¹ Department of Health Sciences, University of Nicosia, 2417 Nicosia, Cyprus.
² Department of Public Health, National and Kapodistrian University of Athens, 15772 Athens, Greece.
³ Department of Basic and Clinical Sciences, Medical School, University of Nicosia, 1700 Nicosia, Cyprus.

PMID: 40648625
PMCID: PMC12250000
DOI: 10.3390/healthcare13131601

Abstract

Background: Chronic kidney disease (CKD) affects over 10% of the global population and imposes a growing burden on healthcare systems. Aim: To explore nurses' perceptions of their roles in CKD care and identify factors influencing role implementation. Methods: An Interpretative Phenomenological Approach (IPA) was employed, involving semi-structured interviews with 16 purposively selected nurses from all district hospitals in the Republic of Cyprus. Thematic analysis was conducted on the transcribed data. Findings: Nurses identified five core roles in CKD care: machine operator, holistic caregiver, bureaucratic coordinator, patient educator, and emotional supporter. These roles varied by setting. Key influencing factors included nurse training, organizational challenges, barriers to patient education, patient behavior, and nurses' coping strategies. Conclusions: Nurses are essential to quality CKD care, particularly in patient education. A framework was developed to address barriers and support nurses, healthcare organizations, and patients in improving care delivery.

Keywords: barriers; chronic kidney disease; facilitators; nursing roles; patient education.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

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[1] Jager K.J., Kovesdy C., Langham R., Rosenberg M., Jha V., Zoccali C. A single number for advocacy and communication—Worldwide more than 850 million individuals have kidney diseases. Kidney Int. 2019;96:1048–1050. doi: 10.1016/j.kint.2019.07.012. - DOI - PubMed

[2] Jager K.J., Kovesdy C., Langham R., Rosenberg M., Jha V., Zoccali C. A single number for advocacy and communication—Worldwide more than 850 million individuals have kidney diseases. Kidney Int. 2019;96:1048–1050. doi: 10.1016/j.kint.2019.07.012. - DOI - PubMed

[3] Essue B.M., Laba T.-L., Knaul F., Chu A., Van Minh H., Nguyen T.K.P., Jan S. Economic burden of chronic ill health and injuries for households in low- and middle-income countries. In: Jamison D.T., Gelband H., Horton S., Jha P., Laxminarayan R., Mock C.N., Nugent R., editors. Disease Control Priorities: Improving Health and Reducing Poverty. 3rd ed. The International Bank for Reconstruction and Development/The World Bank; Washington, DC, USA: 2017. pp. 97–111. - DOI - PubMed

[4] Essue B.M., Laba T.-L., Knaul F., Chu A., Van Minh H., Nguyen T.K.P., Jan S. Economic burden of chronic ill health and injuries for households in low- and middle-income countries. In: Jamison D.T., Gelband H., Horton S., Jha P., Laxminarayan R., Mock C.N., Nugent R., editors. Disease Control Priorities: Improving Health and Reducing Poverty. 3rd ed. The International Bank for Reconstruction and Development/The World Bank; Washington, DC, USA: 2017. pp. 97–111. - DOI - PubMed

[5] Bello A.K., Okpechi I.G., Osman M.A., Cho Y., Htay H., Jha V., Wainstein M., Johnson D.W. Epidemiology of haemodialysis outcomes. Nat. Rev. Nephrol. 2022;18:378–395. doi: 10.1038/s41581-022-00542-7. - DOI - PMC - PubMed

[6] Bello A.K., Okpechi I.G., Osman M.A., Cho Y., Htay H., Jha V., Wainstein M., Johnson D.W. Epidemiology of haemodialysis outcomes. Nat. Rev. Nephrol. 2022;18:378–395. doi: 10.1038/s41581-022-00542-7. - DOI - PMC - PubMed

[7] Sanyaolu A., Okorie C., Annan R., Turkey H., Akhtar N., Gray F., Hamdy K., Isina A., Maharjan G., Mag W., et al. Epidemiology and management of chronic renal failure: A global public health problem. Biostat. Epidemiol. Int. J. 2018;1:00005. doi: 10.30881/beij.00005. - DOI

[8] Sanyaolu A., Okorie C., Annan R., Turkey H., Akhtar N., Gray F., Hamdy K., Isina A., Maharjan G., Mag W., et al. Epidemiology and management of chronic renal failure: A global public health problem. Biostat. Epidemiol. Int. J. 2018;1:00005. doi: 10.30881/beij.00005. - DOI

[9] Biobank.cy. Cyprus Genome Project and Nephrogenetics—CY-NEPHRON. 2022. [(accessed on 12 November 2022)]. Available online: https://biobank.cy/research/cy-nephron/

[10] Biobank.cy. Cyprus Genome Project and Nephrogenetics—CY-NEPHRON. 2022. [(accessed on 12 November 2022)]. Available online: https://biobank.cy/research/cy-nephron/

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Factors Affecting Cypriot Nurses' Roles in the Care and Education of Patients with CKD: An Interpretive Phenomenological Study

Affiliations

Factors Affecting Cypriot Nurses' Roles in the Care and Education of Patients with CKD: An Interpretive Phenomenological Study

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Conflict of interest statement

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Abstract

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