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ASSIST-CKD: Evaluation of eGFR surveillance system (template)
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You are being sent this questionnaire because your Practice is part of the national
ASSIST-CKD
project, the aim of which is earlier identification of people with declining kidney function through laboratory-based graphical surveillance of long-term kidney function trends. Further information on the project can be found
here
We would now really appreciate your feedback on this eGFR surveillance system which has been running in XXXXXXXXXX since XXXXXXXXX. There are ten short questions and places to add free text if you wish. The survey will take 5-10 minutes to complete.
This survey is not about the acute kidney injury (AKI) alerts. Thank you very much.
Dr XXXXXXXXXX Consultant Nephrologist, XXXXXXXXXXXXXXX NHS Foundation Trust
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1.
Question 1.
Are you answering this question as:
Required
- Required.
as an individual (GP, practice nurse, nurse practitioner, practice manager, other)
on behalf of your Practice
*
2.
Question 2.
Approximately how many graphs of eGFR over time (see sample below) have you/your Practice received during the last six months?
Required
- Required.
None
Less than 5
6-10
More than 10
I am not sure
*
3.
Question 3.
Are the the graphs helpful in conveying information on changes in kidney function over time?
Required
- Required.
Yes
No
If 'no', please explain why:
This is required
*
4.
Question 4.
Do you find the information provided at the bottom of the graphs useful?
Required
- Required.
Yes
No
If 'no', please explain why:
This is required
*
5.
Question 5.
How clear are you about what to do following receipt of a graph?
Required
- Required.
Very clear
Quite clear
Not at all clear
If the explanation about what to do next could be improved, please explain how:
This is required
*
6.
Question 6.
Following receipt of a graph have you (tick all that apply):
Required
- Required.
Reviewed the NICE guidance on CKD
Contacted the renal consultants/specialist nurse via phone for advice
Contacted the renal consultants/specialist nurse via email advice service (if available)
Referred patient(s) to the renal clinic
Other
None of these
If other, please explain what you did. If none of these, then please explain why:
This is required
*
7.
Question 7.
Would you prefer to receive the eGFR graphs via the post as currently, or electronically?
Required
- Required.
Post
Electronically via email
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8.
Question 8.
To date, has receiving an eGFR graph(s) influenced your clinical practice or the way in which you have managed your patients?
Required
- Required.
Yes
No
If yes, please explain how. If no, please explain why:
This is required
*
9.
Question 9.
Have you ever shown a graph to a patient(s)?
Required
- Required.
Yes
No
If yes, please add any feedback you have had from patients. If no, please explain why:
This is required
*
10.
Question 10.
On a scale from 0 to 5, where 0 is the least useful and 5 is the most useful, what number would you use to rate the usefulness of the eGFR surveillance system overall?
Required
- Required.
This question requires an answer
1
2
3
4
5
1
2
3
4
5
*
11.
Question 11.
Thinking about your management of patients with kidney disease, have you found that seeing the eGFR graphs:
Required
- Required.
This question requires an answer
Not at all
A little
A reasonable amount
Most definitely
has helped you to understand CKD
Not at all
A little
A reasonable amount
Most definitely
has increased your focus on CKD
Not at all
A little
A reasonable amount
Most definitely
has had a positive impact on your coding of CKD on the CKD register
Not at all
A little
A reasonable amount
Most definitely
Any additional information you would like to add about the eGFR graphs
This is required
