Exploring the Perspectives of Hemodialysis Nurses in Supporting Patient Coping and Resilience: An Interpretive Description Study
Date
2021-11
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Abstract
Chronic kidney disease (CKD) is on the rise, as is the prevalence of people with end-stage CKD reliant on hemodialysis (HD) treatment. This is concerning as the burden of disease of CKD, especially in conjunction with HD, is substantial. From a literature review, there is a knowledge gap in HD nurses’ perspectives in supporting patient coping and resilience. HD nurses spend the most clinical time with HD patients, in an ideal position to support patient coping and resilience. The initial research question was: “What are HD nurses’ perspectives on supporting patient coping and resilience when caring for CKD patients receiving chronic HD treatment?” The qualitive methodology of Interpretive Description (ID) was used. Recruitment occurred at a provincial level within Alberta Kidney Care. Semi-structured interviews were conducted with HD nurses (Registered Nurses and Licensed Practical Nurses, n = 12) working in HD with >2 years of HD experience. In tandem with ID, Braun and Clarke (2004)’s method of descriptive thematic analysis was used in data analysis and code generation. During data collection, the research question evolved to: “What negotiations in care do HD nurses experience in striving to support patient coping and resilience for CKD patients on chronic HD treatment?” HD nurses experience four types: nursing perspectives <-> patient perspectives; medical care <-> psychological care; professional boundaries <-> therapeutic relationship; and organizational considerations <-> patient-centered care. Overall, moral distress was prevalent among HD nurses’ negotiations in care. Tailored initiatives to alleviate these specific negotiations may help to assuage this moral distress.
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Keywords
chronic kidney disease, hemodialysis, nursing, patient coping, patient resilience
Citation
Ortiz, M. M. (2021). Exploring the perspectives of hemodialysis nurses in supporting patient coping and resilience: an interpretive description study (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.