Patient experience and healthcare priorities in childhood steroid sensitive nephrotic syndrome
| dc.contributor.advisor | Samuel, Susan | |
| dc.contributor.advisor | Elliott, Meghan | |
| dc.contributor.author | Okpere, Augustina Nwaka | |
| dc.contributor.committeemember | King-Shier, Kathryn | |
| dc.contributor.committeemember | Hamiwka, Lorraine | |
| dc.date | 2021-11 | |
| dc.date.accessioned | 2021-09-21T21:06:12Z | |
| dc.date.available | 2021-09-21T21:06:12Z | |
| dc.date.issued | 2021-09 | |
| dc.description.abstract | Childhood idiopathic steroid sensitive nephrotic syndrome (SSNS) is characterized by sudden and unexpected onset of body swelling, massive proteinuria and hypoalbuminemia. The chronic recurrent relapses and side effects of its treatment can impact patients’ and caregivers’ experiences of the disease. The aims of this qualitative study were to explore the experiences and healthcare priorities of children with SSNS and their caregivers. We interviewed 28 participants that comprised 10 children aged 9 to18 years (6 boys and 4 girls) and 18 caregivers over the internet on Microsoft Teams between January and April 2021. Using qualitative description and thematic analysis, we identified three themes related to the diagnostic journey of childhood nephrotic syndrome (unexpected distressing symptoms, elusiveness of diagnosis and confronting the diagnosis) and three themes related to the experiences of children living with SSNS and their caregivers (disruption of normalcy, regaining control and dependable social support system). Four actionable needs and care priorities of participants were identified: desire to be heard, understanding the cause of nephrotic syndrome, alleviating the burden of steroid regimen and enhanced social support availability. Our study provides insights into several strategies that healthcare professional could adopt to improve the diagnostic experience of children and their caregivers in search of a diagnosis of nephrotic syndrome and care of patients and their families. Also, our findings have the potential to inform the design and conduct of future research in priority setting and treatment of childhood SSNS. | en_US |
| dc.identifier.citation | Okpere, A. N. (2021). Patient experience and healthcare priorities in childhood steroid sensitive nephrotic syndrome (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. | en_US |
| dc.identifier.doi | http://dx.doi.org/10.11575/PRISM/39230 | |
| dc.identifier.uri | http://hdl.handle.net/1880/113913 | |
| dc.language.iso | eng | en_US |
| dc.publisher.faculty | Cumming School of Medicine | en_US |
| dc.publisher.institution | University of Calgary | en |
| dc.rights | University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission. | en_US |
| dc.subject | experiences | en_US |
| dc.subject | qualitative study | en_US |
| dc.subject | nephrotic syndrome | en_US |
| dc.subject | steroid sensitive nephrotic syndrome | en_US |
| dc.subject | priorities | en_US |
| dc.subject | children | en_US |
| dc.subject | caregivers | en_US |
| dc.subject | qualitative research | en_US |
| dc.subject.classification | Health Sciences | en_US |
| dc.title | Patient experience and healthcare priorities in childhood steroid sensitive nephrotic syndrome | en_US |
| dc.type | master thesis | en_US |
| thesis.degree.discipline | Medicine – Community Health Sciences | en_US |
| thesis.degree.grantor | University of Calgary | en_US |
| thesis.degree.name | Master of Science (MSc) | en_US |
| ucalgary.item.requestcopy | true | en_US |