2.50
Hdl Handle:
http://hdl.handle.net/10755/157949
Type:
Presentation
Title:
Perceptions Concerning Choice Among Renal Replacement Therapies
Abstract:
Perceptions Concerning Choice Among Renal Replacement Therapies
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Landreneau, Kandace, RN, PhD, CCTC
P.I. Institution Name:University of California, San Francisco School of Nursing
Title:Postdoctoral Fellow
Purpose/Aims: Nursing research literature provides many studies and reviews regarding renal replacement therapies for people with end stage renal disease (ESRD). The research available highlights the benefits and risks of either dialysis therapy or transplant therapy. The perception of choice of hemodialysis (HD) or peritoneal dialysis or transplantation, for the client undergoing HD as renal replacement therapy, has received little research and therefore remains illusive. The purpose of this study was to gather data through the use of interviews to explore and explain HD patients' perceptions of their choice among renal replacement therapies. Rationale/Background: Research highlights inconsistencies in how options of renal replacement therapies are presented to adult HD patients. One of the most significant issues was the lack of research focusing on how HD patients choose renal replacement therapy. Medicare has delineated criteria for renal replacement therapies and provides funding for all therapies, not only HD. Research suggests that the nephrologist's timing of discussion and the order in which renal replacement therapies are discussed may impact treatment choice. There are significant differences in mortality and morbidity rates in comparing dialysis with transplantation and the literature suggests concern of whether HD patients are making fully informed choices. This study is significant because it begins the study of perception of the patient that may affect when and how HD patients are provided treatment options and how they choose a treatment. Methods: This exploratory, descriptive study used a phenomenological method. A convenient sample was recruited from two urban dialysis units in Louisiana. Saturation was achieved during the 12th interview and the final sample number was 12 participants. Data collection consisted of audio-taped interviews which were transcribed verbatim. The analysis was performed using Colaizzi's phenomenological technique. Findings: Three themes emerged from analysis: 1) knowledge, 2) choice, and 3) psychosocial support. Participants perceived choice in their renal replacement therapies. The predominant theme reflected that most HD participants had knowledge about at least two of the three types of renal replacement therapies. Psychosocial support was also perceived as important by these patients. Implications: The areas of choice among renal replacement therapies, education about all renal replacement therapies, and other dynamics that impact their choice, need to be studied. Inquiry needs to remain treatment specific and include all renal replacement treatments available to the patient. Future studies should continue to investigate perceptions of choice and no assumption should be made that HD patients are receiving options for renal replacement therapy. Research within this area will validate needs and concerns of these patients. Nurse researchers need to provide an atmosphere in which every HD patient receives adequate, accurate information to make an informative choice in their type of replacement therapy.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePerceptions Concerning Choice Among Renal Replacement Therapiesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157949-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Perceptions Concerning Choice Among Renal Replacement Therapies</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Landreneau, Kandace, RN, PhD, CCTC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California, San Francisco School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Postdoctoral Fellow</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kandace.landreneau@nursing.ucsf.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aims: Nursing research literature provides many studies and reviews regarding renal replacement therapies for people with end stage renal disease (ESRD). The research available highlights the benefits and risks of either dialysis therapy or transplant therapy. The perception of choice of hemodialysis (HD) or peritoneal dialysis or transplantation, for the client undergoing HD as renal replacement therapy, has received little research and therefore remains illusive. The purpose of this study was to gather data through the use of interviews to explore and explain HD patients' perceptions of their choice among renal replacement therapies. Rationale/Background: Research highlights inconsistencies in how options of renal replacement therapies are presented to adult HD patients. One of the most significant issues was the lack of research focusing on how HD patients choose renal replacement therapy. Medicare has delineated criteria for renal replacement therapies and provides funding for all therapies, not only HD. Research suggests that the nephrologist's timing of discussion and the order in which renal replacement therapies are discussed may impact treatment choice. There are significant differences in mortality and morbidity rates in comparing dialysis with transplantation and the literature suggests concern of whether HD patients are making fully informed choices. This study is significant because it begins the study of perception of the patient that may affect when and how HD patients are provided treatment options and how they choose a treatment. Methods: This exploratory, descriptive study used a phenomenological method. A convenient sample was recruited from two urban dialysis units in Louisiana. Saturation was achieved during the 12th interview and the final sample number was 12 participants. Data collection consisted of audio-taped interviews which were transcribed verbatim. The analysis was performed using Colaizzi's phenomenological technique. Findings: Three themes emerged from analysis: 1) knowledge, 2) choice, and 3) psychosocial support. Participants perceived choice in their renal replacement therapies. The predominant theme reflected that most HD participants had knowledge about at least two of the three types of renal replacement therapies. Psychosocial support was also perceived as important by these patients. Implications: The areas of choice among renal replacement therapies, education about all renal replacement therapies, and other dynamics that impact their choice, need to be studied. Inquiry needs to remain treatment specific and include all renal replacement treatments available to the patient. Future studies should continue to investigate perceptions of choice and no assumption should be made that HD patients are receiving options for renal replacement therapy. Research within this area will validate needs and concerns of these patients. Nurse researchers need to provide an atmosphere in which every HD patient receives adequate, accurate information to make an informative choice in their type of replacement therapy.</td></tr></table>en_GB
dc.date.available2011-10-26T20:21:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:21:39Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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