What Philosophy of Health Professionals Enabled Japanese Hemodialysis Patients to Survive Longer?

2.50
Hdl Handle:
http://hdl.handle.net/10755/303866
Category:
Abstract
Type:
Presentation
Title:
What Philosophy of Health Professionals Enabled Japanese Hemodialysis Patients to Survive Longer?
Author(s):
Morita, Natsumi
Lead Author STTI Affiliation:
Non-member
Author Details:
Natsumi Morita, PhD, nekonyan@sfc.keio.ac.jp
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Purpose: There are more than 300,000 hemodialysis patients in Japan, and 4% of them survive more than 25 years, which is longer than in Western countries. The reasons for longer survival may arise from both patients and health professionals. The purpose of this study was to explore the philosophy that health professionals believe promotes Japanese hemodialysis (HD) patients� longer survival and what they perceived made the patients survive longer.

Methods: Qualitative design. Three physicians and 5 nurses who cared for�longer survived HD patients were interviewed for about one hour each. Three of the 5 nurses were interviewed as a group. They gave informed consent to the use of their interview data for academic research. They were asked what philosophy promoted HD patients� longer survival and what they perceived as the patients� contributions to survival. All interviews were tape-recorded, then transcribed. The author read and re-read the data and distilled the philosophy using a qualitative interpretive approach. Interviews were conducted, transcribed, and analyzed in Japanese. This research was approved by the IRB of Keio University.

Results: The major themes of the professionals� philosophy were: �proper treatment of HD�, �proper intake of food and fluid�, �respect for patients� own way of managing their lives with HD� and �open relationship between health professionals and patients�. Health professionals� perceptions of patients� contributions to longer survival were: �strong will to live/survive� and �reasonable management: avoiding overly rigid restriction of food and fluid.�

Conclusion: Most of these health professionals thought that compliance with the self-care regimen restricting food and fluid will lead to longer survival. At the same time, however, although it varied based on patients� status, they suggested that too much restriction is not good for longer survival. Open communication can promote respect for survivors� autonomy, although paternalism still remains in Japan�s medical world.

Keywords:
health professional; philosophy; longer survived hemodialysis patient
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleWhat Philosophy of Health Professionals Enabled Japanese Hemodialysis Patients to Survive Longer?en_GB
dc.contributor.authorMorita, Natsumien_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsNatsumi Morita, PhD, nekonyan@sfc.keio.ac.jpen_GB
dc.identifier.urihttp://hdl.handle.net/10755/303866-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p><b>Purpose: </b> There are more than 300,000 hemodialysis patients in Japan, and 4% of them survive more than 25 years, which is longer than in Western countries. The reasons for longer survival may arise from both patients and health professionals. The purpose of this study was to explore the philosophy that health professionals believe promotes Japanese hemodialysis (HD) patients� longer survival and what they perceived made the patients survive longer. <p><b>Methods: </b>Qualitative design. Three physicians and 5 nurses who cared for�longer survived HD patients were interviewed for about one hour each. Three of the 5 nurses were interviewed as a group. They gave informed consent to the use of their interview data for academic research. They were asked what philosophy promoted HD patients� longer survival and what they perceived as the patients� contributions to survival. All interviews were tape-recorded, then transcribed. The author read and re-read the data and distilled the philosophy using a qualitative interpretive approach. Interviews were conducted, transcribed, and analyzed in Japanese. This research was approved by the IRB of Keio University. <p><b>Results: </b>The major themes of the professionals� philosophy were: �proper treatment of HD�, �proper intake of food and fluid�, �respect for patients� own way of managing their lives with HD� and �open relationship between health professionals and patients�. Health professionals� perceptions of patients� contributions to longer survival were: �strong will to live/survive� and �reasonable management: avoiding overly rigid restriction of food and fluid.� <p><b>Conclusion: </b> Most of these health professionals thought that compliance with the self-care regimen restricting food and fluid will lead to longer survival. At the same time, however, although it varied based on patients� status, they suggested that too much restriction is not good for longer survival. Open communication can promote respect for survivors� autonomy, although paternalism still remains in Japan�s medical world.en_GB
dc.subjecthealth professionalen_GB
dc.subjectphilosophyen_GB
dc.subjectlonger survived hemodialysis patienten_GB
dc.date.available2013-10-22T20:24:43Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:24:43Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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