Patient-Centered Hemodialysis Nursing Care: An Interpretive Description

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dc.contributor.advisorSingh, Mina
dc.contributor.authorHilborn, Billie Adele
dc.date.accessioned2024-11-07T11:02:38Z
dc.date.available2024-11-07T11:02:38Z
dc.date.copyright2024-05-06
dc.date.issued2024-11-07
dc.date.updated2024-11-07T11:02:38Z
dc.degree.disciplineNursing
dc.degree.levelDoctoral
dc.degree.namePhD - Doctor of Philosophy
dc.description.abstractBackground Patient-centred care originated in the 1950s, gained popularity in the 1990’s, and is a professional regulatory, clinical practice guideline, governmental health policy, and perhaps organizational expectation of every nurse in Canada. The term is used liberally on the Health Canada website, and in 2011 the Canadian Institutes of Health Research launched the Strategy for Patient-Oriented Research. Also in 2011, the Canadian Nurses Association (CNA) and Canadian Medical Association (CMA) jointly identified patient-centred care as the first principle to guide healthcare transformation. In 2018, patient-centred care was adopted by Accreditation Canada through the addition of patient surveyors. Patient-centred nursing care could benefit people with end-stage kidney disease (ESKD) however the philosophical ideals of the approach may not consistently align with the everyday reality of hemodialysis nursing. Purpose of Study The study purpose was to describe the experiences and perspectives of hemodialysis nurses in their provision of patient-centred care. Methods A qualitative interpretive description design was used, with purposive sampling of hemodialysis nurses from hospital and satellite hemodialysis units in urban and rural areas registered with the College of Nurses of Ontario and currently employed full or part-time for more than three months. Semi-structured interviews were held, and transcripts were analyzed. Results Ten RNs participated and five themes were constructed through interpretation of their comments during interviews: Knowing, Applying, and Sustaining, plus Promoters and Detours of Patient-Centred Hemodialysis Nursing Care. Conclusions Patient-centred hemodialysis nursing care is a complex process with multiple promoters such as therapeutic relationships, reflective nursing practice, collaboration, and the satellite unit context. Nurses needed to navigate detours that interfered with the provision of patient-centred care related to patients, nurses, and unit, organizational, and system processes. Various interconnections occur within patient-centred hemodialysis nursing care, and certain ethical aspects require consideration. Implications for Nephrology Care Implications and recommendations for nephrology nursing education, practice, policy, and future research are identified.
dc.identifier.urihttps://hdl.handle.net/10315/42405
dc.languageen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectNursing
dc.subjectHealth sciences
dc.subject.keywordsPatient-centred care
dc.subject.keywordsNursing
dc.subject.keywordsHemodialysis
dc.subject.keywordsNephrology
dc.subject.keywordsQualitative research
dc.titlePatient-Centered Hemodialysis Nursing Care: An Interpretive Description
dc.typeElectronic Thesis or Dissertation

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