Being dialysis-dependant: a qualitative perspective

Martin-McDonald, Kristine 2003, Being dialysis-dependant: a qualitative perspective, Collegian : journal of the Royal College of Nursing Australia, vol. 10, no. 2, pp. 29-33.

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Title Being dialysis-dependant: a qualitative perspective
Author(s) Martin-McDonald, Kristine
Journal name Collegian : journal of the Royal College of Nursing Australia
Volume number 10
Issue number 2
Start page 29
End page 33
Publisher Royal College of Nursing, Australia
Place of publication Deakin, A.C.T.
Publication date 2003
ISSN 1322-7696
Keyword(s) dialysis
chronic illness
continuum themes
Summary The technology of renal dialysis offers a way in which life can be sustained, so it is not surprising that the complex, diverse and evolving iatrogenic aspects of dialysis-dependency continue to be researched. However, there has been a tendency to take for granted the human process of making sense of the intrusiveness of dialysis. This study was designed to explore the meanings of dialysis-dependency. The study sample was 10 participants: five female, five male; five on peritoneal dialysis, five on haemodialysis; whose ages ranged from 22 to 68 years. Using a narrative methodology the following methods were used: in-depth interviews, narrative and thematic analysis, fieldwork/notes from five renal units, participant validation, and journal reflections. A thematic analysis revealed the continuum themes of Freedom-Restrictions, Being Normal-Being Visible, Control-Acquiesce, Hope-Despair and Support-Abandon. The themes portrayed as continuums serve to remind health care professionals that those with chronic illnesses strive to make sense of what is happening to them. Variations within each of these themes can occur daily, weekly or monthly. Acceptance may never be reached or may be tentative. Some clients will strive for control and freedom to choose for themselves, others will acquiesce to the overwhelming changes wrought in their lives. Thus, health care professionals might consider placing the personal meanings of those who are dialysis-dependent to the fore, being sensitive to the sufferings wrought by the regime, which treats but does not cure, which sustains life but does not heal.

Language eng
Field of Research 111002 Clinical Nursing: Primary (Preventative)
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©RMIT
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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