Satellite dialysis nursing : technology, caring and power

Bennett, Paul N. 2011, Satellite dialysis nursing : technology, caring and power, Journal of advanced nursing, vol. 67, no. 1, pp. 149-157.

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Title Satellite dialysis nursing : technology, caring and power
Author(s) Bennett, Paul N.
Journal name Journal of advanced nursing
Volume number 67
Issue number 1
Start page 149
End page 157
Publisher Wiley-Blackwell Publishing Ltd.
Place of publication Oxford, England
Publication date 2011-01
ISSN 0309-2402
1365-2648
Keyword(s) Bourdieu
ethnography
nursing
power
quality of care
satellite dialysis
technology
Summary Aim. This paper is a report of an exploration of nurses’ perceptions of the quality of satellite dialysis care and how aspects of power that influenced quality nursing care.

Background.
In Australia, the majority of people living with established kidney failure undertake haemodialysis in nurse-run satellite dialysis units. Haemodialysis nurses provide the majority of care, and their perceptions of what constitutes quality nursing care may influence their care of the person receiving haemodialysis.

Method. A critical ethnographic study was conducted where data were collected from one metropolitan satellite dialysis unit in Australia over a 12-month period throughout 2005. The methods included non-participant observation, interviews, document analysis, reflective field notes and participant feedback.

Findings. Three theoretical constructs were identified: ‘What is quality?’, ‘What is not quality?’ and What influences quality?’ Nurses considered technical knowledge, technical skills and personal respect as characteristics of quality. Long-term blood pressure management and arranging transport for people receiving dialysis treatment were not seen to be priorities for quality care. The person receiving dialysis treatment, management, nurse and environment were considered major factors determining quality dialysis nursing care.

Conclusion. Aspects of power and oppression operated for nurses and people receiving dialysis treatment within the satellite dialysis context, and this environment was perceived by the nurses as very different from hospital dialysis units.
Language eng
Field of Research 110312 Nephrology and Urology
Socio Economic Objective 920119 Urogenital System and Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30033146

Document type: Journal Article
Collection: School of Nursing and Midwifery
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