- Title
- Patient participation in the clinical pathway-Nurses' perceptions of adults' involvement in haemodialysis
- Creator
- Andersen-Hollekim, Tone E.; Kvangarsnes, Marit; Landstad, Bodil J.; Talseth-Palmer, Bente A.; Hole, Torstein
- Relation
- Nursing Open Vol. 6, Issue 2, p. 574-582
- Publisher Link
- http://dx.doi.org/10.1002/nop2.241
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2019
- Description
- Aim: To develop knowledge of nurses' perceptions of participation for patients treated with haemodialysis and their next of kin. Design: A qualitative study with a hermeneutic approach. Methods: The data were collected in 2015 through focus groups with 13 nurses in Central Norway. Results: The nurses reported that patient participation ranging from non-involvement to shared decision-making was related to whether dialysis was initiated as acute or scheduled. The restrictions required in chronic haemodialysis limited participation. The next of kin were not involved. The nurses highlighted interventions on both the individual and system levels to strengthen participation. Conclusion: Dialysis units should develop strategies for participation related to individual needs and design treatment in cooperation with patients and their families, ensuring involvement early in the clinical pathway. Further research is needed on issues related to next of kin, including their desired level of involvement.
- Subject
- haemodialysis; next of kin; nurses; patient involvement; patient participation; shared decision-making
- Identifier
- http://hdl.handle.net/1959.13/1455028
- Identifier
- uon:45034
- Identifier
- ISSN:2054-1058
- Rights
- © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Language
- eng
- Full Text
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