Nursing in the dialysis unit: technological enframing and a declining art, or an imperative for caring
Abstract
Nursing in haemodialysis units has been well established since the 1960s. Technological developments, open patient selection methods and economic pressures have altered the dialysis unit to become increasingly busy, where demand outstrips availability. For nurses it has become akin to working on a 'production-line' in order to meet the need for treatment. The increasing demand has required the nurse to become technologically skilled often to the detriment of caring. What emerges is the nurse enframed by technology where the caring of nurses is focused through the demand of getting the patients processed. Here is a dilemma where caring becomes a moral imperative in order to overcome the dehumanising effects of technology, and the future of the dialysis nurse comes into question.
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Nephrology nursing has evolved into a distinct specialty area of nursing in response to the complex health care needs of people with renal failure.
“Nephrology nursing has evolved into a distinct specialty area of nursing in responses to the complex health care needs of people with renal failure (Parker 1998, Bevan 1998, Polaschek 2003)”
From The acquisition and exercise of nephrology nursing expertise: a grounded theory study (2006) · cites this paper as Bevan 1998
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The acquisition and exercise of nephrology nursing expertise: a grounded theory study
Bonner, A., & Greenwood, J. (2006) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01361.x · Cited by 27 · see citing works
- Authors
- Bevan, M. T.
- Affiliations
- Leeds General Infirmary (GB)
- Corresponding author
- Bevan, Mark Thomas
- ORCID
- Bevan, Mark Thomas
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 1998-04
- Volume
- 27
- Issue
- 4
- Pages
- 730-736
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2066356178
- Cited by
- 57
- References
- 0
- Citations by year
- 2024: 1 · 2023: 2 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- nursing care, caring, patient selection, economic pressure, moral imperative
- MeSH terms
- Clinical Competence, Empathy, Forecasting, Health Services Needs and Demand, Renal Dialysis, Humans, Humanism, Specialties, Nursing, Technology Assessment, Biomedical, Models, Nursing
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