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Cited by 99Dialysis and Renal Disease ManagementNursing care and researchPatient Dignity and Privacy

Living on dialysis: concerns of clients in a renal setting

Polaschek, Nick·2003·Journal of Advanced Nursing
DOI 10.1046/j.1365-2648.2003.02504.x
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Abstract

Background. This article reports a study that sought to understand the experience of a group of Caucasian men with end stage renal failure managing their own haemodialysis therapy in their homes. Methodology. The study used a critical interpretive methodology. The renal setting was critically viewed as a specialized health care context constituted by several interrelated discourses. Although established by the dominant professional discourse, it also includes a number of others, in particular an obscure client discourse that is a response to the dominant discourse. Methods. Initially participants' own interpretations of their individual experiences were outlined. These were then collectively reinterpreted by contextualizing them in terms of the critical view of the renal setting, in order to discern their own views as renal clients that were obscured by the language and ideas of the dominant discourse with which they had been enculturated. Findings. From an analysis of the set of accounts derived from interviews with six participants, four concerns of the renal client discourse were identified. Together these model their shared perspective, which underlies each of their individual accounts of their experience of illness and therapy. These concerns were: (1) suffering from continuing symptoms of end stage renal failure and dialysis; (2) limitations resulting from negotiating dialysis into their lifestyle; (3) ongoingness and uncertainty of life on dialysis; and (4) altered rel…

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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 Polaschek 2003

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Authors
Polaschek, N.
Corresponding author
Polaschek, Nick
Venue
Journal of Advanced Nursing
Publisher
Wiley
Published
2003-01
Volume
41
Issue
1
Pages
44-52
ISSN
  • 0309-2402 (ISSN-L)
  • 1365-2648
DOI
10.1046/j.1365-2648.2003.02504.x
OpenAlex
W2124941871
Cited by
99
References
48
Citations by year
2026: 1 · 2025: 3 · 2021: 5 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 5 · 2015: 8 · 2014: 11 · 2013: 6 · 2012: 4
FWCI
2.78
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 9 d)
Locations
  • Journal of Advanced Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Dignity and Privacy
Keywords
home hemodialysis, end-stage renal disease, customer experience, professional discourse, nursing role, autonomy and dependence, symptom burden, lifestyle adaptation, nephrology nursing
MeSH terms
Adaptation, Psychological, Adult, Renal Dialysis, Humans, Kidney Failure, Chronic, Male, Middle Aged, Patient Acceptance of Health Care, Quality of Life, Self Care, Patient Satisfaction

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