Abstract:
This qualitative study aimed to explore the experiences of 11 adults with chronic kidney disease (CKD) undergoing evaluation for kidney transplant (KT) and examine the role played by the nurse in the process. Employing a descriptive phenomenology approach, semi-structured interviews were conducted between October 2022 and July 2023. Thematic analysis, facilitated by Atlas. ti software, revealed a systemic management diagram with \"The candidate for kidney transplant and their reality\" at the center, followed by \"The process of chronic kidney disease and kidney transplantation,\" and concluding with the most distal category centered on \"The kidney transplant access nurse.\" This organizational framework provided insights into the layers of relationships between emerging themes. The findings underscored the complexity and multidimensionality of the CKD and KT process, emphasizing the nurse\'s pivotal role as a guide and protector throughout the evaluation process for accessing kidney transplantation. The convergence of results with existing literature highlighted the need to address challenges such as lack of time, resources, and emotional support to enhance the quality of care. Recognizing the nurse\'s crucial importance in this process, the study emphasizes the significance of addressing these challenges to improve patient care and calls for attention to the nurse\'s role in guiding individuals through the intricate journey of CKD and kidney transplantation.
摘要:
这项定性研究旨在探讨11名慢性肾脏病(CKD)成人接受肾移植(KT)评估的经验,并检查护士在此过程中的作用。采用描述性现象学方法,2022年10月至2023年7月进行了半结构化访谈.专题分析,由Atlas促成。ti软件,揭示了一个以“肾移植候选人及其现实”为中心的系统管理图,其次是“慢性肾脏病和肾移植的过程,“并以最远端类别为中心,以肾脏移植通路护士为结尾。“这个组织框架提供了对新兴主题之间关系层的见解。这些发现强调了CKD和KT过程的复杂性和多维性,强调护士在整个肾移植评估过程中作为指导和保护者的关键作用。结果与现有文献的趋同强调了应对诸如缺乏时间等挑战的必要性,资源,和情感支持,以提高护理质量。认识到护士在这个过程中的至关重要性,该研究强调了应对这些挑战对改善患者护理的重要性,并呼吁关注护士在指导患者完成CKD和肾移植的复杂旅程中的作用。