An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis
| dc.contributor.advisor | Fouche, Nicki A | |
| dc.contributor.author | Bidii, Dempto Boniface | |
| dc.date.accessioned | 2020-03-04T11:02:28Z | |
| dc.date.available | 2020-03-04T11:02:28Z | |
| dc.date.issued | 2019 | |
| dc.date.updated | 2020-03-04T10:45:46Z | |
| dc.description.abstract | The aim of this study sets out to better understand nephrology nurses’ lived experiences of dying and deaths of patients with ESKD following withdrawal of dialysis. A qualitative research design using an interpretative phenomenological approach was used to explore the experiences of a purposive heterogeneous sample of eight nephrology nurses who were working in private dialysis units. Information was gathered by phenomenological conversations and feed-back sessions. Colaizzi’s phenomenological method was employed to formulate four main themes: 1. Emotional trauma 2. Detachment 3. Loss of altruistic values in nursing 4. being-with-death For the participants in this study, emotional trauma was the most significant. The participants experienced a sense of powerlessness which caused emotions of hopelessness and anger and subsequently a sense of premature mourning and detachment. This state of hopelessness proved to be an obstacle in patient care, resulting in the altruistic values of nursing to be no longer applied. The participants’ ontological confrontation of being-with-death was evident, as they came to terms with the reality of their own death. Recommendations are offered to address the educational aspects of death and dying for nephrology nurses. This study endorses the need for further research into patients with ESKD ‘end-of-life’ which can influence how healthcare professionals should treat these patients during this phase. | |
| dc.identifier.apacitation | Bidii, D. B. (2019). <i>An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis</i>. (). ,Faculty of Health Sciences ,Division of Nursing and Midwifery. Retrieved from http://hdl.handle.net/11427/31477 | en_ZA |
| dc.identifier.chicagocitation | Bidii, Dempto Boniface. <i>"An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis."</i> ., ,Faculty of Health Sciences ,Division of Nursing and Midwifery, 2019. http://hdl.handle.net/11427/31477 | en_ZA |
| dc.identifier.citation | Bidii, D.B. 2019. An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis. . ,Faculty of Health Sciences ,Division of Nursing and Midwifery. http://hdl.handle.net/11427/31477 | en_ZA |
| dc.identifier.ris | TY - Thesis / Dissertation AU - Bidii, Dempto Boniface AB - The aim of this study sets out to better understand nephrology nurses’ lived experiences of dying and deaths of patients with ESKD following withdrawal of dialysis. A qualitative research design using an interpretative phenomenological approach was used to explore the experiences of a purposive heterogeneous sample of eight nephrology nurses who were working in private dialysis units. Information was gathered by phenomenological conversations and feed-back sessions. Colaizzi’s phenomenological method was employed to formulate four main themes: 1. Emotional trauma 2. Detachment 3. Loss of altruistic values in nursing 4. being-with-death For the participants in this study, emotional trauma was the most significant. The participants experienced a sense of powerlessness which caused emotions of hopelessness and anger and subsequently a sense of premature mourning and detachment. This state of hopelessness proved to be an obstacle in patient care, resulting in the altruistic values of nursing to be no longer applied. The participants’ ontological confrontation of being-with-death was evident, as they came to terms with the reality of their own death. Recommendations are offered to address the educational aspects of death and dying for nephrology nurses. This study endorses the need for further research into patients with ESKD ‘end-of-life’ which can influence how healthcare professionals should treat these patients during this phase. DA - 2019 DB - OpenUCT DP - University of Cape Town KW - Dialysis withdrawal KW - Palliative/hospice care KW - Renal nursing/Nephrology KW - Death anxiety LK - https://open.uct.ac.za PY - 2019 T1 - An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis TI - An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis UR - http://hdl.handle.net/11427/31477 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/31477 | |
| dc.identifier.vancouvercitation | Bidii DB. An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis. []. ,Faculty of Health Sciences ,Division of Nursing and Midwifery, 2019 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/31477 | en_ZA |
| dc.language.rfc3066 | eng | |
| dc.publisher.department | Division of Nursing and Midwifery | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| dc.subject | Dialysis withdrawal | |
| dc.subject | Palliative/hospice care | |
| dc.subject | Renal nursing/Nephrology | |
| dc.subject | Death anxiety | |
| dc.title | An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis | |
| dc.type | Master Thesis | |
| dc.type.qualificationlevel | Masters | |
| dc.type.qualificationname | MSc |