Hemodialysis adequacy sacrificed for business: A qualitative study

Biniaz, V. and Moonaghi, H. K. and Froutan, R. and Ebadi, A. (2018) Hemodialysis adequacy sacrificed for business: A qualitative study. Nephro-Urology Monthly, 10 (3).

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Abstract

Background: Dialysis adequacy is a predictor for mortality and morbidity in patients undergoing hemodialysis. Previous studies pinpointed several factors as barriers to adequate dialysis. However, there is a scarcity of studies investigating the experiences of patients undergoing hemodialysis and health care providers (e g, dialysis nurses and nephrologists) with regards to high-quality dialysis barriers. The current study aimed at gaining a deeper understanding regarding the experiences of patients undergoing hemodialysis and dialysis professionals about the subjective barriers to hemodialysis adequacy. Methods: The current study was conducted using the conventional content analysis method; 19 patients undergoing hemodialysis, 2 hemodialysis caregivers, 2 hemodialysis nurses, and 2 nephrologists were included and interviewed. Results: Based on the obtained data, 993 initial codes were extracted under four categories: barrier of self, social support insufficiency, hemodialysis mafia, and supervision weakness. Conclusions: Patients undergoing hemodialysis and health care providers have different experiences compared with what is mentioned in textbooks about barriers to high-quality dialysis. The findings highlight the need for immediate re-examination and preparation of the standards for the quality of hemodialysis, as well as attention and focus on non-physiological barriers to dialysis adequacy. © 2018, Nephro-Urology Monthly.

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Moonaghi, H.K.; School of Nursing and Midwifery, Mashhad University of Medical Sciences, Doctora Intersection, Iran; email: karimih@mums.ac.ir
Uncontrolled Keywords: Content analysis Dialysis adequacy Hemodialysis Kt/V Article blood flow velocity caregiver commercial phenomena controlled study health care personnel health care quality hospitalization human length of stay morbidity mortality nephrologist prevalence qualitative research social support
Subjects: WJ Urogenital System
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 02 Jun 2020 08:15
Last Modified: 02 Jun 2020 08:15
URI: http://eprints.mums.ac.ir/id/eprint/17238

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