IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v21y2012i9-10p1215-1222.html
   My bibliography  Save this article

Factors influencing patients with stage 5 chronic kidney disease to opt for conservative management: a practitioner research study

Author

Listed:
  • Sheila Johnston
  • Helen Noble

Abstract

Aims and objectives. This study explored decision‐making experiences of patients with stage 5 chronic kidney disease when opting for conservative management of their renal failure. Background. Dialysis is an invasive treatment, and for some older patients, there is an associated treatment burden of dialysis‐related symptoms. An alternative choice is conservative management, but little is known about those who make this decision and how they are supported through the process. Design. Qualitative practitioner research study. Method. Data were generated from nine patients’ naturally occurring clinic consultations with a renal clinical nurse specialist between May 2010 – July 2010. Interviews were transcribed verbatim and findings fed back at three multi‐disciplinary meetings to check for relevance and resonance. Common themes were identified and codes applied. Results. Patients reported age and having to travel three times a week to hospital for dialysis as reasons not to opt for treatment. Others felt well without dialysis not wanting to upset the ‘status quo’ or to burden loved ones. Most felt equipped to make the decision following explanation and discussion with the clinical nurse specialist in the renal clinic. Conclusions. Patients opting for conservative management give numerous reasons for this including old age, travel limitations, feeling well without dialysis and not wanting to be a burden, but appear content with their decision. One‐to‐one discussions with the clinical nurse specialist appear helpful during the decision‐making process presenting an opportunity for advancing nursing roles in the chronic kidney disease service. Relevance to clinical practice. Understanding patients’ reasons for refusing dialysis assists in supporting until death. There is an opportunity for developing nursing practice to meet the multi‐faceted needs of this group.

Suggested Citation

  • Sheila Johnston & Helen Noble, 2012. "Factors influencing patients with stage 5 chronic kidney disease to opt for conservative management: a practitioner research study," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(9‐10), pages 1215-1222, May.
  • Handle: RePEc:wly:jocnur:v:21:y:2012:i:9-10:p:1215-1222
    DOI: 10.1111/j.1365-2702.2011.04001.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2011.04001.x
    Download Restriction: no

    File URL: https://libkey.io/10.1111/j.1365-2702.2011.04001.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:21:y:2012:i:9-10:p:1215-1222. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.