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Waiting for kidney transplantation from deceased donors: Experiences and support needs during the waiting time -A qualitative study
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Department of Internal Medicine in Norrköping.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Primary Care Center, Primary Health Care Center Cityhälsan Söder.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Biomedical and Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0003-4753-6745
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Department of Internal Medicine in Norrköping.ORCID iD: 0000-0001-7431-2873
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2022 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 105, no 7, p. 2422-2428Article in journal (Refereed) Published
Abstract [en]

Objectives: The study aimed to explore and describe patients’ experiences of the transplantation process and the support they had received during the waiting time.

Method: Semi-structured interviews were conducted with 14 patients currently waiting for kidney transplantation from deceased donors (n = 7) or recently having received kidney transplantation (n = 7). Interviews were transcribed, anonymized and analysed inductively using thematic analysis.

Results: Two themes and seven sub-themes were identified. The first theme, “Swaying between hope and despair” describes patients’ perceptions of waiting for transplantation as a struggle, their expectations for life after the upcoming transplantation and experienced disappointments. The second theme, “Making your way through the waiting time”, describes support, strategies and behaviours used to manage the waiting time.

Conclusion: Patients described life while waiting for kidney transplantation as challenging, involving unexpected events, not understanding the transplantation process and having unrealistic expectations on life after transplantation. They also described support, strategies and behaviours used, some of which led to unwanted consequences.

Practice implications: Patients waiting for kidney transplantation from deceased donors need continuous and easily available education, practical and emotional support to manage the waiting time. Transplantation specific education is also needed to facilitate preparation for transplantation and adjustment to life after transplantation.

Place, publisher, year, edition, pages
Shannon, Ireland: Elsevier, 2022. Vol. 105, no 7, p. 2422-2428
Keywords [en]
Kidney transplantation, Waiting list, Needs, Support, Education, Qualitative research
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-185972DOI: 10.1016/j.pec.2022.02.016ISI: 000817942800009PubMedID: 35272905Scopus ID: 2-s2.0-85126748771OAI: oai:DiVA.org:liu-185972DiVA, id: diva2:1670485
Available from: 2022-06-16 Created: 2022-06-16 Last updated: 2023-04-21Bibliographically approved

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Nilsson, KristinaWestas, MatsAndersson, GerhardJohansson, PeterLundgren, Johan

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Division of Nursing Sciences and Reproductive HealthFaculty of Medicine and Health SciencesDepartment of Internal Medicine in NorrköpingPrimary Health Care Center Cityhälsan SöderPsychologyFaculty of Arts and SciencesDepartment of Biomedical and Clinical Sciences
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