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Professional support for next of kin of patients receiving chronic haemodialysis treatment: a content analysis study of nursing documentation
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
2007 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 2, 353-361 p.Article in journal (Refereed) Published
Abstract [en]

Aim and objectives.  The aim of this study was to examine the content of nursing documentation with a focus on professional support for next of kin (NoK) of patients receiving chronic haemodialysis treatment.

Background.  Professional support in nursing focuses on promotion, maintenance and restoration of health and prevention of illness.

Design.  The study had a descriptive design and qualitative content analysis was used to search for themes based on descriptions contained in the collected nursing documentation.

Methods.  The total number of nursing records of patients receiving chronic haemodialysis treatment (n = 50) for the 5-year period 1998–2002 was included. All nursing documentation was systematic in accordance with the VIPS-documentation model.

Results.  The professional support could be described within the framework of three themes: to explore NoK's supportive resources, to enable NoK’ readiness in caring for the patient and to co-operate with NoK in the care of the patient in the home, captured by the core theme which described the professional support as a continuous process.

Conclusions.  Next of kin are a supportive resource in the nursing care of patients receiving chronic haemodialysis treatment and professional support for NoK focuses on planning their participation in the care of patients in the home.

Relevance to clinical practice.  Professional support for NoK should be documented in family focused nursing diagnoses, which would make it possible to search for different types of support. Future research might explore nurses’ or NoK's views on carer support.

Place, publisher, year, edition, pages
2007. Vol. 16, no 2, 353-361 p.
Keyword [en]
Content analysis, Haemodialysis, Next of kin, Nursing, Nursing documentation, Professional support
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-49996DOI: 10.1111/j.1365-2702.2006.01597.xOAI: oai:DiVA.org:liu-49996DiVA: diva2:270892
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Everyday life among next of kin of haemodialysis patients
Open this publication in new window or tab >>Everyday life among next of kin of haemodialysis patients
2005 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Everyday life can be complex when next of kin of haemodialysis patients are preoccupied with taking care of the patient and his/her health. which implies the difficulties and requirements needed. The general aim of this thesis was to explore and describe everyday life among next of kin of haemodialysis patients with focus on the life situation, health, time and professional support. Two perspectives of the thesis was applied: a holistic perspective on the everyday life of next of haemodialysis patient and a social perspective with focus on human communication and understanding of next of kin's experience of everyday life. A qualitative descriptive and explorative design. comprising a phenomenographic and content analysis was used in Studies I-IV. The data collected in the studies consisted of interviews with next of kin to haemodialysis patient and analysis of professional support for next of kin to chronic haemodialysis patients in nursing documentation from two hospitals in Sweden.

The experience of time in everyday life among next of kin of haemodialysis patients demonstrated that time for them is minimised and life space contracted. Next of kin experienced ambivalence towards their own health, especially in cases of patients' spouses When next of kin of haemodialysis patient's became involved in the patients' care, they experienced arduousness in relation to their own health as well as less uninterrupted time for themselves in everyday life. and their life situation was characterised by confinement and social isolation. They were aware of the prognosis of renal disease and the fact that haemodialysis is a life-sustaining treatment, which forced them to live for the moment. The everyday life among the next of kin changed when the family became involved in the care. which in turn lead to a changed life situation and restrictions in everyday life. Lack of knowledge in nursing documentation of professional support revealed necessity of the readiness of next of kin. It is therefore important to be familiar with this in the nursing process. especially when the patient and their next of kin need support and attention in everyday life.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2005. 58 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 926
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-32086 (URN)17942 (Local ID)91-85497-65-7 (ISBN)17942 (Archive number)17942 (OAI)
Public defence
2005-12-15, Ekensalen, Hälsouniversitetet, Linköping, 13:00 (Swedish)
Opponent
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2012-09-25Bibliographically approved

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Ziegert, Kristina

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