Rahel Bahru, Margaret Purden and Margaret Kerr
McGill University, Canada
Posters & Accepted Abstracts: Adv Practice Nurs
Introduction: Hemodialysis patients often deal with complex lifestyle changes such as diet and fluid restrictions that may alter their physical and emotional well-being. Nurses play an important role in promoting self-management and assisting patients to cope with these changes. Purpose: To explore hemodialysis patientsā?? perspectives of nursing care that enables or hinders their ability to manage their illness. Methods: A qualitative descriptive design was used. 6 male and 3 female hemodialysis patients were interviewed during their outpatient dialysis treatment at a university affiliated hospital. Results: Three major themes emerged: What it means to live with chronic kidney disease; Managing the illness and treatment regimen, and Nature of the therapeutic relationship with nurses to promote self-management. Patientsā?? narratives also revealed six important features of the nurse-patient relationship. Conclusion: Patients identified the nurseā??s friendly demeanour and being patient-centered as care that assisted them to selfmanage. These findings underscore the importance of creating a nurturing and supportive environment, and focusing on patientsā?? individual needs. Reflective practice may be a helpful strategy to assist the nurse to consider the interpersonal aspect of the nurse-patient relationship. The nurseā??s use of motivational interviewing may help to gain the patientsā?? perspective and engage them in their care.
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