The Experience of Individuals Transitioning from In-Center Hemodialysis to Home Dialysis After a Suboptimal Start: A Mixed-Method Study

FieldValue
dc.contributor.authorSauve, Caroline
dc.date.accessioned2015-12-03T18:16:38Z
dc.date.available2015-12-03T18:16:38Z
dc.date.created2015
dc.date.issued2015
dc.identifier.urihttp://hdl.handle.net/10393/33423
dc.identifier.urihttp://dx.doi.org/10.20381/ruor-2687
dc.description.abstractBackground It is estimated that up to 50% of individuals begin dialysis with a suboptimal start. Objective To explore the transition to home dialysis, with a special emphasis on this transition after a suboptimal start. Methods A two-phased mixed methods study including: 1) a scoping review and meta-synthesis on the facilitators and barriers to home dialysis and 2) a qualitative study using thematic analysis on the transition to home dialysis after a suboptimal start. Findings 12 studies were included in the scoping review. Principle facilitators and barriers included Support, Burden of Care, and Disruption of Life. Six individuals were included into the qualitative phase. Through their interviews, they expressed the importance of the timely delivery of information, support, living with loss, managing fear, living with hope, and learning to live with dialysis. Conclusions The facilitators and barriers to home dialysis were similar in both studies suggesting that the transition to home dialysis is similar regardless of the nature of dialysis start. Several subthemes obtained from the qualitative study however revealed that a suboptimal dialysis start entails unique challenges, requiring the delivery of more support and education.
dc.language.isoen
dc.publisherUniversité d'Ottawa / University of Ottawa
dc.subjectDialysis
dc.subjectHome Dialysis
dc.subjectTransition
dc.titleThe Experience of Individuals Transitioning from In-Center Hemodialysis to Home Dialysis After a Suboptimal Start: A Mixed-Method Study
dc.typeThesis
dc.faculty.departmentSciences infirmières / Nursing
dc.contributor.supervisorFothergill Bourbonnais, Frances
dc.contributor.supervisorVandyk, Amanda
dc.degree.nameMSc
dc.degree.levelmasters
dc.degree.disciplineSciences de la santé / Health Sciences
thesis.degree.nameMSc
thesis.degree.levelMasters
thesis.degree.disciplineSciences de la santé / Health Sciences
uottawa.departmentSciences infirmières / Nursing
CollectionThèses, 2011 - // Theses, 2011 -

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