Nurses’ perceptions of patient participation in hemodialysis treatment
The aim of this study is to explore how nurses perceive patient participations of patients over 75 years old undergoing hemodialysis treatment in dialysis units, and of their next of kin. Ten nurses told stories about what happened in the dialysis units. These stories were analyzed with critical dis...
| Autores principales: | ; ; |
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| Tipo de documento: | Electrónico Review |
| Lenguaje: | Inglés |
| Verificar disponibilidad: | HBZ Gateway |
| Journals Online & Print: | Gargar...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Publicado: |
Sage
2012
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| En: |
Nursing ethics
Año: 2012, Volumen: 19, Número: 3, Páginas: 419-430 |
| Otras palabras clave: | B
Hemodialysis
B patient participation B Reseña B Critical Discourse Analysis B next of kin B Elderly |
| Acceso en línea: |
Volltext (lizenzpflichtig) |
| Sumario: | The aim of this study is to explore how nurses perceive patient participations of patients over 75 years old undergoing hemodialysis treatment in dialysis units, and of their next of kin. Ten nurses told stories about what happened in the dialysis units. These stories were analyzed with critical discourse analysis. Three discursive practices are found: (1) the nurses’ power and control; (2) sharing power with the patient; and (3) transferring power to the next of kin. The first and the predominant discursive practice can be explained with an ideology of paternalism, in which the nurses used biomedical explanations and the ethical principle of benefice to justify their actions. The second can be explained with an ideology of participation, in which the nurses used ethical narratives as a way to let the patients participate in the treatment. The third seemed to involve autonomous decision-making and the ethical principle of autonomy for the next of kin in the difficult end-of-life decisions. |
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| ISSN: | 1477-0989 |
| Obras secundarias: | Enthalten in: Nursing ethics
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| Persistent identifiers: | DOI: 10.1177/0969733011429015 |