Hemodialysis Adequacy Sacrificed for Business: A Qualitative Study
| Author | Vajihe Biniaz | en |
| Author | Hossein Karimi Moonaghi | en |
| Author | Razieh Froutan | en |
| Author | Abbass Ebadi | en |
| Orcid | Hossein Karimi Moonaghi [0000-0003-0496-2306] | en |
| Orcid | Razieh Froutan [0000-0001-8167-0732] | en |
| Issued Date | 2018-05-31 | en |
| Abstract | Background: Dialysis adequacy is a predictor for mortality and morbidity in patients undergoing hemodialysis. Previous studies pinpointed several factors as barriers to adequate dialysis. However, there is a scarcity of studies investigating the experiences of patients undergoing hemodialysis and health care providers (e g, dialysis nurses and nephrologists) with regards to high-quality dialysis barriers. The current study aimed at gaining a deeper understanding regarding the experiences of patients undergoing hemodialysis and dialysis professionals about the subjective barriers to hemodialysis adequacy. Methods: The current study was conducted using the conventional content analysis method; 19 patients undergoing hemodialysis, 2 hemodialysis caregivers, 2 hemodialysis nurses, and 2 nephrologists were included and interviewed. Results: Based on the obtained data, 993 initial codes were extracted under four categories: barrier of self, social support insufficiency, hemodialysis mafia, and supervision weakness. Conclusions: Patients undergoing hemodialysis and health care providers have different experiences compared with what is mentioned in textbooks about barriers to high-quality dialysis. The findings highlight the need for immediate re-examination and preparation of the standards for the quality of hemodialysis, as well as attention and focus on non-physiological barriers to dialysis adequacy. | en |
| DOI | https://doi.org/10.5812/numonthly.68254 | en |
| Keyword | Hemodialysis | en |
| Keyword | Dialysis Adequacy | en |
| Keyword | Kt/V | en |
| Keyword | Content Analysis | en |
| Publisher | Brieflands | en |
| Title | Hemodialysis Adequacy Sacrificed for Business: A Qualitative Study | en |
| Type | Research Article | en |
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