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Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel

OBJECTIVE: To examine, from the nursing perspective, the needs and challenges of coordinated hospital-home care for renal patients on hemodialysis. METHODS: A qualitative analysis was conducted with an ethnographic approach in a hemodialysis unit in San Luis Potosi, Mexico. Semistructured interviews...

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Autores principales: Tejada-Tayabas, Luz María, Partida-Ponce, Karla Lizbeth, Hernández-Ibarra, Luis Eduardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458995/
https://www.ncbi.nlm.nih.gov/pubmed/26039292
http://dx.doi.org/10.1590/0104-1169.0058.2546
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author Tejada-Tayabas, Luz María
Partida-Ponce, Karla Lizbeth
Hernández-Ibarra, Luis Eduardo
author_facet Tejada-Tayabas, Luz María
Partida-Ponce, Karla Lizbeth
Hernández-Ibarra, Luis Eduardo
author_sort Tejada-Tayabas, Luz María
collection PubMed
description OBJECTIVE: To examine, from the nursing perspective, the needs and challenges of coordinated hospital-home care for renal patients on hemodialysis. METHODS: A qualitative analysis was conducted with an ethnographic approach in a hemodialysis unit in San Luis Potosi, Mexico. Semistructured interviews were conducted with nine nurses, selected by purposeful sampling. Structured content analysis was used. RESULTS: Nurses recounted the needs and challenges involved in caring for renal patients. They also identified barriers that limit coordinated patient care in the hospital and the home, mainly the work overload at the hemodialysis unit and the lack of a systematic strategy for education and lifelong guidance to patients, their families and caregivers. CONCLUSIONS: This study shows the importance and necessity of establishing a strategy that goes beyond conventional guidance provided to caregivers of renal patients, integrating them into the multidisciplinary group of health professionals that provide care for these patients in the hospital to establish coordinated hospital-home care that increases therapeutic adherence, treatment substitution effectiveness and patient quality of life.
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spelling pubmed-44589952015-06-18 Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel Tejada-Tayabas, Luz María Partida-Ponce, Karla Lizbeth Hernández-Ibarra, Luis Eduardo Rev Lat Am Enfermagem Original Articles OBJECTIVE: To examine, from the nursing perspective, the needs and challenges of coordinated hospital-home care for renal patients on hemodialysis. METHODS: A qualitative analysis was conducted with an ethnographic approach in a hemodialysis unit in San Luis Potosi, Mexico. Semistructured interviews were conducted with nine nurses, selected by purposeful sampling. Structured content analysis was used. RESULTS: Nurses recounted the needs and challenges involved in caring for renal patients. They also identified barriers that limit coordinated patient care in the hospital and the home, mainly the work overload at the hemodialysis unit and the lack of a systematic strategy for education and lifelong guidance to patients, their families and caregivers. CONCLUSIONS: This study shows the importance and necessity of establishing a strategy that goes beyond conventional guidance provided to caregivers of renal patients, integrating them into the multidisciplinary group of health professionals that provide care for these patients in the hospital to establish coordinated hospital-home care that increases therapeutic adherence, treatment substitution effectiveness and patient quality of life. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015 /pmc/articles/PMC4458995/ /pubmed/26039292 http://dx.doi.org/10.1590/0104-1169.0058.2546 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Tejada-Tayabas, Luz María
Partida-Ponce, Karla Lizbeth
Hernández-Ibarra, Luis Eduardo
Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel
title Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel
title_full Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel
title_fullStr Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel
title_full_unstemmed Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel
title_short Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel
title_sort coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458995/
https://www.ncbi.nlm.nih.gov/pubmed/26039292
http://dx.doi.org/10.1590/0104-1169.0058.2546
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