Experience of Nurses in Hemodialysis Care: A Phenomenological Study

Abstract

This study aimed to describe the experiences of nurses in hemodialysis care. In this phenomenological study, purposive sampling began and continued until data saturation. The research environment was the Hemodialysis unit. Data was collected through semi-structured interviews. Finally, two main classes and four sub-classes were identified, including factors effective on care (inhibitors and facilitators) and care outcomes (the negative effects of care on the nurse and the positive effects of care on the patient), and “challenging care” as the main theme. As the results show, nurses suffer from several physical and mental harm, and this harm even extends to their family environment, and their families are indirectly affected by the negative effects of this care. Therefore, strengthening management approaches to eliminate the inhibitor factors is essential in order to prevent nurses’ burnout or quitting while improving the quality of care provided by them.

Occupational Factors Associated with Health-Related Quality of Life in Nursing Professionals: A Multi-Centre Study

“…Healthcare professionals face situations of intense psychological and emotional involvement in daily practice [1]. Repeated contact with the suffering of patients and organisational aspects of their work context are considered risk factors affecting the psychological and emotional well-being of workers [2,3].…”

“…This results in reduced HRQoL, which, in turn, results in a reduction in the quality of patient care [17]. According to the existing literature, several components have been assessed and classified as unfavourable by professionals [18], indicating that they may have consequences for the professionals' perception of their HRQoL [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. These components include characteristics of their work environment (shift, employment status, setting), work-related stress [20], and sociodemographic factors affecting them, such as age, marital status, years of work experience and particularly gender [21].…”

The Effect of Nursing Instructions on Nurses’ Knowledge, Practice and Suggestions Regarding Adverse Events in Hemodialysis

“…On the other hand, these results correspond with many studies [18,19], who stressed that hemodialysis nurse, should have knowledge of types and causes of adverse events to identify related risks and situations that affected the patient safety and led to prevent patient harm and ensure the quality of care. Also, [20], stressed in his report that providing safe care to the patient that depends on nurses' qualifications to detect factors which contributed to adverse events occurrence.…”

“…It was used to evaluate nurses' knowledge regarding adverse events at hemodialysis unit (pre & post). The tool consists of the following: a-Socio-demographic data such as: age, gender, level of education, years of experience & attending training courses b-Nurses' knowledge questionnaire which contains: i) general knowledge (20) questions related definitions of dialysis safety, patient safety, adverse events and hemodialysis complications. ii) Specific knowledge (22) questions covering different types, causes of adverse events and factors influencing adverse events; iii) nurses' actions taken if an adverse events occur (7).…”

Complicações hemodialíticas na unidade de terapia intensiva

“…[6][7] Hemodialysis is used as a modality of kidney replacement therapy in the ICU, the mechanical process of which aims to remove toxic substances and excess fluid that accumulate due to kidney failure. 8 Hemodialysis is understood to contribute to the maintenance of life of the patient; however, can trigger several complications that may, in some extremely serious situations, lead the patient to death during the hemodialysis procedure. 9 Among the main intradialytic complications, hypotension, hypertension, muscle cramps, nausea, fever and chills are among the main intradialitic complications.…”