Impact of dialysis reimbursement policies on care outcomes in peritoneal dialysis patients in Taiwan

Chang, Ray-E; Lin, Shih‐Pi; Myrtle, Robert C.

doi:10.1016/j.healthpol.2023.104816

Cited by 1 publication

(3 citation statements)

References 33 publications

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“…HD patients require culturally sensitive care because it involves totally changing their previous life. End Stage Renal Disease (ESRD) represents the end stage of chronic kidney disease, and hemodialysis (HD) is presently the most common treatment for ESRD [ 13 ]. Chronic kidney disease has become a prevalent public health issue worldwide, with increasing incidence rates and significant mortality rates in many regions [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Taiwan has the highest incidence and prevalence of ESRD worldwide [ 13 ]. Although the health insurance system provides good dialysis treatment for patients with chronic kidney disease, offering them a chance of survival, their mortality rate is higher than that of the general population due to the negative impact of chronic kidney disease, comorbidities, and dialysis treatment [ 13 ]. In clinical nursing practice, it is essential to emphasize the effectiveness of the patient’s dialysis treatment and the interpretation of test results while also providing health education on diet and disease management based on the test data.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the care experiences of hemodialysis nurses: from the cultural sensitivity approach

Jui-Chin,

Fen-Fang,

Tso-Ying

et al. 2024

BMC Nurs

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Background Culturally sensitive care has been identified as a best-practice approach for improving health outcomes. Hemodialysis patients require culturally sensitive care because it involves totally changing their previous life. The purpose of this study was to explore the subjective experiences of hemodialysis nurses in providing culturally sensitive care to hemodialysis patients. Methods A qualitative study was carried out in the hemodialysis center of a teaching hospital in northern Taiwan. Purposive sampling and semi-structured interview guidelines were employed to interview 23 hemodialysis nurses. The interviews were recorded and transcribed verbatim, and the resulting data were analyzed and summarized using content analysis by constant comparative methods. Results Hemodialysis nurses exhibited the characteristics for delivering culturally sensitive care, which comprised five aspects: finding the true meaning of the behavior of the participants, recognizing and honoring individual psychological states, culturally sensitive communication in line with patients’ values, customizing care content through cultural transformation strategies, and empowerment rather than prohibition. Conclusions The findings of this study on the culturally sensitive care provided by hemodialysis nurses can be utilized by nursing educators and administrators as a reference to develop and enhance the nursing education related to culturally sensitive care for hemodialysis professionals.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%