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Journal of Community & Public Health Nursing | ISSN: 2471-9846 | Volume 4
December 05-06, 2018 | Chicago, USA
Registered Nurse and Nurse Practitioner Meeting
21
st
World Congress on
Nursing Education and Management
&
Perceptions of nursing care to promote self-management in chronic kidney disease
Rahel Bahru
McGill University, Canada
Introduction:
Hemodialysis patients often deal with complex lifestyle changes such as diet and fluid restrictions that may alter their
physical and emotional well-being. Nurses play an important role in promoting self-management and assisting patients to cope with
these changes.
Purpose:
To explore hemodialysis patients’ perspectives of nursing care that enables or hinders their ability to manage their illness.
Methods:
A qualitative descriptive design was used. Six male and three female hemodialysis patients were interviewed during their
outpatient dialysis treatment at a university-affiliated hospital.
Result:
Three major themes emerged: (1) What it means to live with chronic kidney disease (2) Managing the illness and treatment
regimen, and (3) Nature of the therapeutic relationship with nurses to promote self-management. Patients’ narratives also revealed
six important features of the nurse-patient relationship.
Conclusion:
Patients identified the nurse’s friendly demeanor and being patient-centered as care that assisted them to self-manage.
These findings underscore the importance of creating a nurturing and supportive environment and focusing on patients’ individual
needs. Reflective practice may be a helpful strategy to assist the nurse to consider the interpersonal aspect of the nurse-patient
relationship. The nurse’s use of motivational interviewing may help to gain the patients’ perspective and engage them in their care.
rahel.bahru@mail.mcgill.caJ Comm Pub Health Nursing 2018, Volume 4
DOI: 10.4172/2471-9846-C4-012