Collegian最新文献

{"title":"Contextualising an online mindfulness-based intervention for young people with cancer: A qualitative study","authors":"Sheeja Perumbil Pathrose ,&nbsp;Jonny Wells ,&nbsp;Pandora Patterson ,&nbsp;Fiona Mcdonald ,&nbsp;Bronwyn Everett ,&nbsp;Jane Ussher ,&nbsp;Yenna Salamonson ,&nbsp;Gina M. Biegel ,&nbsp;Tho Nguyen ,&nbsp;Lucie Ramjan","doi":"10.1016/j.colegn.2023.11.005","DOIUrl":"10.1016/j.colegn.2023.11.005","url":null,"abstract":"<div><h3>Background</h3><p>Despite improved prognosis, living with cancer can still negatively impact young people’s psychosocial well-being. Mindfulness-based interventions (MBI) have been shown to help manage cancer-related stress but tailored interventions for young people are warranted. In addition, attendance at intensive face-to-face MBI is often a barrier to access and adherence.</p></div><div><h3>Aim</h3><p>This study aims to contextualise an online MBI, for young people with cancer (YPWC).</p></div><div><h3>Methods</h3><p>This study modified an online MBI using a qualitative research approach through several phases, including a discussion with experts, a workshop with YPWC (<em>n</em> = 6), followed by focus groups with health professionals (<em>n</em> = 5) and YPWC (<em>n</em> = 7).</p></div><div><h3>Findings</h3><p>The qualitative thematic analysis of data from the workshop discussion and focus groups identified two key themes, which were (i) developing mindfulness skill and adopting into daily living and appropriateness; and (ii) accessibility of design and delivery of an MBI eBook. The participants in the workshop and focus group provided various recommendations and as a result of these data, the modules were modified and further tailored both at the design level and the module contents.</p></div><div><h3>Discussion</h3><p>This study contextualised a self-directed, online MBI through the participation from YPWC and healthcare providers. This participatory approach enabled the development of a young people friendly intervention that incorporated cancer-focused case studies with mindful reflections, all of which were well-received by YPWC.</p></div><div><h3>Conclusion</h3><p>The involvement of end-users in the development phase significantly improved the acceptability of this intervention design. The tailored MBI potentially aids the psychosocial well-being of YPWC.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 56-62"},"PeriodicalIF":1.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001105/pdfft?md5=bd1093ce1e35cbf6c3537c33aa6101e8&pid=1-s2.0-S1322769623001105-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139016878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contextualising an online mindfulness-based intervention for young people with cancer: A qualitative study","authors":"Sheeja Perumbil Pathrose, Jonny Wells, Pandora Patterson, Fiona Mcdonald, Bronwyn Everett, Jane Ussher, Yenna Salamonson, Gina M. Biegel, Tho Nguyen, Lucie Ramjan","doi":"10.1016/j.colegn.2023.11.005","DOIUrl":"https://doi.org/10.1016/j.colegn.2023.11.005","url":null,"abstract":"<h3>Background</h3><p>Despite improved prognosis, living with cancer can still negatively impact young people’s psychosocial well-being. Mindfulness-based interventions (MBI) have been shown to help manage cancer-related stress but tailored interventions for young people are warranted. In addition, attendance at intensive face-to-face MBI is often a barrier to access and adherence.</p><h3>Aim</h3><p>This study aims to contextualise an online MBI, for young people with cancer (YPWC).</p><h3>Methods</h3><p>This study modified an online MBI using a qualitative research approach through several phases, including a discussion with experts, a workshop with YPWC (<em>n</em> = 6), followed by focus groups with health professionals (<em>n</em> = 5) and YPWC (<em>n</em> = 7).</p><h3>Findings</h3><p>The qualitative thematic analysis of data from the workshop discussion and focus groups identified two key themes, which were (i) developing mindfulness skill and adopting into daily living and appropriateness; and (ii) accessibility of design and delivery of an MBI eBook. The participants in the workshop and focus group provided various recommendations and as a result of these data, the modules were modified and further tailored both at the design level and the module contents.</p><h3>Discussion</h3><p>This study contextualised a self-directed, online MBI through the participation from YPWC and healthcare providers. This participatory approach enabled the development of a young people friendly intervention that incorporated cancer-focused case studies with mindful reflections, all of which were well-received by YPWC.</p><h3>Conclusion</h3><p>The involvement of end-users in the development phase significantly improved the acceptability of this intervention design. The tailored MBI potentially aids the psychosocial well-being of YPWC.</p>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"80 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health nurses’ caring efficacy towards consumers with dual diagnosis: A descriptive study","authors":"Roopalal Anandan ,&nbsp;Wendy M. Cross ,&nbsp;Michael Olasoji ,&nbsp;Huy Nguyen","doi":"10.1016/j.colegn.2023.11.002","DOIUrl":"10.1016/j.colegn.2023.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Dual diagnosis is a common and complex problem in mental health settings. This study aimed to assess mental health nurses’ caring efficacy towards consumers with dual diagnosis in Australian mental health settings. The research question was: What is the caring efficacy of mental health nurses towards consumers with coexisting mental health and drug and alcohol problems?</p></div><div><h3>Materials and methods</h3><p>Eighty-four mental health nurses specialising in caring for consumers with dual diagnosis were recruited using convenience sampling from multiple mental health facilities. The Caring Efficacy Scale assessed mental health nurses’ caring efficacy. Descriptive data and multiple-regression analyses were conducted using SPSS© Version: 28.0.1.0 (142) (<span>IBM Corp. 2021</span>).</p></div><div><h3>Results</h3><p>The mean caring efficacy score was 145.70, with a standard deviation of 19.92. Caring efficacy values varied from 92 to 178. Mental health nurses’ age, position, clinical settings, and work experience were associated with their caring efficacy. Work experience, experience in current job, caring efficacy, confidence to care, and doubts and concerns correlated with each other (all <em>r</em> &gt; .24, <em>p</em> ≤ .001). The predictors' confidence to care (<em>β</em> = 1.06, <em>p</em> &lt; .001) and doubts and concerns (<em>β</em> = 58.63, <em>p</em> &lt; .001) explained mental health nurses’ caring efficacy. The predictors' age (<em>β</em> = 8.96, <em>p</em> = .033) and self-doubt (<em>β</em> = .39, <em>p</em> = .001) explained mental health nurses’ confidence to care. The predictors' age (<em>β</em> = 10.11, <em>p</em> = .032) and professional experience (<em>β</em> = 8.82, <em>p</em> = .042) explained mental health nurses’ doubts and concerns.</p></div><div><h3>Conclusions</h3><p>Mental health nurses’ caring efficacy towards consumers with dual diagnosis was above average. The confidence and concerns of mental health nurses play a role in their ability to provide adequate care. Further interventional research is needed to explore how mental health nurses’ age, clinical experience, and self-efficacy impact their ability to care for consumers with dual diagnosis. The findings may be helpful for further health-related studies of mental health nurses’ caring efficacy and for making therapeutic decisions regarding consumer care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 40-47"},"PeriodicalIF":1.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001087/pdfft?md5=9bfabac367d66a15b405edf71f52c64e&pid=1-s2.0-S1322769623001087-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138821319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of hospital volunteering on empathy in nursing and medical students","authors":"Mary-Ellen Barker ,&nbsp;Jennie King ,&nbsp;Brett Mitchell ,&nbsp;Amanda Dawson ,&nbsp;Gary Crowfoot","doi":"10.1016/j.colegn.2023.11.001","DOIUrl":"10.1016/j.colegn.2023.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Empathic care benefits patients and healthcare providers. There is evidence of self-reported empathy decline among students in healthcare education. Hospital volunteering could assist undergraduate healthcare students to develop empathetic relationships with patients.</p></div><div><h3>Aim</h3><p>The study aimed to investigate the feasibility and effect of a hospital volunteering intervention on the empathy levels of undergraduate nursing and medical students<span>. It further aimed to explore their experience of the intervention and determine student-identified areas for patient safety improvements.</span></p></div><div><h3>Design</h3><p>Pre–post-intervention study</p></div><div><h3>Setting</h3><p>A large outer metropolitan hospital in New South Wales, Australia.</p></div><div><h3>Participants</h3><p>Twenty-nine (n = 29) undergraduate nursing and medical students from an Australian university.</p></div><div><h3>Methods</h3><p>Students had an introductory experience of volunteering at their local district hospital through participation in the ‘Volunteer Taster Program’. The Jefferson Scale of Empathy-Health Professions Student questionnaire was used to measure student empathy scores pre and post program. Responses to open-ended questions were thematically analysed to evaluate student experiences and identify student-reported areas for patient safety improvements.</p></div><div><h3>Results</h3><p>Twenty-nine students (18 nursing, 11 medical) completed the program. Students had statistically significant improvements in post-intervention mean empathy scores 112.03 (95% CI 107.56, 116.5) to 117.38 (95% CI 113.76, 121.00) p &lt; 0.001. Subgroup analysis identified a larger increase in empathy scores among medical students than nursing students. The thematic analysis revealed potential program benefits, including <span><em>new perspectives of the patient experience, improved confidence </em><em>in patient</em><em> communication</em></span>, a <em>stronger professional identity,</em> and <em>a rewarding experience</em>. Identified patient safety issues included concerns for patients’ emotional and physical well-being, and patient communication.</p></div><div><h3>Conclusions</h3><p>The Volunteer Taster Program is feasible and enabled nursing and medical students to connect with patients outside the sphere of clinical education. It appears to increase empathy levels in undergraduate students and could assist them to deliver empathetic, person-centred healthcare.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 34-39"},"PeriodicalIF":1.5,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138743708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors predisposing hospitals and nursing home staff to use personal protective equipment","authors":"Manuela Hoedl ,&nbsp;Doris Eglseer,&nbsp;Daniela Schoberer,&nbsp;Silvia Bauer","doi":"10.1016/j.colegn.2023.10.003","DOIUrl":"10.1016/j.colegn.2023.10.003","url":null,"abstract":"<div><h3>Background</h3><p>As physical contact is the one of the major transmission modes for a COVID-19 infection, the use of personal protective equipment (PPE) by nursing staff is warranted. A focus has been placed on the availability of PPE in the recent literature, but data are lacking on the actual use and the factors that predispose nursing staff in hospitals and nursing homes to use PPE are missing.</p></div><div><h3>Aim</h3><p>We investigated the availability and use of PPE and collected data on associated factors regarding the use of PPE, by nursing staff in hospitals and nursing homes in Austria.</p></div><div><h3>Methods</h3><p>We used data from two cross-sectional online surveys, with nursing staff recruited in the first and second wave of COVID-19.</p></div><div><h3>Findings</h3><p>The availability and use of surgical-face masks (SFM) and filtering-facepiece (FFP) masks increased in both settings during the second COVID-19 wave. In both settings, the availability of the PPE was associated with the use of gowns and FFP masks. Moreover, caring for a person suspected of or affected by COVID-19 was associated with the use of gowns, SFM, and FFP masks in both settings.</p></div><div><h3>Discussion</h3><p>Intra-personal factors such as age, sex, professional qualification, or work experience did not seem to significantly influence the usage of PPE in these settings. Our study findings show that the efforts invested to keep healthcare staff and residents safe and healthy needed to start at an organisational level.</p></div><div><h3>Conclusions</h3><p>These findings highlight the need for adequate nursing management training, since this influences the provision of high-quality nursing care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 20-27"},"PeriodicalIF":1.5,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000963/pdfft?md5=ab216910142f9f8ab3953c32a0dc4a56&pid=1-s2.0-S1322769623000963-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138576226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitator experiences of providing feedback of large quality and safety datasets to staff: A qualitative study","authors":"Rebekkah Middleton ,&nbsp;Denise Edgar ,&nbsp;Emma Radbron ,&nbsp;Val Wilson","doi":"10.1016/j.colegn.2023.11.003","DOIUrl":"10.1016/j.colegn.2023.11.003","url":null,"abstract":"<div><h3>Background</h3><p>Positive safety cultures are imperative for patient and staff outcomes. For transformation to occur in healthcare safety cultures, data should be collected at clinical, professional, and system levels and staff provided with the opportunity to review and take action. Feedback of such data, specifically large datasets, can be both difficult and confronting for those giving and receiving the information. As such, facilitation is a critical element of the feedback process that can ensure context is understood by those receiving feedback, strengths of the findings are outlined, and actions are forthcoming in response to the data.</p></div><div><h3>Aim</h3><p>To explore facilitator experiences, perceptions, and strategies employed when delivering feedback of large safety culture datasets to teams in a Local Health District in NSW Australia.</p></div><div><h3>Methods</h3><p>An exploratory descriptive qualitative approach utilising thematic analysis.</p></div><div><h3>Findings</h3><p>Three themes relating to the purpose, processes, and outcomes of facilitated feedback.</p></div><div><h3>Discussion</h3><p>Exploration of the themes demonstrated that when feedback is delivered by skilled facilitators in person-centred ways, reflection and understanding data are encouraged and skills developed in others.</p></div><div><h3>Conclusion</h3><p>Facilitation promoted positive action by healthcare staff in response to their findings, and the process of feedback resulted in enhanced expertise for facilitators.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 48-55"},"PeriodicalIF":1.5,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001075/pdfft?md5=764be79c996f7d07ee97d622b2c5e02f&pid=1-s2.0-S1322769623001075-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138566085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dear Diary — Shining a light on the work of 200 nurses","authors":"Mary Mulcahy ,&nbsp;Karen Tuqiri ,&nbsp;Kathryne E. Hoban ,&nbsp;Tracy Levett-Jones","doi":"10.1016/j.colegn.2023.10.004","DOIUrl":"10.1016/j.colegn.2023.10.004","url":null,"abstract":"<div><h3>Background</h3><p>To celebrate the 200th anniversary of the birth of Florence Nightingale, the World Health Assembly designated 2020 as the International Year of the Nurse and Midwife.</p></div><div><h3>Aim</h3><p>To celebrate this event, we aimed to collect and analyse 200 nurses’ personal accounts of a time when they made a meaningful difference to patient care and to compare the contemporary perspectives that emerged with those evident in Nightingale’s historical writings.</p></div><div><h3>Methods</h3><p>This project employed a narrative inquiry design with diary entries collected from nurses employed at one metropolitan hospital in Australia thematically analysed.</p></div><div><h3>Findings</h3><p><span>In total, 209 nurses from 46 clinical units representing a diverse range of roles and clinical specialties contributed to the project. Five overarching themes emerged from analysis: (1) compassionate practice; (2) person-centred care; (3) human connection; (4) patient safety; and (5) teamwork and </span>collaborative practice.</p></div><div><h3>Discussion and conclusion</h3><p>This project provided nurses with an opportunity to meaningfully reflect on their practice and to consider what matters most to them as they deliver care to patients and families. By mapping contemporary nursing practice to Nightingale’s writings, the findings highlight the historical legacy of nursing practice, provide a rich commentary on modern-day nursing, and illuminate nurses’ experiences of providing safe, high-quality, and compassionate patient care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 28-33"},"PeriodicalIF":1.5,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Not just for surgeons: A qualitative exploration of the surgical consent process","authors":"Therese M. Gardiner ,&nbsp;Sharon Latimer ,&nbsp;Jayne Hewitt ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.colegn.2023.10.001","DOIUrl":"10.1016/j.colegn.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Obtaining consent for surgery is a legal requirement and a professional practice standard, but little is known about how nurses and other healthcare professionals (HCPs) engage with this process.</p></div><div><h3>Aim</h3><p>To describe operating room (OR) HCPs’ perceptions of consent processes for adult patients undergoing planned surgery at one health service.</p></div><div><h3>Methods</h3><p>A qualitative exploratory design and purposive maximum variation sampling relative to age, discipline, experience, and role, were used to ensure broad perspectives were gathered. Semi-structured interviews with 17 OR HCPs were conducted between April and May 2021.</p></div><div><h3>Findings</h3><p>Thematic analysis identified three themes: the HCPs’ role in verifying consent goes beyond the World Health Organization’s Surgical Safety Checklist, effective communication is crucial for obtaining and verifying consent, and day-of-surgery delays and errors are multi-factorial.</p></div><div><h3>Discussion</h3><p>Production pressures in surgery can compromise consent processes, undermine communication, and impact patient safety in the OR.</p></div><div><h3>Conclusion</h3><p>HCPs verify more items than the World Health Organization Surgical Safety Checklist, suggesting the checklist may not go far enough when verifying consent in surgery.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 1-9"},"PeriodicalIF":1.5,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132276962300094X/pdfft?md5=d651b8e7f02cd6e776c1b888f39ac5a1&pid=1-s2.0-S132276962300094X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138494515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative approach to exploring nurse practitioners’ provision of telehealth services during the COVID-19 pandemic in Australia","authors":"Jane Currie ,&nbsp;Julia Charalambous ,&nbsp;Suzanne Williams ,&nbsp;Amanda Fox ,&nbsp;Olivia Hollingdrake","doi":"10.1016/j.colegn.2023.10.002","DOIUrl":"10.1016/j.colegn.2023.10.002","url":null,"abstract":"<div><h3>Background</h3><p>In adapting to provide socially distanced healthcare during the COVID-19 pandemic, the Australian government encouraged the use of telehealth consultations in circumstances where face-to-face consultations could be avoided. For nurse practitioners, four telephone and four telehealth Medicare Benefit Schedule items were established.</p></div><div><h3>Aim</h3><p>To explore nurse practitioners' perspectives on their provision of telehealth services during the COVID-19 pandemic in Australia.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with nurse practitioners (n = 16) recruited through snowball sampling. Interview data were analysed inductively (Phase 1) and deductively (Phase 2). Reported here in accordance with the Consolidated Criteria for Reporting Qualitative Research guideline.</p></div><div><h3>Findings</h3><p>Telehealth provided a viable alternative to in-person consultations during the pandemic, the most common reasons for presentations were medication prescriptions, provision of medical certificates, and management of chronic conditions. The priorities to include in programs to educationally prepare nurse practitioners to provide telehealth were knowledge of telehealth technology, systems and processes, patient assessment via telephone or video telehealth, limitations of scope of practice, and ensuring cultural safety.</p></div><div><h3>Discussion</h3><p>While the rapid transition to telehealth during COVID-19 was perceived to improve patient access to care, it was challenging to provide without having already established the systems and processes required, and without prior telehealth experience or education.</p></div><div><h3>Conclusions</h3><p>Since the height of the COVID-19 pandemic, telehealth has become an accepted means of operating for many healthcare services, including those provided by nurse practitioners. The findings suggest that the educational preparation of nurse practitioners to provide care via telephone or telehealth services is important and should be considered as part of the design of tertiary education leading to nurse practitioner endorsement in Australia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 10-19"},"PeriodicalIF":1.5,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000951/pdfft?md5=de2e8a1b601946454ce131302f494ab2&pid=1-s2.0-S1322769623000951-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Only the Sufferer Knows”: Long-term problems and experiences of kidney transplant recipients: A phenomenological study","authors":"Deniz Taşdemir ,&nbsp;Büşra Nur Temür ,&nbsp;Nilgün Aksoy","doi":"10.1016/j.colegn.2023.09.004","DOIUrl":"10.1016/j.colegn.2023.09.004","url":null,"abstract":"<div><h3>Background</h3><p>Understanding the experiences of kidney transplant recipients is important to ensure their inclusion in key strategies and future planning of renal services.</p></div><div><h3>Aim</h3><p>To explore the long-term problems and experiences of adults who have had a kidney transplant due to end-stage kidney disease after discharge.</p></div><div><h3>Methods</h3><p>This was a descriptive phenomenological study. The data were collected through in-depth interviews. A personal information form and semi-structured interview guide were used in the interviews. The interviews were recorded using a voice recorder and conducted by adhering to the semi-structured interview guide. When data saturation was reached and no new information emerged, data collection was terminated after the 17th participant, whose responses were found to be repetitive. In this study, a descriptive phenomenological design and thematic analysis approach based on Husserl’s philosophy was used. The data analysis process was carried out independently by all researchers. Throughout this process, the researchers held regular meetings to discuss and compare the emerging findings. Individual, semi-structured, in-depth interviews were transcribed verbatim. The findings were analysed using Colaizzi's seven-step analysis.</p></div><div><h3>Results</h3><p><span>In total, 17 kidney transplant recipients (five women and 12 men) were included in the study. In the data analysis process, three main themes and 10 sub-themes were identified. Main themes: (i) problems experienced by kidney transplant recipients, (ii) inevitable fears, and (iii) situations that only individuals with kidney transplants can understand — “Only the Sufferer Knows”. Sub-themes: management of drug therapy, role–relationship management, permanent treatment responsibilities and burden, fear of rejection, fear of returning to </span>dialysis treatment, pervasive fear of routine examination results, significance of kidney transplant surgery, sense of gratitude towards the donor, being ‘sick’ in the eyes of others, and not being understood by others.</p></div><div><h3>Conclusion</h3><p>This study provides new insights into understanding the lives of post-transplant kidney transplant recipients. Renal healthcare professionals should focus on the psychological impact as much as the biological impact on recipients of kidney transplants.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 835-842"},"PeriodicalIF":1.5,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}