Main Article Content

Abstract

Objective: This study aims to reveal the qualitative evidence of the patient with chronic kidney disease through the perception of the nephrology nursing team from an existential perspective.


Material and Method: Qualitative exploratory-descriptive study, with analysis based on the Paterson and Zderard’s humanist theory and the existentialist philosophy. The field work was carried out in a nephrology service in southern Brazil and a hemodialysis center in Lorca, Spain. The sample was 12 professionals from the nursing team. The study of the data was done through content analysis, with the identification of central categories.


Results/Discussion: Three central categories were identified: being patient; accept the disease and establish links. Being a patient reveals itself as a caring being that requires specialized nursing care, for the treatment of physical symptoms, but also from an attentive and welcoming view of their emotional needs. Acceptance of the disease by the patient is key to being aware of his/her existence. For this, the nursing professional must establish links with being cared for.


Final considerations: When unveiling this new reality as well as the need to perform renal replacement therapy, the person cared for presents feelings of fear, sadness, hopelessness, suffering due to the loss of autonomy. However, positive feelings such as confidence are also perceived when establishing a bond with the nursing team, and of hope and joy at the possibility of a transplant and recovery of autonomy.

Keywords

nursing existentialism renal insufficiency chronic qualitative research

Article Details

How to Cite
1.
Giordani-Da Silva C, Oliveira Crossetti M da G, Giménez-Fernández M, Prates J. Being a chronic kidney patient from the nursing perspective: an existentialist look at the qualitative evidence approach. Enferm Nefrol [Internet]. 2021 [cited 2025 Apr 30];24(2):[about 9 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4394

Funding data

References

  1. Daugirdas JT, Blake PG, Ing TS. Manual de diálise. 13th ed. Rio de Janeiro: Guanabara Koogan; 2016.
  2. Spigolon DN, Teston EF, Souza FO, Santos B, Souza RR, Moreira Neto A. Nursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study. Rev Bras Enferm. 2018;71(4):2014-20.
  3. Mills KT, Xu Y, Zhang W, Bundy JD, Chen C, Kelly TN et al. A systematic analysis of world-wide population-based data on the global burden of chronic kidney disease in 2010. Kidney International. 2015;88(5):950-7.
  4. Neves PDMM, Sesso RCC, Thomé FS, Lugon JR, Nascimento MM. Censo Brasileiro de Diálise: análise de dados da década 2009-2018. J. Bras. Nefrol. 2020;42(2):191-200.
  5. REER – Registro Español de Enfermos Renales. Informe de diálisis y Trasplante 2019. [consultado 22 feb 2020] Disponible en: senefro.org/contents/webstructur/INFORME_REER_SEN_2020_WEB_SEN.pdf.
  6. Danski MTR, Oliveira GLR, Pedrolo E, Lind J, Johann DA. Importância da prática baseada em evidências nos processos de trabalho do enfermeiro. Ciência, Cuidado E Saúde. 2017 abr-jun;16(2).
  7. Ou CHK, Hall WA, Thorne SE. Can nursing epistemology embrace p-values? Nurs Philos. 2017;18:e12173.
  8. Heidegger M. Ser e tempo. 3ª ed. Petrópolis: Vozes; 2008.
  9. Salimena AMO, Costa YCN, Amorim TV, Souza RCM. Sentimentos da pessoa em hemodiálise: percepção da equipe de enfermagem. Revista de Enfermagem do Centro-Oeste Mineiro. 2018;8:e2578.
  10. Silva AS, Silveira RS, Fernandes GFM, Lunardi VL, Backes VMS. Percepções e mudanças na qualidade de vida de pacientes submetidos à hemodiálise. Rev Bras Enferm. 2011;64(5):839-44.
  11. Rodríguez S, Cárdenas M, Pacheco AL, Ramírez M, Ferro N, Alvarado E. Reflexión teórica sobre el arte del cuidado. Enfermería Universitária 2017;14(3):191-8.
  12. Ferreira MA. O clássico e o emergente: desafios da produção, da divulgação e da utilização do conhecimento da enfermagem. Rev Bras. Enferm. 2013;66(esp):45-60.
  13. Paterson JE, Zderad LT. Enfermería humanística. Ciudad de México (MEX): Editoral Limusa S.A; 1979.
  14. Polit DF, BECK CT. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem. 7ª edição. Porto Alegre: Artmed; 2011.
  15. O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for Reporting Qualitative Research: A Synthesis of Recommendations. Acad Med. 2014;89:1245-51.
  16. Brasil. Resolução nº 466, de 12 de dezembro de 2012. Dispõe sobre diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da República Federativa do Brasil, Brasília, DF, 13 jun. 2013. [Consultado 20 feb 2020]. Disponible en: Disponible en: http://bit.ly/1mTMIS3.
  17. Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
  18. França JRFS, Costa SFG, Lopes MEL, Nóbrega MML, Batista PSS, Oliveira RC. Existential experience of children with cancer under palliative care. Rev Bras Enferm. 2018;71(Suppl 3):S1320-7.
  19. Stavropoulou A, Grammatikopoulou MG, Rovithis M, Kyriakidi K, Pylarinou A, Markaki AG. Through the Patients’Eyes: The Experience of End-Stage Renal Disease Patients Concerning the Provided Nursing Care. Healthcare. 2017;5(36).
  20. Shahdadi H, Rahnama M. Experience of Nurses in Hemodialysis Care: A Phenomenological Study. J. Clin. Med. 2018;7(30).
  21. Salimena AMO, Souza MO, Melo MCSC, Ferreira MR. O cotidiano da mulher em hemodiálise. Rev Fund Care Online. 2016 jul/set;8(3):4636-43.
  22. Maciel CG, Ferraz RN, França VV, Frazão IS, Borba AKOT. Adesão ao tratamento hemodialítico: percepção dos pacientes renais crônicos. Cogitare Enferm. 2015 jul/set;20(3):540-7.
  23. Ferreira LF, Agra G, Formiga N. Experiências e sentimentos de pacientes em terapida hemodialítica. RSC online, 2017;6(1):39-56.
  24. Santos DG, Sá RN. A Existência como “Cuidado”: Elaborações Fenomenológicas sobre a Psicoterapiana Contemporaneidade. Revista da Abordagem Gestáltica - Phenomenological Studies –. 2013;XIX(1):53-9.
  25. Alves LO, Guedes CCP, Costa BG. Nurses actions for chronic renal patients: reflection of comprehensive care focus. J. res.: Fundam. Care. Online. 2016 jan./mar;8(1):3907-21.
  26. Ramírez-Perdomo CA. Afrontar el tratamiento de la enfermedad renal crónica. Enferm Nefrol. 2019 oct-dic;22(4):379-87.
  27. Silva SM, Braido NF, Ottaviani AC, Gesualdo GD, Zazzetta MS, Orlandi FS. Social support of adults and elderly with chronic kidney disease on dialysis. Rev. Latino-Am. Enfermagem. 2016;24:e2752.
  28. Pereira BS, Fernandes NS, Melo NP, Abrita R, Grincenkov FRS, Fernandes NMS. Beyond quality of life: a cross sectional study on the mental health of patients with chronic kidney disease undergoing dialysis and their caregivers. Health and Quality of Life Outcomes. 2017;15:74.
  29. Nobahar M, Tamadon MR. Barriers to and facilitators of care for hemodialysis patients; a qualitative study. J Renal Inj Prev. 2016;5(1):39-44.
  30. Delmas P, O’Reilly L, Cara C, Brousseau S, Weidmann J, Roulet-Schwab D et al. Effects on nurses’ quality of working life and on patients’ quality of life of an educational intervention to strengthen humanistic practice among hemodialysis nurses in Switzerland: a protocol for a mixed-methods cluster randomized controlled trial. BMC Nursing. 2018;17:47.

Similar Articles

<< < 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 > >> 

You may also start an advanced similarity search for this article.