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Original Article

The 'Good Nursing' Experienced by Hemodialysis Patients

Eun Yi Yeom1, Miyoung Kim2
Korean Journal of Adult Nursing 2014;26(3):275-286.
Published online: June 30, 2014

1Department of Nursing, Chungwoon University, Hongseong

2Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea

Corresponding author: Kim, Miyoung Division of Nursing Science, College of Health Sciences, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 120-750, Korea. Tel: +82-2-3277-6694, Fax: +82-2-3277-2850, E-mail: mykim0808@ewha.ac.kr
• Received: December 31, 2013   • Accepted: June 1, 2014

Copyright © 2014 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to explore the meaning and essence of good nursing from the perspective of patients undergoing hemodialysis.
  • Methods
    The data were collected through in-depth interviews of five hemodialysis patients who have been dialyzed for one year or longer. The data analysis was conducted using the Giorgi's phenomenological method.
  • Results
    The findings included six constituents and 13 sub-constituents. The six constituents were 'prompt and skillful response to mitigate distress', 'careful attention to provide relief', 'individualized education to promote self-management', 'an intimate relationship to regain isolated ego', 'warmhearted support to encourage strength to live in a exhausting life', and 'providing of comfortable environment to maintain stability'.
  • Conclusion
    From the perspective of the hemodialysis patients, the concept of good nursing should stem from the integration of nurses’ scientific knowledge, expert skills, and moral sensitivity. The finding suggests that strategies to develop nursing interventions for hemodialysis patients will be required on the basis of understanding of their sociocultural contexts and familism.
  • Key Words: Hemodiafiltration; Nursing; Patients; Qualitative research
Table 1.
Sub-constituents and Constituents of The ‘Good Nursing' Experienced by Hemodialysis Patient
Sub-constituents Constituents
․ Relieved pain from nurses' prompt reaction to the patient's symptoms Prompt and skillful response to mitigate distress
․ Finding relief from skillful needling procedures by experienced nurses
․ Reduced fear from nurses' frequent monitoring of the patient's condition Careful attention to provide relief
․ Feeling at ease through nurses' caring for patient's demand and inconvenience
․ Relying upon nurses' professional and repetitive information Individualized education to promote self-management
․ Changing patient's behaviors through nurses' individualized health education
․ Gaining recognition from nurses' friendly attitude as a family An intimate relationship to regain isolated ego
․ Maintaining amicable relationships with other patients through nurses' role as a mediator
․ Being thankful for nurses' kind concerns about patient's unreasonable demands and inappropriate words Warmhearted support to encourage strength to live in a exhausting life
․ Released stress through conversations with humor and concerns
․ Encouraged by nurses' careful concerns for patients' physical and mental hardship
․ Feeling comfortable for a controlled bed and warm room temperature Providing of comfortable environment to maintain stability
․ Taking a rest during hemodialysis in a quiet environment
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    Citations

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    The 'Good Nursing' Experienced by Hemodialysis Patients
    Korean J Adult Nurs. 2014;26(3):275-286.   Published online June 30, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.3.275
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    The 'Good Nursing' Experienced by Hemodialysis Patients
    Korean J Adult Nurs. 2014;26(3):275-286.   Published online June 30, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.3.275
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    The 'Good Nursing' Experienced by Hemodialysis Patients
    The 'Good Nursing' Experienced by Hemodialysis Patients

    Sub-constituents and Constituents of The ‘Good Nursing' Experienced by Hemodialysis Patient

    Sub-constituents Constituents
    ․ Relieved pain from nurses' prompt reaction to the patient's symptoms Prompt and skillful response to mitigate distress
    ․ Finding relief from skillful needling procedures by experienced nurses
    ․ Reduced fear from nurses' frequent monitoring of the patient's condition Careful attention to provide relief
    ․ Feeling at ease through nurses' caring for patient's demand and inconvenience
    ․ Relying upon nurses' professional and repetitive information Individualized education to promote self-management
    ․ Changing patient's behaviors through nurses' individualized health education
    ․ Gaining recognition from nurses' friendly attitude as a family An intimate relationship to regain isolated ego
    ․ Maintaining amicable relationships with other patients through nurses' role as a mediator
    ․ Being thankful for nurses' kind concerns about patient's unreasonable demands and inappropriate words Warmhearted support to encourage strength to live in a exhausting life
    ․ Released stress through conversations with humor and concerns
    ․ Encouraged by nurses' careful concerns for patients' physical and mental hardship
    ․ Feeling comfortable for a controlled bed and warm room temperature Providing of comfortable environment to maintain stability
    ․ Taking a rest during hemodialysis in a quiet environment
    Table 1. Sub-constituents and Constituents of The ‘Good Nursing' Experienced by Hemodialysis Patient

    Table 1.

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