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dc.contributor.authorBreckenridge, Diane Marie
dc.date.accessioned2012-04-23T15:10:19Z
dc.date.available2012-04-23T15:10:19Z
dc.date.issued1995
dc.identifier.urihttp://hdl.handle.net/10713/1488
dc.descriptionUniversity of Maryland, Baltimore. Nursing. Ph.D. 1995en_US
dc.description.abstractThe purpose of this qualitative study was to elicit patients' perceptions of why, how, and by whom their dialysis treatment modality, hemodialysis or continuous ambulatory peritoneal dialysis (CAPD), was chosen. Data were collected from 22 patients, four to seven from each of the four renal dialysis units affiliated with a 747-bed urban university teaching hospital located in a northeastern city of the United States. Patients were selected from each of the four following types of dialysis units based on type of dialysis treatment modality: (1) Outpatient hemodialysis; (2) Outpatient continuous ambulatory peritoneal dialysis (CAPD); (3) In-hospital hemodialysis; and (4) Self-in-center hemodialysis. Patient selection was determined by collaborating with the nurse managers of the four dialysis units to determine which patients had the ability to articulate their perspectives of decisions and preferences related to dialysis treatment type. Final selection was determined by the patient's willingness to participate. Data were collected by 22 individual focused, semi-structured in-depth interviews, using an interview schedule comprised of six open-ended questions. For these data, a grounded approach was used for analysis and discovery of a grounded theory based on the emergence of themes. The Ethnograph computer software program was used to facilitate coding and data management. The goal of this grounded approach was to develop a theory based on the data. A grounded theory "Patients' Choice of a Treatment Modality versus Patient Selection for a Treatment Modality" was discovered through the analysis of the data provided by the informants. The emergent themes that supported the development of this theory evolved around who was involved in the decision making process: the patient, the family, and/or the health care giver. The themes also evolved around why and how the decision was made.en_US
dc.language.isoen_USen_US
dc.subjectHealth Sciences, Nursingen_US
dc.subjectHealth Sciences, Health Care Managementen_US
dc.subject.meshAmbulatory Care Facilitiesen_US
dc.subject.meshHemodialysis Units, Hospitalen_US
dc.subject.meshPatient Participation--psychologyen_US
dc.subject.meshPeritoneal Dialysisen_US
dc.subject.meshRenal Dialysisen_US
dc.titlePatients' choice...is it? A qualitative study of patients' perceptions of why, how, and by whom dialysis treatment modality was chosenen_US
dc.typedissertationen_US
dc.contributor.advisorKavanagh, Kathryn Hopkins
dc.identifier.ispublishedYes
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