Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse

Abstract

Objectives: to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process. Methods: qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis. Results: the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity. Conclusions: the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.

Creating the nursing care map in the evaluation of kidney transplant candidates: A scoping review and narrative synthesis

“…As described in each theme, nurses' roles and activities are the main sources for assessing and addressing the identified needs with the goal of improving outcomes in KT treatment and providing coordination and consistency in the KT assessment process (Beck et al, 2019 ; Bell & Ross, 2002 ; Ribeiro et al, 2021 ; Wilden, 2008 ). Their role is crucial as it can involve educational strategies to encourage referrals to transplantation services, resulting in higher identification rates of patients who are well‐informed and interested in this treatment option (Bell & Ross, 2002 ; de Oliveira & Soares, 2016 ).…”

Nurse‐led clinical activity in kidney transplantation care in Spain: A cross‐sectional observational study

“…The importance of nurses in coordinating care and managing KT candidates (pre‐KT) has been reported to be beneficial in facilitating access to this treatment option, which can substantially improve clinical outcomes for patients (Burns et al, 2019; Haugen et al, 2019; Patzer et al, 2016). The nursing approach responds to individual needs and increases the ability to deliver personalised care based on a relationship of trust (Ribeiro et al, 2021). This study found that this nursing role was present at only 33.3% of the facilities with KT activity in Spain, with only one APN role in the pre‐KT setting across the whole country.…”

Identifying Modifiable System-Level Barriers to Living Donor Kidney Transplantation

“…The crucial role that nonphysicians, such as social workers, dialysis nurses, and chronic kidney disease nurses, play in a patient’s decision to pursue transplantation is well described. 2 , 49 , 50 , 51 , 52 , 53 Nurses and nurse educators often spend more time with patients than physicians, especially with patients who are on dialysis. Thus, improving their engagement, education, and role perception may be one of the strongest modifiable factors to increasing LDKT that we have identified.…”