Dialysis, distress, and difficult conversations: living with a kidney transplant

McKeaveney, Clare, Noble, Helen, Courtney, Aisling, Griffin, Sian, Gill, Paul ORCID: https://orcid.org/0000-0003-4056-3230, Johnston, William, Maxwell, Alexander, Teasdale, Francesca and Reid, Joanne 2022. Dialysis, distress, and difficult conversations: living with a kidney transplant. Healthcare 10 (7) , 1177. 10.3390/healthcare10071177

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Abstract

Background: Providing holistic care to kidney patients is important; however, without full consideration of the perspectives of people living with a kidney transplant, the provision of truly ‘holistic healthcare’ cannot be possible. It is imperative to understand patient experiences by including kidney patients in key strategies and future renal service planning. Ignoring these important patient views means that there is a significant risk of inappropriate renal service provision and lack of adequate support, impacting overall health. The aim of this study was to develop an in-depth understanding of the lived experiences of kidney transplant recipients. Methods: A total of 23 participants were recruited between two regional nephrology units within the United Kingdom via clinical gatekeepers. In-depth interviews were undertaken. Interviews were digitally recorded, transcribed verbatim, and subjected to interpretative phenomenological analysis. Results: Two themes emerged: “managing ongoing fears of dialysis, distress, and COVID-19” and “dealing with difficult conversations”. Conclusions: Renal healthcare professionals need to understand more than the biological impact of receiving a kidney transplant. Understanding the holistic and multidomain experiences that these participants experience will help healthcare professionals to recognize the needs of this group and ensure more responsive psychosocial care

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Healthcare Sciences
Additional Information:	This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Publisher:	MDPI
ISSN:	2227-9032
Date of First Compliant Deposit:	18 July 2022
Date of Acceptance:	10 June 2022
Last Modified:	06 May 2023 07:19
URI:	https://orca.cardiff.ac.uk/id/eprint/151352

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