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download and print the PDF file below:
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Roberta Braun Curtin, PhD, RN
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Roberta Braun Curtin, PhD, RN, Research
Director of the Medical Education Institute, Madison,
WI; and serves as a research consultant for the Life
Options Rehabilitation Program. |
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H. Keith Johnson, MD |
H. Keith Johnson, MD, is in private practice with
Renal Consultants, P.C., Nashville, TN; and serves
as Chairman of the Board of Dialysis Clinic, Inc. |
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Dorian Schatell, MS |
Dorian Schatell, MS, is Executive Director at the
Medical Education Institute, Madison, WI; and
Program Director of the Life Options Rehabilitation
Program. |
This exploratory-descriptive study identifies dimensions of self-management demonstrated by
patients with end stage renal disease (ESRD) who have been successfully treated with peritoneal
dialysis (PD) for more than 4 years (range = 4.1 to 13.1 years, mean=7.5 years). After
IRB review, semi-structured interviews were conducted with 18 individuals, 10 male and 8
female; 11 Caucasian, 6 African-American, and 1 Hispanic. Respondents ranged in age from
33 to 86 years (mean = 54.4 years). Interviews were audio-recorded and verbatim transcriptions
were analyzed according to a content analytic procedure, with movement from specific to
general. Two broad domains of self-management were identified: autonomy/control in health
care and normality in everyday life. Autonomy/control was comprised of three specific dimensions:
partnership in care, self-care, and self-care self-efficacy. Normality in everyday life
included the dimensions of flexibility/freedom, interpretation of illness severity, and perception
of body image. Although the small sample size and methodology limit generalizability,
insights into the lived self- management experience on PD were identified. Such insights lay
the groundwork for development of interventions to facilitate informed decision-making
regarding dialysis modality, to teach tactics for effective self-management on PD, and to help
health care professionals to support the self-management efforts of patients on PD.
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CE
RELATED INFORMATION |
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This
offering for 2.1 contact
hours is being provided by
the
American
Nephrology Nurses’ Association
(ANNA), which
is accredited as a provider
and approver of continuing
education in nursing by
the American Nurses’
Credentialing Center-Commission
on Accreditation (ANCCCOA).
This educational activity
is approved by most states
and specialty organizations
that recognize the ANCC-COA
accreditation process. ANNA
is an approved provider of
continuing education in nursing
by the California Board of
Registered Nursing, BRN Provider
No. 00910.
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Goal:
Identify the domains and dimensions of
self-management experienced by peritoneal
dialysis (PD)
patients who have been on PD for more than
4 years.
Objectives:
1.
Examine the domains of patient autonomy
and normality that were suggested by study
participants.
2. Explore the dimensions of autonomy including
partnership in care, self-care activity,
and self-care
self-efficacy.
3. Explore the dimensions of normality
including flexibility/freedom, interpretations
of illness severity,
and perceptions of body image.
4. Attempt to interpret the domains and
dimensions of self-management revealed
by PD patients as
they might apply to all ESRD patients and
to other chronically ill individuals as
well.
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AUTHOR DISCLOSURE
STATEMENT |
Roberta Braun Curtin, PhD, RN has
no conflicts of interest to disclose.
H. Keith Johnson, MD has
no conflicts of interest to disclose.
Dorian Schatell, MS has
no conflicts of interest to disclose.
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ANNA and HDCN CE POLICY STATEMENTS |
The CE policy and disclosure statements of the American Nephrology
Nurses' Association are given in detail on the Symposium
Home Page. The CE policy statements of HDCN are listed on
this page. |
