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Perceptions of Adult Patients on Hemodialysis Concerning Choice Among Renal Replacement Therapies
(Vol 34/No. 5. On-line test expires: 10/20/2009)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

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  AUTHOR
Kandace J. Landreneau, PhD, RN, CCTC
 Kandace J. Landreneau, PhD, RN, CCTC, is Associate Professor of Nursing, University of Texas, Tyler, TX. She is a member of ANNA’s Acadiana Chapter. For more information on this article, contact the author at kandacel@msn.com.
Peggy Ward-Smith, PhD, RN
 Peggy Ward-Smith, PhD, RN, is Associate Professor of Nursing, University of Missouri, Kansas City, MO.
  OUTLINE

Purpose: The aim of this study was to explore what patients on hemodialysis perceive concerning choice among three types of renal replacement therapies: transplantation, hemodialysis, and peritoneal dialysis.
Method: A qualitative phenomenological research design was employed in this exploratory, descriptive study. A convenience sample was recruited from two urban dialysis units in the southern part of the United States. The analysis was performed using Colaizzi’s (1978) phenomenological technique.
Results: Two themes emerged from analysis: knowledge and choice. Participants perceived choice in their renal replacement therapies. The predominant theme reflected that most participants had knowledge about at least two of the three types of renal replacement therapies.
Conclusion: The areas of choice among renal replacement therapies, education about all renal replacement therapies, and other dynamics that impact choice, need to be studied. Inquiry needs to remain treatment specific and include all renal replacement treatments available to the patient. Future studies should continue to investigate perceptions of choice, and no assumption should be made about whether patients undergoing hemodialysis are receiving information or education on all the options for renal replacement therapy. Additional research within this area will validate needs and concerns of these patients.
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  CE RELATED INFORMATION
This offering for 1.5 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; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas

  EDUCATIONAL OBJECTIVES

Goal:
Explore what patients on hemodialysis perceive concerning choice among three types of renal replacement therapies.

Objectives:
1. State the three types of renal replacement therapies.
2. Discuss two themes which emerged from the study.
3. Formulate a statement about how a patient on hemodialysis could perceive their choice among renal replacement therapies.

AUTHOR DISCLOSURE STATEMENT
Kandace J. Landreneau has no conflicts of interest to disclose.
Peggy Ward-Smith has no conflicts of interest to disclose.

 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.