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Article

Dialysis, Distress, and Difficult Conversations: Living with a Kidney Transplant

1
School of Nursing and Midwifery, Queen’s University Belfast, Belfast BT9 7BL, UK
2
Renal Unit, Belfast Health & Social Care Trust, Belfast BT9 7ER, UK
3
Department of Nephrology and Transplantation, Cardiff & Vale University Health Board, Cardiff CF14 4XW, UK
4
School of Healthcare Sciences, Cardiff University, Cardiff CF24 0AB, UK
5
Northern Ireland Kidney Patients Association, Belfast BT9 7AB, UK
6
Centre for Public Health, Queen’s University Belfast, Belfast BT12 6BA, UK
7
Kidney Care, Alton GU34 1EF, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Vincent W. Lee
Healthcare 2022, 10(7), 1177; https://doi.org/10.3390/healthcare10071177
Received: 6 May 2022 / Revised: 9 June 2022 / Accepted: 10 June 2022 / Published: 23 June 2022
(This article belongs to the Special Issue Palliative Care in Kidney Disease)
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. View Full-Text
Keywords: qualitative; kidney; transplant; holistic; wellbeing; interpretative phenomenological analysis qualitative; kidney; transplant; holistic; wellbeing; interpretative phenomenological analysis
MDPI and ACS Style

McKeaveney, C.; Noble, H.; Courtney, A.E.; Griffin, S.; Gill, P.; Johnston, W.; Maxwell, A.P.; Teasdale, F.; Reid, J. Dialysis, Distress, and Difficult Conversations: Living with a Kidney Transplant. Healthcare 2022, 10, 1177. https://doi.org/10.3390/healthcare10071177

AMA Style

McKeaveney C, Noble H, Courtney AE, Griffin S, Gill P, Johnston W, Maxwell AP, Teasdale F, Reid J. Dialysis, Distress, and Difficult Conversations: Living with a Kidney Transplant. Healthcare. 2022; 10(7):1177. https://doi.org/10.3390/healthcare10071177

Chicago/Turabian Style

McKeaveney, Clare, Helen Noble, Aisling E. Courtney, Sian Griffin, Paul Gill, William Johnston, Alexander P. Maxwell, Francesca Teasdale, and Joanne Reid. 2022. "Dialysis, Distress, and Difficult Conversations: Living with a Kidney Transplant" Healthcare 10, no. 7: 1177. https://doi.org/10.3390/healthcare10071177

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