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Existential Contradictions in Living With End-Stage Renal Disease: A Qualitative Metasynthesis
Ingrid Villadsen Kristensen1, Jette Henriksen, Regner Birkelund
1Section for Nursing, Department of Public Health, Aarhus University, Aarhus, Denmark (Ms Kristensen and Dr Norlyk); VIA Faculty of Health Sciences, VIA Nursing, Holstebro, Denmark (Ms Kristensen); VIA Nursing, VIA University College, Aarhus, Denmark (Dr Henriksen); and Lillebaelt Hospital, Vejle & Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark (Dr Birkelund).
Abstract:
A qualitative metasynthesis following Sandelowski and Barroso's method was conducted to explore what characterizes the existential experiences of individuals living with end-stage renal disease. The findings show that patients with end-stage renal disease live with several existential contradictions characterized by the following: perception of the body-oscillating between connection and separation, maintaining life-oscillating between freedom and captivity, uncertainty-oscillating between hope and despair, and enduring technology-oscillating between being perceived as an object and subject. Consequently, living with end-stage renal disease is challenging for patients; hence, the support of nurses is important to alleviate patients' vulnerability.
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