Related Experiment Video
Updated: May 13, 2025
05:34
5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
Published on: April 4, 2025
405
Shared Decision-Making in Choosing Dialysis Modalities for Patients With Chronic Kidney Disease: An Evolutionary
Youn-Jung Son1, Jeehee Han1, Eun Young Kim2
1Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Nursing & Health Sciences
|April 14, 2025
Summary
Shared decision-making empowers chronic kidney disease patients in choosing dialysis. Key attributes include trust, communication, and personalized, voluntary choices for better treatment outcomes.
Area of Science:
- Nephrology
- Medical Ethics
- Health Communication
Background:
- Shared decision-making (SDM) is crucial for patient autonomy in chronic kidney disease (CKD) treatment choices.
- Limited research exists on the specific process of SDM for dialysis modality selection in CKD patients.
Purpose of the Study:
- To conduct a concept analysis of shared decision-making in choosing dialysis modalities for CKD patients.
- To identify and define the core attributes of SDM in this context using Rodgers' evolutionary method.
Main Methods:
- A comprehensive literature review of 36 papers published between 2013 and 2024 from six electronic databases.
- Rodgers' evolutionary concept analysis framework was applied.
Main Results:
- Seven key attributes of SDM in dialysis modality selection were identified: goal setting, trust, partnership, communication, option exploration, informed choice, and voluntary participation.
- These attributes highlight the interactive and personalized nature of SDM.
Conclusions:
- Understanding these attributes can enhance patient-centered communication and care for CKD patients.
- This knowledge supports the development of tailored interventions for CKD patients and their caregivers.
Related Concept Videos
01:27Dialysis
231
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
231
01:22Heart Failure Drugs: Diuretics
294
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
294
01:11Renal Failure: Dose Adjustments
37
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
37
01:17Factors Affecting Renal Clearance: Renal Impairment
35
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
35
01:30Ethical Dilemmas II
852
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
852
01:29Chronic Pancreatitis II: Collaborative Care
50
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
50