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Nephrol Nurs J. 2016 Jul-Aug;43(4):295-308.

Exploring the Facilitators and Barriers to Home Dialysis: A Scoping Review.

Author information

1
PHCNP Student, School of Nursing, University of Ottawa, Faculty of Health Sciences, Ottawa, Ontario, Canada.
2
Assistant Professor, School of Nursing, University of Ottawa, Faculty of Health Sciences, Ottawa, Ontario, Canada.
3
Professor Emeritus, School of Nursing, University of Ottawa, Faculty of Health Sciences, Ottawa, Ontario, Canada.

Abstract

A meta-synthesis of qualitative literature from 2004-2014 was conducted to identify the facilitators and barriers related to patients' uptake and continued use of home dialysis. These factors were addressed from the patient perspective using a systematic scoping review. A total of 848 citations were retrieved, and 12 studies were ultimately included. Data were analyzed descriptively by content analysis. The most commonly reported barriers were Burden of Care, Invasion of Body, and Disruption of Lifestyle, while the most common facilitators were Support, Physical and Mental Well-Being, Ability to Maintain a Normal Life, and Autonomy. Nursing implications are discussed for supporting facilitators and addressing barriers.

KEYWORDS:

barriers to care; burden of care; hemodialysis; home dialysis; peritoneal dialysis; quality of life

PMID:
30550056
[Indexed for MEDLINE]

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