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Understanding health decisions using critical realism: home-dialysis decision-making during chronic kidney disease/ Lori Harwood and Alexander M Clark

Creator: Harwood L.
Creators: Clark AM.
Material type: ArticleArticle Media type: Article Subject(s): Filosofia | Malalties cròniques | Realisme crític | Decisió, Presa de | Social theoryOnline resources: Text complet In: NURSING INQUIRY 2012 MAR; 30 (1): 29-38Summary: Keywords Kidney Disease (CKD) from the perspective of critical realism. CKD programmes focus on patient education for self-management to delay the progression of kidney disease and the preparation and support for renal replacement therapy e.g.) dialysis and transplantation. Home-dialysis has clear health, societal and economic benefits yet service usage is low despite efforts to realign resources and educate individuals. Current research on the determinants of modality selection is superficial and insufficient to capture the complexities embedded in the process of dialysis modality selection. Predictors of home-dialysis selection and the effect of chronic kidney disease educational programmes provide a limited explanation of this experience. A re-conceptualization of the problem is required in order to fully understand this process. The epistemology and ontology of critical realism guides our knowledge and methodology particularly suited for examination of these complexities. This approach examines the deeper mechanisms and wider determinants associated with modality decision making, specifically who chooses home dialysis and under what circumstances. Until more is known regarding dialysis modality decision making service usage of home dialysis will remain low as interventions will be based on inadequate epistemology.
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Item type Current library Collection Call number Status Notes Date due Barcode
Journal Journal Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Biblioteca Paper Capses ordenades alfabèticament (Browse shelf(Opens below)) Not for loan Ja no es rep 0000003347584
Journal article Journal article Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa En línia Exclòs de préstec ART-36131

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