scholarly journals Nephrology nurses’ views in giving a dietary recommendation for dialysis patients: An interview study

2021 ◽  
Author(s):  
Siti Norhayati Hj Emran ◽  
Yusrita Zolkefli

Background: Nutrition in dialysis patients plays an essential role in their life. Diet in dialysis patients are catered individually and applied according to the situation of the patients. A dietary recommendation is vital to dialysis patients, and nephrology nurses help patients understand the reasoning behind the dietary restrictions enforced. Objective: This paper aimed to explore nephrology nurses’ views in giving dietary recommendations for dialysis patients. Methods:  In this descriptive qualitative study, one focus group discussion (n = eight nurses) and four individual interviews in one Renal Centre in Brunei Darussalam was conducted through purposive sampling. This interview took place between October 2020 and December 2020. Results: Three major themes were identified: (1) Approaches in giving dietary information, (2) Getting patients to follow a diet plan, and (3) Negotiating with patients. Conclusion: The importance of nephrology nurses in improving patient care, particularly in providing dietary recommendations to dialysis patients, cannot be overstated. They adopted different approaches, including negotiating with patients and using available resources to ensure that patients followed the dietary recommendations. However, they believe their current method and strategy for offering dietary recommendations to dialysis patients could be improved.  

2007 ◽  
Vol 4 (3) ◽  
pp. 1917-1946 ◽  
Author(s):  
A. M. Sène ◽  
S. Bonin ◽  
O. Soubeyran

Abstract. Several social scientists have dealt with the usefulness of a participative approach in development plans. The call for sustainable development has increased the focus on this type of approach in a very classical way, which is the case for the creation of new water tanks. Most of these scientists have also pinpointed the major difficulties and failures faced during the execution of this new approach in developing countries. This study is a concrete example which underlines the lack of this type of approach as far as water management in the Senegal River is concerned, mainly in relation to watershed. We base our study on the analysis and criticism of the regional organization OMVS (Organization for the Development of the Senegal River) which is in charge of water management in the Senegal River. The results of the study can, therefore, be summed up as follows: (i) An on-site direct observation, individual interviews, group discussion and information analysis point out the lack of participation of local people in water management in the Senegal River and, in general, the harmful socio-economic impacts resulting from it. (ii) The reasons for this lack of participative approach are mainly due to the model set up by the OMVS in terms of water management in the Senegal River, a model that has excluded or tackled in a very light way the issue of public participation in decision-making through out its juridical and regulation instruments. (iii) Elements of consideration on some measures, which could possibly improve the level of participation of local people in river water management.


Author(s):  
Neda Yavari ◽  
Fariba Asghari ◽  
Zahra Shahvari ◽  
Saharnaz Nedjat ◽  
Bagher Larijani

It appears that up until now, no comprehensive tool has been developed to assess medical students’ attitudes toward the different dimensions of professionalism. The present study aimed to develop a comprehensive quantitative tool to evaluate medical students’ attitudes toward professionalism. This study consisted of two phases: The first phase was item generation and questionnaire design based on literature review and a qualitative survey. The qualitative data were extracted from 49 semi-structured individual interviews and one focus group discussion. In the second phase, the questionnaire was developed and its face, content, and structure validity and reliability were evaluated. To measure the construct validity of the questionnaire, a cross-sectional study was conducted on 354 medical students at different academic levels at Isfahan University of Medical Sciences. The final questionnaire was loaded on five factors. The factors accounted for 43.5% of the total variance. Moreover, Cronbach's alpha was 0.84 for the total scale, and the interclass correlation coefficient was 0.77 for the test-retest reliability. The 17-item questionnaire measuring medical students’ professional attitude had acceptable validity and reliability and can be adopted in other studies on physicians’ and medical students’ professional attitudes.   


2020 ◽  
pp. 1-11
Author(s):  
Sandra Bayer ◽  
Theresa Drabsch ◽  
Gunther Schauberger ◽  
Hans Hauner ◽  
Christina Holzapfel

Abstract Objective: To assess the knowledge, opinions and expectations of persons with and without obesity concerning personalised genotype-based nutrition. Design: Questions about nutrition, weight management and personalised genotype-based dietary recommendations were asked via standardised telephone-based interviews. Sociodemographic and anthropometric data were collected. The data were statistically weighted by age, gender, education, domicile and BMI. Setting: Germany. Participants: Representative sample of the German population (n 1003) randomly sampled via a scientific Random Digit dial method plus 354 adults with a BMI ≥ 30·0 kg/m2 to enlarge the sample. Results: Data of 1357 participants were analysed (51·1 % female, age: 50·5 ± 18·5 years, 15·9 % adults with a BMI ≥ 30·0 kg/m2). About 42 % or 19 % of the survey participants stated to know the terms personalised dietary recommendation or genotype-based dietary recommendation, respectively. Of those, 15·8 % indicated to have an experience with a personalised or genotype-based dietary recommendation. Almost 70 % of the survey participants believed that a genotype-based dietary recommendation is a reasonable measure for weight management. About 55 % of the survey participants pointed out that a genotype-based dietary recommendation is an effective concept in general. One-third of the survey participants (34·6 %) indicated to conceive the usage of a genotype-based dietary recommendation. Conclusion: Most of the survey participants did not know the term personalised or genotype-based dietary recommendation. One-third of the study participants are interested to use a genotype-based dietary recommendation. Therefore, more education of the public is necessary to properly help people making informed and serious decisions and assessing commercially available direct-to-consumer genetic tests.


2003 ◽  
Vol 23 (2_suppl) ◽  
pp. 11-13
Author(s):  
Ranganathan Dwarakanathan ◽  
Hjh Zarah Yaakob ◽  
Hasnani Hadi

Objective Peritoneal permeability may be dissimilar in different populations. The present study identified the pattern of peritoneal permeability in continuous ambulatory dialysis (CAPD) patients treated at the Department of Renal Medicine, RIPAS Hospital, Brunei Darussalam. Methods Data were collected from patients on CAPD in 2001 ( n = 65). Four children were excluded from the study. The remaining 61 patients underwent a 4-hour peritoneal equilibration test (PET) as prescribed by Twardowski et al. For those patients, adequacy of dialysis (Kt/V) was estimated. A retrospective analysis of the peritoneal membrane characteristics of those CAPD patients was also conducted. The membrane characteristics were compared with the urea clearance results. Results Of the 61 patients, 40 were non diabetic, and 21 (34.43%) were diabetic. More than half of our patients (55.74%) had membranes classified as high-average, followed by low-average (22.95%), high (18.03%), and low (3.28%). When the patient population was grouped separately into non diabetic and diabetic patients, peritoneal permeability differed between the groups ( p = 0.000585). No relationship was observed between weekly Kt/V and transport characteristics in the group with diabetes ( p = 0.219306), the group without diabetes ( p = 0.74179), or the entire patient population ( p = 0.376832) Conclusion We conclude that peritoneal permeability among Bruneian CAPD patients is probably different from that among patients from other regions of Asia (more than half of our Bruneian patients had a peritoneal membrane classified as high average). We believe that the observed difference may be related to a difference in ethnicity. In general, patients with diabetes have a highly permeable membrane. Adequacy of dialysis had no correlation to PET results in our study. A larger prospective study is required to confirm our findings.


2017 ◽  
Vol 55 (1) ◽  
pp. 47-70
Author(s):  
Mohammad Rokib ◽  
Syamsul Sodiq

Tattooing is becoming increasingly popular in the predominantly Muslim country of Indonesia. While mainstream society continues to perceive the tattooing practice negatively, many individual Muslims attach positive personal meaning to tattooing. This paper provides some of the academic insights into contemporary perceptions of tattooing among Indonesian Muslims. It focuses on the existence of ‘Punk Muslims’ community whose tattoos form an important part of their cultural identity and on responses to their tattooing practices from the wider society. Data were collected by means of individual interviews, a focus group discussion, and interactive social media communication. This paper reveals that Punk Muslim community has personal meaning of tattoo, while society has different perception. This community considers to maintain their cultural identity as punker symbolized by tattoo and Islam signed by worship.[Tato menjadi semakin populer di negara mayoritas Muslim seperti Indonesia. Ketika sebagian besar masyarakat memandang tato secara negatif, banyak juga Muslim secara pribadi memiliki pendapat positif terhadap tato. Artikel ini menyuguhkan beberapa wawasan akademik atas persepsi kontemporer terhadap tato dalam masyarakat Muslim di Indonesia. Fokus dari artikel ini meliputi eksistensi komunitas Punk Muslim yang menganggap tato telah membentuk bagian sangat penting dari identitas kultural mereka dan juga fokus pada respons dari masyarakat terhadap praktik bertato. Data penelitian dikumpulkan dari interview secara personal, diskusi kelompok terumpun, dan komunikasi interaktif di media sosial. Artikel ini menyatakan bahwa komunitas Punk Muslim memiliki makna personal atas tato ketika masyarakat memiliki penilaian yang berbeda. Komunitas ini mempertimbangkan untuk mempertahamkan identitas kultural sebagai anak punk yang disimbolkan dengan tato dan sebagai orang Islam yang disimbolkan dengan ibadah.]


2021 ◽  
Author(s):  
Mahama Ibrahim Baba ◽  
Kofi Adesi Kyei ◽  
Justina Baaba Kyei ◽  
Joseph Daniels ◽  
Isaac Justice Kobina Biney ◽  
...  

Abstract Background: In this study, the factors that influence the choice of place of delivery among expectant mothers in both rural and urban settings in the northern part of Ghana were identified and compared using the conceptual framework provided by Thaddeus and Maine. Methods: A mixed-method study was used to examine expectant mothers and their responses related to factors that affect their choice of place of delivery through a concurrent triangulation using health professional interviews and a detailed participant survey. The sample consisted of 552 expectant mothers between the ages of 15 and 49 years. Individual interviews were held with 8 health professionals and a focus group discussion with randomly selected pregnant women and lactating mothers. Themes were generated through open coding of the interview data, while multiple regression was performed to identify the factors associated with choice of place of delivery, rural area.Results: Preference (60.1%) was for home delivery compared to 20.7% for urban participants. Statistically significant variables affecting the choice of place of delivery among study participants were found to be educational background, the experience of previous deliveries, the attitude of hospital staff toward pregnant women during labor, and frequency of accessing antenatal careConclusion: The study’s implications may lead to positive change where stakeholders develop and implement policies to promote health facility delivery for expectant mothers in Ghana.


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Elisabeth Hofer ◽  
Anja Lembens

AbstractDespite the tremendous efforts which have been made over the last few years, inquiry-based learning (IBL) has not become an established practice in science education yet. Even if teachers consider IBL an important and valuable approach, they still refrain from implementing it in their own science classes. Research findings suggest that the teachers’ beliefs and attitudes have a crucial influence on their classroom practice. Only if they are compatible with the approach of IBL, the teachers will be willing to implement IBL in their own classes. This article demonstrates how the beliefs and attitudes of three Austrian chemistry teachers changed over the period of a 9-monthly professional development program (PDP). In order to ascertain their beliefs and attitudes regarding IBL previous to and after the PDP, we conducted a group discussion and three individual interviews. The statements from both dates were analyzed using a qualitative content analysis and indicate substantial changes concerning the teachers’ beliefs about the efficacy, capability and practicability of IBL. After participating in the PDP, the teachers took a more positive attitude regarding both IBL in general and its implementation. Considering the findings from this study, we formulate implications for designing PDP at the end.


2020 ◽  
Vol 16 ◽  
Author(s):  
Ziba Taghizadeh ◽  
Abbas Ebadi ◽  
Sedigheh Keshavarz ◽  
Abolghasem Pourreza ◽  
Anoshirvan Kazemnejad ◽  
...  

Background: Despite the global importance of work-family issues and the many calls for studies within distinct cultural contexts; work-family research has mainly been conducted in Anglo societies, and Western countries. Objective: The present study was designed to explore the factors which determine work-family conflict through personal information including, but not limited to the lived experiences and perspectives of Iranian women who are both employed and married. Methods: A qualitative approach was chosen which would allow for an in-depth and rich exploration of the experiences, perceptions, and feelings of participants. Data were obtained from 29 participants. In-depth individual interviews with 17 participants and two focus groups. Each focus group discussion included 6 participants. Results: Six main categories emerged from the data analysis: the value of work and family, hegemonic masculinity, nonsupportive environment, job stress, overloading family, and inadequacy of individual ability and skills. Conclusion: Based on data obtained from participants, sociocultural factors play an important role in the creation of work-family conflict.


2007 ◽  
Vol 2 (2) ◽  
pp. 96-106 ◽  
Author(s):  
Richard Zoraster, MD ◽  
Raymond Vanholder, MD, PhD ◽  
Mehmet S. Sever, MD

The chronically ill are often the hardest hit by dis-ruptions in the healthcare system—they may be highly dependent on medications or treatments that suddenly become unavailable, they are more physically fragile than the rest of the population, and for socioeconomic reasons they may be more limited in their ability to prepare or react. Medical professionals involved in dis-aster response should be prepared to care for individu-als suffering from the complications of chronic illness, and they must have some idea of how to do so with lim-ited resources. Dialysis-dependent, end-stage renal disease patients are at especially high risk following disasters. Infrastructure damage may make dialysis impossible for days, and few physicians have experience or train-ing in the nondialytic management of end-stage renal disease. Nondialytic management strategies include dietary restrictions, aggressive attempts at potassium removal via resins and cathartics, and adaptations of acute treatment strategies. Appropriate planning and stockpiling of medications such as Kayexalate are crit-ical to minimizing morbidity and mortality


Water ◽  
2018 ◽  
Vol 10 (7) ◽  
pp. 934 ◽  
Author(s):  
Jennifer Henze ◽  
Barbara Schröter ◽  
Christian Albert

Navigating the evolution of river landscapes towards more sustainable pathways requires transdisciplinary research including diverse stakeholders. A thorough understanding of stakeholder interests, including potential conflicts and options for convergence, is critical for the design and implementation of such transdisciplinary research. So far, only a few studies have conducted in-depth stakeholder analyses. The aim of this paper is to elucidate and characterize the interests of the relevant actors in a case study for sustainable river landscape development in Germany. The research questions concern the (i) commonalities and differences as manifested in the structures of thought and action of the actors, and the (ii) potential points of conflict or convergence of interests, as relevant for further transdisciplinary research. Our methods include participating in observations in three meetings of the actors, and conducting twelve individual interviews, as well as a focus group discussion. Our results identify major conflicts between the actors’ perspectives regarding navigation interests and the demands for nature conservation. Potential issues for convergence are ecological river restoration and enhancing recreation opportunities. The findings shed light on the diversity of the stakeholder perspectives around river landscape development. We recommend that future projects capture this diversity through a triangulation approach.


Sign in / Sign up

Export Citation Format

Share Document