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Shifting Life's Focus: African American Dialysis Patients' Experiences with Kidney Transplant Evaluation

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dc.contributor.advisor Moore, Jean B. Humphreys, Susan L.
dc.creator Humphreys, Susan L. 2011-06-29 2011-08-22T18:11:30Z NO_RESTRICTION en_US 2011-08-22T18:11:30Z 2011-08-22
dc.description.abstract Chronic Kidney disease is a growing health problem, in the United States, disproportionately affects African Americans. Although African Americans have a significantly higher incidence of kidney disease and end stage kidney failure than Caucasian Americans, they are less likely to receive a kidney transplant. This study begins to build a substantive theory about patients' experiences with the kidney transplant evaluation process to better understand this health disparity. Participants in this study were interviewed in the dialysis unit about these experiences. Shifting Life's Focus, the substantive theory emerging from this study, explains participants' experience with the process of kidney transplant evaluation as they physically and emotionally prepared to receive a kidney transplant. Three major concepts compose this theory: complex chronic health issues, financial concerns, and following through. This theory not only explains the experiences of these participants, but may help explain those of other African American patients on dialysis. Understanding this theory may provide insight to reasons why many African Americans may complete their transplant evaluations and be listed to receive a kidney transplant and therefore has direct application to both health policy and clinical practice.
dc.language.iso en_US en_US
dc.subject African American en_US
dc.subject End Stage Kidney Disease en_US
dc.subject Kidney Transplantation en_US
dc.subject Transplant Evaluation en_US
dc.subject Health Disparities en_US
dc.subject Dialysis en_US
dc.title Shifting Life's Focus: African American Dialysis Patients' Experiences with Kidney Transplant Evaluation
dc.type Dissertation en PhD in Nursing en_US Doctoral en Nursing George Mason University

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