Thesis: Nursing Kidney Nursing Perceptions and Live

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Nursing Kidney

Nursing Perceptions and Live Kidney Donation

Explanation of Nursing Problem:

Organ transplant is an area of medical treatment that has the capacity to save lives, but there is a significant set of challenges which prevent transplant from being employed as early and often as desired. The noted gap between that which is needed and that which is available to the medical community has created a highly deficient 'waiting list' system, in which would be recipients are in a slow race against pressing health ailments that require timely Organ transplant. According to the research by Neyhart & Colaneri (2004), "the incidence of patients diagnosed with end stage renal disease (ESRD) has tar exceeded the supply of kidneys. Cadaveric kidney donations have reached a plateau. Live donor kidneys are a source that could be expanded if the American public and the health care community would accept and promote the idea of living anonymous donation (LAD)." (Neyhart & Colaneri, 1)

This is the imperative driving a need for the more aggressive courtship of live kidney donation, which due to its feasibility for the living donor and its significantly better results for the patient, is the preferred method of treatment for those with critical renal issues. This is a practical challenge to nurses who must address the conditions renal failure and other kidney-specific health ailments. For nurses in this context, the critical shortage of available live kidney donors promotes a less-than-optimal public health outlook where kidney transplant demands are concerned. The offshoot of this is the current nursing problem, which is the simultaneous need to improve the availability of live donated kidneys and to simultaneously address this issue with a careful consideration of the ethical implications which are persistent to this issue.

Relevance to Nursing Practice:

According to the research by Conesa et al. (2009), there is a distinct value in understanding the disposition of nurses toward different methods of courting live kidney donation with respect to the goal of improving the availability of such organs for transplant. According to Conesa et al. "nursing is a fundamental service in caring for the health of the public. The opinion of nurses toward a certain type of donation may have a strong population impact. In this respect, living kidney donation is increasing in Spain; it is important to raise awareness at all levels." (Conesa et al., 3626) This underscores the relevance of the subject to the nursing profession, which is demonstrated to have a direct bearing on the way that potential donors perceive the social, medical and practical implications of making such a donation. For the purposes of our research, this connection between nursing perceptions and public perceptions will drive the nature of the study and will provide purpose to the findings thereby produced.

Objective of Research:

The primary objective of the research which is here proposed is to heighten emphasis on those methods of courtship for kidney donation which appear to correspond with the practical and ethical concerns of most nurses. This speaks to the immediate intention to establish a fuller understanding of the way that nurses perceive and respond to several available methods of kidney donation based on their practical experience with transplant patients and their individual ethical proclivities. All indications are that nurses tend to view live kidney donation as positive when it conforms to a certain set of conditions. Most particularly, the study by Conesa et al. finds that "the attitudes toward living kidney donation were favorable in 93% of those questioned (n = 129), mainly when the donation is related (78%, n = 109)." (Conesa et al., 3630)

This means that at the most basic level, we enter into the discussion recognizing that nursing professionals largely recognize and support the benefits achieved through kidney transplant where the donor is a living subject. The same study denoted no preference of relationship with respect to non-living donors. This is a useful point of distinction as we consider the objective of this research, which is to find a common ground between the favorable perspective of nurses here and the perspective methods of live donation courtship that are distinct from traditional family-relation methods. This means it will be necessary to determine the response of nurses to alternate methods of courtship such as the use of the online medium, the use of financial incentives and courtship through foreign markets where there appears to be a greater public willingness to make a donation of this nature.

Expected Outcomes:

It is anticipated that the research will prove a significant level of support amongst nurses for a generally greater effort at spreading information and extending courtship efforts in order to reach a wider range of potential organ donors. The likelihood is that there will be formed a relative consensus on this subject, owing to the genuine shortage of available live kidney donors and the simultaneous benefits which are uniquely available for dialysis patients and end-state renal failure subjects through said donors. It is anticipated that there will be some divided sentiment with respect to the issue of the use of financial compensation as a way to court potential donors. This is underscored by general findings which seem to endorse this concern, such as that by Hypothesis:

By promoting humanitarian goals, it may be possible to make significant gains in the area of live kidney donation. Existing research tends to endorse the premise that more active courtship through an emphasis on the opportunity to help others will be a successful endeavor. So denotes the research by Neyhart & Colaneri, which finds that this act "provides the donor with a sense of truly contributing to society in a heroic and immeasurable fashion. The living anonymous donor saves a patient from a life on dialysis and provides hope for the future for someone in despair. This is psychologically uplifting and affirming for the donor." (Neyhart & Colaneri, 1) the belief that this approach to framing public campaigns for courtship of donors is compounded by the hypothesis that fewer practicing nurses are likely to find an ethical objection to this approach than such approaches as might offer financial compensation or those with might engage the citizens of another country where donors appear to be more readily available.

Research of Nursing Theorist:

The perspective informing the hypothesis -- that humanitarian framing is the best of possible options for improving courtship of living kidney donations -- is underscored by a nursing theory which points to the same convergence of practical and ethical consideration. Derived from the research conducted by Jean Watson toward the construction of her Theory of Human Caring. Watson's theory would be developed in the years between 1975 and 1979 according to the theorist's own accounting. Watson remarks that "it emerged from my own views of nursing, combined and informed by my doctoral studies in educational-clinical and social psychology. It was my initial attempt to bring meaning and focus to nursing as an emerging discipline and distinct health profession with its own unique values, knowledge and practices, with its own ethic and mission to society." (Watson, 1) From her background in the discipline of nursing education as a Professor at Colorado University in Denver, Watson would provide a refined definition of nursing.

In her perspective, nursing would be driven not just by the needs of the patient but even further could be characterized around a distinct set of what Watson would call 'carative' responsibilities. In this assessment, nursing would be defined as the attention to these categories of care, which would be defined around certain ethical constructions. These would also refine the definition of the person in the process of treatment, categorizing this subject as one inherently deserving of a certain set of positive nursing values. Accordingly, Watson would contend that among the carative responsibilities shaping the profession, nurses must pay focus to the following factors: "formation of a Humanistic-altruistic system of values; instillation of faith-hope; Cultivation of sensitivity to one's self and to others; Development of a helping-trusting, human caring relationship; Promotion and acceptance of the expression of positive and negative feelings; Systematic use of a creative problem-solving caring process; Promotion of transpersonal teaching-learning; Provision for a supportive, protective, and/or corrective mental, physical, societal, and spiritual environment; assistance with gratification of human needs; allowance for existential-phenomenological-spiritual forces." (Watson, 1)

These categories help to demonstrate again how such theoretical frameworks tend to recast the constructs defining health as something greater than basic health treatment. Thus nurse must attend to health, according to Watson, as a coalescence of different experiential realities concerning hope, faith, support system and emotional contextualization. Health is scene as a matrix or conditions and environmental parameters rather than simply as an outcome of treatment procedures as facilitated by a healthcare staff. This is a theoretical construct that seems to be most at work in a courtship methodology centering on this emphasis of humanitarian and altruistic instincts, which stands to do the most good for the cause while causing the least incursion of ethical dilemma for the nursing professional.… [END OF PREVIEW]

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Nursing Kidney Nursing Perceptions and Live.  (2010, February 11).  Retrieved December 9, 2019, from https://www.essaytown.com/subjects/paper/nursing-kidney-perceptions/8838241

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"Nursing Kidney Nursing Perceptions and Live."  Essaytown.com.  February 11, 2010.  Accessed December 9, 2019.
https://www.essaytown.com/subjects/paper/nursing-kidney-perceptions/8838241.