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You Cannot Choose Your Family

Sociological Ambivalence in the Hemodialysis Unit

Bibliographic Data

ID4677811
AuthorsPatricia M Wilson (University of Kent, Canterbury, United Kingdom), Patricia Wilson (0000-0002-5787-9736, University of Kent, corresponding author), Jonathan D Reston (University of Hertfordshire, Hatfield, United Kingdom), Jonathan Reston (0000-0002-5164-782X, University of Hertfordshire), Rebecca Bieraugel (East & North Hertfordshire NHS Trust, Stevenage, United Kingdom), Maria Da Silva Gane (East & North Hertfordshire NHS Trust, Stevenage, United Kingdom), David Wellsted (0000-0002-2895-7838, University of Hertfordshire, Hatfield, United Kingdom), Maxine Offredy (University of Hertfordshire, Hatfield, United Kingdom), Ken Farrington (0000-0001-8862-6056, East & North Hertfordshire NHS Trust, Stevenage, United Kingdom)
Year2015
Volume25
Issue1
Pages27-39
Publication date2015-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732314549030
PMID25205792
OpenAlexW2161605110
LanguageEN
Citations received2
References cited47

Living with end-stage renal disease is challenging and requires a great deal of self-management, but little is known about the experiences of patients and staff around the subject. We held six focus groups in three hemodialysis units, each unit hosting 1 staff and 1 patient focus group. A total of 15 staff members and 15 patients participated. We employed thematic analysis using a priori and emerging codes. Five key themes emerged: challenges, enablers, complex balancing acts, good patient/bad patient, and the hemodialysis unit as a family. We explored the family metaphor further through the work of Bourdieu, but concluded that relationships in the hemodialysis unit most closely fit the concept of sociological ambivalence. We present an explanatory framework around inherent tensions characterizing relationships within the hemodialysis unit and highlight implications for facilitating self-management and developing collaborative approaches to care

Ambivalence · Focus group · Hemodialysis · Qualitative research · Social science · Sociology · Thematic analysis · Computer Science · Engineering · Family Caregiving in Mental Illness · Intergenerational Family Dynamics and Caregiving · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Social Psychology

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Unique citing works2
Citations per year0,67
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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