title: Decisions regarding dialysis treatment modality: a holistic perspective.
abstract: The article describes a secondary analysis of a qualitative study designed to identify factors that influence clients' decisions regarding type of dialysis treatment modality. The original qualitative study was designed to elicit perceptions of clients with end-stage renal disease regarding why, how, and by whom the decision was made about the type of dialysis treatment modality (hemodialysis or continuous ambulatory peritoneal dialysis) that the client would undergo. Secondary analysis of the original study results revealed that the factors that influenced the decision regarding the type of dialysis treatment modality encompassed the five Neuman systems model variable areas: physiologic, psychologic, sociocultural, developmental, and spiritual.
authors.affiliation: School of Nursing, University of Pennsylvania, Philadelphia, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Breckenridge
mesh_terms: D000328:Adult; D000368:Aged; D003657:Decision Making; D005260:Female; D018939:Holistic Nursing; D006801:Humans; D007676:Kidney Failure, Chronic / Q000517:prevention & control* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D015404:Nursing Methodology Research; D010358:Patient Participation; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000523:psychology*; D006435:Renal Dialysis / Q000523:psychology*; D013597:Systems Analysis