[Impact of lack of resources in dialysis practice in Quebec].
The purpose of this descriptive study was to assess the impact of limited resources on the practice of dialysis in Quebec and to highlight certain ethical issues. Twelve semi-structured interviews were done with nurses in charge of 14 dialysis centres in Quebec. A survey using self-administered questionnaires was also carried out between January 2000 and July 2001, with a convenience sample of 412 patients and 156 other persons involved, including 116 dialysis nurses. Two discussion groups brought together sixteen stakeholders from four dialysis centres. The results presented here were obtained by triangulating methods and data. They show that access to dialysis is not limited by Quebec nephrologists, that patients are increasingly old and sick, that teams are working to the utmost of their ability and that it is difficult for nursing staff to provide optimal care under these conditions.
Saint-Arnaud
Jocelyne
J
Bouchard
Louise
L
Loiselle
Carmen G
CG
Verrier
Pierre
P
Laflamme
Marie-Claude
MC
Audet
Monique
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002170:Canada / Q000453:epidemiology; D005260:Female; D015276:Health Care Rationing / Q000941:ethics; D006295:Health Resources / Q000941:ethics / Q000592:standards*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000941:ethics / Q000523:psychology*; D018579:Patient Selection / Q000941:ethics; D010818:Practice Patterns, Physicians' / Q000941:ethics / Q000592:standards*; D011792:Quebec / Q000453:epidemiology; D017582:Renal Replacement Therapy / Q000941:ethics / Q000451:nursing / Q000523:psychology / Q000592:standards*; D011795:Surveys and Questionnaires