Chronic kidney disease is a growing health problem that, 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' experiences 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 not complete their transplant evaluations and be listed to receive a kidney transplant, and therefore has direct application to both health policy and clinical practice.
|Advisor:||Moore, Jean B.|
|School:||George Mason University|
|School Location:||United States -- Virginia|
|Source:||DAI-B 72/11, Dissertation Abstracts International|
|Subjects:||Social work, Nursing, Physiological psychology|
|Keywords:||African Americans, Dialysis patients, Health disparities, Kidney transplantation, Transplant evaluation|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be