Initiation into a dialysis-dependent life: an examination of rites of passage

Article


Biernoff, David and Martin-McDonald, Kristine. 2002. "Initiation into a dialysis-dependent life: an examination of rites of passage." Nephrology Nursing Journal. 29 (4), pp. 347-352.
Article Title

Initiation into a dialysis-dependent life: an examination of rites of passage

ERA Journal ID14137
Article CategoryArticle
AuthorsBiernoff, David (Author) and Martin-McDonald, Kristine (Author)
Journal TitleNephrology Nursing Journal
Journal Citation29 (4), pp. 347-352
Number of Pages6
Year2002
Place of PublicationPitman, NJ. United States
ISSN1526-744X
Web Address (URL)http://www.prolibraries.com/anna/?select=session&sessionID=1623
Abstract

The purpose of this article is to explore the conceptual and empirical application of the rites of passage model in contemporary health care for those who are dialysis dependent. This study used a collective case study design and narrative methodology. A purposive sample yielded 10 participants who were receiving dialysis. Prolonged observation and immersion in the culture of dialysis dependency occurred in the settings of the participants' home and renal units in Queensland, Australia. In-depth interviews and narrative analysis were used. The criteria of reflexivity, voice, and verisimilitude established the rigor of the study. The findings illuminated the three stages of rites of passage (ROP), separation, liminality, and reincorporation, with each stage evident in the participants' stories. Commencing dialysis is an initiation that delineates the transition from one social status to another. It is argued that there is a metaphoric usefulness of the application of the ROP model that might influence the quality of care to dialysis initiates.

Keywordsadaptive behavior; disease course; life event; psychological aspect; renal replacement therapy
ANZSRC Field of Research 2020320214. Nephrology and urology
420307. Health counselling
520399. Clinical and health psychology not elsewhere classified
Byline AffiliationsSchool of Humanities and Communication
School of Nursing and Midwifery
Institution of OriginUniversity of Southern Queensland
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