“Machine-Dependent”: The lived experiences of patients receiving hemodialysis in Pakistan

This study aimed to explore the lived experiences of patients receiving maintenance hemodialysis in Pakistan. Purposive sampling was used to recruit 24 patients and six healthcare professionals, each participated in a semi-structured interview. Interpretive Phenomenological Analysis was used to analyze interviews’ data. Two superordinate themes, “The experience of hemodialysis” and “The conceptualizations of hemodialysis” as well as six sub-themes were identified. The experience of hemodialysis was related to, the implications of HD procedure on everyday life, social, cognitive, emotional, financial, and occupational influences. While all participants recognized the importance of hemodialysis for their survival, their conceptualizations of the treatment varied. Despite facing multiple challenges, optimism and independence were observed among participants. Stigma related to hemodialysis, and role adaptation, which appear unique to the Pakistani context, highlight a need for tailored interventions designed to enhance and maintain the mental health of patients receiving hemodialysis in Pakistan

A qualitative exploration of the experience of men with prostate cancer involved in supervised exercise programs

Purpose/Objectives: To provide an in-depth description of the experience of supervised exercise programs among men with prostate cancer and to identify elements critical to optimizing engagement and ongoing exercise participation.Design: Descriptive, qualitative.Setting: A tertiary exercise oncology center in Perth, Australia.Sample: 12 men with prostate cancer participating in a structured, clinic-based group exercise program supervised by accredited exercise physiologists.Methodologic Approach: Participants completed a demographic and health history questionnaire and a semistructured interview. Thematic content analysis was performed.Findings: Participants described physiological and psychological health benefits, which reduced treatment-related side effects and positively affected self-efficacy, and identified exercise physiologists as providing information about the importance of exercise, as well as practical, emotional, and social support. Peer support encouraged discussion of shared experiences and a sense of social connection.Conclusions: Results from the current study expand on existing quantitative data to provide evidence of psychosocial benefits among men with prostate cancer involved with supervised exercise programs. The data provide insight into the components of exercise programs that can form a framework for the development of effective supportive care programs.Interpretation: Involvement in a structured, clinic-based group exercise program provides men with prostate cancer with considerable benefits. Supervision by qualified exercise physiologists and incorporation of a group approach are critical components of maximizing those benefits

sj-docx-1-gqn-10.1177_23333936221128240 – Supplemental material for “Machine-Dependent”: The Lived Experiences of Patients Receiving Hemodialysis in Pakistan

Supplemental material, sj-docx-1-gqn-10.1177_23333936221128240 for “Machine-Dependent”: The Lived Experiences of Patients Receiving Hemodialysis in Pakistan by Haseeba Shouket, Eyal Gringart, Dierdre Drake and Ulrich Steinwandel in Global Qualitative Nursing Research</p