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

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. ISSN 1526-744X


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.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty / Department / School: Historic - Faculty of Sciences - Department of Nursing
Date Deposited: 30 Nov 2007 11:47
Last Modified: 03 Jul 2013 00:20
Uncontrolled Keywords: adaptive behavior; disease course; life event; psychological aspect; renal replacement therapy
Fields of Research : 11 Medical and Health Sciences > 1103 Clinical Sciences > 110312 Nephrology and Urology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111710 Health Counselling
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Socio-Economic Objective: C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920104 Diabetes

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