Volume 35, Fall 2011
Table of Contents
Critical Concerns and Challenges in Nephrology Social Work Practice: Reactions to the 2008 Conditions for Coverage
Joseph R. Merighi, PhD; Kelli Collins, MSW, LICSW
This qualitative study examined the written comments provided by 406 nephrology social workers who responded to an online survey conducted in 2010 by the Council of Nephrology Social Workers (CNSW). Data were analyzed using a constant comparative method to identify themes that highlight concerns and challenges related to day-to-day practice in renal settings. Findings yielded four primary themes associated with the implementation of the 2008 Medicare and Medicaid Program Conditions for Coverage for End-Stage Renal Disease Facilities: increased paperwork expectations, loss of patient contact, workload demands, and job dissatisfaction. Implications for nephrology social work practice and research are discussed.
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Treating Depression Among End-Stage Renal Disease Patients: Lessons Learned from Cognitive Behavioral Therapy Classes
Jana Wardian, MSW; Fei Sun, MSW, PhD
This study tested the feasibility and effectiveness of cognitive behavioral therapy (CBT) in alleviating symptoms of depression and improving quality of life for patients with end-stage renal disease (ESRD). Four ESRD patients in the experimental group attended four weeks of classes using CDs and group discussion to gain CBT skills, and six patients in the control group listened to the same CDs. While there were no significant changes in participants’ depression or quality of life scores, patients expressed personal benefits from group interaction and from the information they received. Due to the many barriers to attending group classes for this population, it may be more advantageous to listen to the information while at dialysis and discuss with a social worker.
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Effect of Peer Mentors on Kidney Transplant Candidates
Susan S. Walker, LMSW; Adam Ellis, BS; Renautta Wojtylo, RN, BSN, CNN; Kelly Hendrix, RN, BSN, CNN;
Victoria C. Lucia, PhD
Patients with chronic kidney disease can experience a range of emotions and issues associated with the treatment of their disease. This two-part study investigated the effects of a hospital-based peer mentoring program on time to listing and quality of life for kidney transplant candidates. No significant differences between patients with and without peer mentors were found regarding time to listing or quality of life. It was discovered that race played a role in willingness to accept a peer mentor when offered by the transplant social worker, with more minorities assigned a peer mentor than whites (p = 0.01). However, no significant difference between patients with and without a peer mentor was found in time to listing when controlled for race (p = 0.42).
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Commentary: Mindfulness and Its Influence on the Nephrology Social Worker and Circle of Care
Gary P. Petingola, RSW
Nephrology social workers in major medical centers often respond in haste, are quick to react, and consequently miss the “sacred moment” within the therapeutic relationship. Professional and personal awareness and clarity can be cultivated through the practice of mind-body interventions. This paper examines how mindfulness meditation and other techniques within the realm of relaxation therapy enhance self-awareness, compassion, and non-judgmental practice for the nephrology social worker. This study highlights the experience of a nephrology social worker who has utilized mind-body interventions as a component of reflective practice. As a result, patient dignity and engagement with family members and healthcare providers, as part of the circle of care in a hospital-based nephrology program, are strengthened.
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