FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2803149525> ?p ?o ?g. }

• W2803149525 endingPage "78" @default.
• W2803149525 startingPage "78" @default.
• W2803149525 abstract "Background: In the United States, nearly half of undocumented immigrants with end-stage kidney disease receive hemodialysis only when they are evaluated in an emergency department and are found to have life-threatening renal failure (“emergency-only hemodialysis” [EOHD]). These patients experience psychosocial distress and much higher mortality than patients receiving regularly scheduled hemodialysis, but little is known about how providing EOHD affects the clinicians involved. Objective: To understand clinicians' experiences providing EOHD. Design: Qualitative study using semistructured interviews. Setting: A safety-net hospital in Denver, Colorado, and a safety-net system in Houston, Texas. Participants: Fifty interdisciplinary clinicians experienced in providing EOHD. Measurements: Interviews were analyzed using thematic analysis. Outcomes included themes and subthemes. Results: Four themes and 13 subthemes (in parentheses) were identified: 1) drivers of professional burnout (emotional exhaustion from witnessing needless suffering and high mortality, jeopardizing patient trust, detaching from patients, perceived lack of control over EOHD criteria, and physical exhaustion from overextending to bridge care), 2) moral distress from propagating injustice (altered care based on nonmedical factors, focus on volume at the expense of quality, and need to game the system), 3) confusing and perverse financial incentives (wasting resources, confusing financial incentives, and concerns about sustainability), and 4) inspiration toward advocacy (deriving inspiration from patients and strengthened altruism). Limitation: Whether the findings apply to other settings is unknown, and social desirability response bias might have reduced reporting of negative perceptions and experiences. Conclusion: Clinicians in safety-net settings who provide EOHD to undocumented patients describe experiencing moral distress and being driven toward professional burnout. The burden of EOHD on clinicians should inform discussions of systemic approaches to support provision of adequate care based on medical need. Primary Funding Source: Robert Wood Johnson Foundation and Doris Duke Charitable Foundation." @default.
• W2803149525 created "2018-06-01" @default.
• W2803149525 creator A5003740403 @default.
• W2803149525 creator A5038884690 @default.
• W2803149525 creator A5039945334 @default.
• W2803149525 creator A5040402876 @default.
• W2803149525 creator A5048998136 @default.
• W2803149525 creator A5055135477 @default.
• W2803149525 creator A5061550141 @default.
• W2803149525 creator A5064713352 @default.
• W2803149525 creator A5088520799 @default.
• W2803149525 date "2018-05-22" @default.
• W2803149525 modified "2023-09-30" @default.
• W2803149525 title "Clinicians' Perspectives on Providing Emergency-Only Hemodialysis to Undocumented Immigrants" @default.
• W2803149525 cites W1583404152 @default.
• W2803149525 cites W1607675442 @default.
• W2803149525 cites W1898676027 @default.
• W2803149525 cites W1983595163 @default.
• W2803149525 cites W2018043236 @default.
• W2803149525 cites W2021939401 @default.
• W2803149525 cites W2058186366 @default.
• W2803149525 cites W2061844807 @default.
• W2803149525 cites W2062678312 @default.
• W2803149525 cites W2080533034 @default.
• W2803149525 cites W2089219312 @default.
• W2803149525 cites W2134250320 @default.
• W2803149525 cites W2138664283 @default.
• W2803149525 cites W2156157284 @default.
• W2803149525 cites W2218759667 @default.
• W2803149525 cites W2496214191 @default.
• W2803149525 cites W2575440225 @default.
• W2803149525 cites W2586945153 @default.
• W2803149525 cites W2587388089 @default.
• W2803149525 cites W2620780923 @default.
• W2803149525 cites W2748825407 @default.
• W2803149525 cites W2780361503 @default.
• W2803149525 cites W2783787889 @default.
• W2803149525 cites W2884534764 @default.
• W2803149525 doi "https://doi.org/10.7326/m18-0400" @default.
• W2803149525 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/29800062" @default.
• W2803149525 hasPublicationYear "2018" @default.
• W2803149525 type Work @default.
• W2803149525 sameAs 2803149525 @default.
• W2803149525 citedByCount "51" @default.
• W2803149525 countsByYear W28031495252018 @default.
• W2803149525 countsByYear W28031495252019 @default.
• W2803149525 countsByYear W28031495252020 @default.
• W2803149525 countsByYear W28031495252021 @default.
• W2803149525 countsByYear W28031495252022 @default.
• W2803149525 countsByYear W28031495252023 @default.
• W2803149525 crossrefType "journal-article" @default.
• W2803149525 hasAuthorship W2803149525A5003740403 @default.
• W2803149525 hasAuthorship W2803149525A5038884690 @default.
• W2803149525 hasAuthorship W2803149525A5039945334 @default.
• W2803149525 hasAuthorship W2803149525A5040402876 @default.
• W2803149525 hasAuthorship W2803149525A5048998136 @default.
• W2803149525 hasAuthorship W2803149525A5055135477 @default.
• W2803149525 hasAuthorship W2803149525A5061550141 @default.
• W2803149525 hasAuthorship W2803149525A5064713352 @default.
• W2803149525 hasAuthorship W2803149525A5088520799 @default.
• W2803149525 hasConcept C118552586 @default.
• W2803149525 hasConcept C139265228 @default.
• W2803149525 hasConcept C143916079 @default.
• W2803149525 hasConcept C144024400 @default.
• W2803149525 hasConcept C144133560 @default.
• W2803149525 hasConcept C150966472 @default.
• W2803149525 hasConcept C159110408 @default.
• W2803149525 hasConcept C162324750 @default.
• W2803149525 hasConcept C162853370 @default.
• W2803149525 hasConcept C175444787 @default.
• W2803149525 hasConcept C190248442 @default.
• W2803149525 hasConcept C2778063415 @default.
• W2803149525 hasConcept C29122968 @default.
• W2803149525 hasConcept C36289849 @default.
• W2803149525 hasConcept C512399662 @default.
• W2803149525 hasConcept C56995899 @default.
• W2803149525 hasConcept C70410870 @default.
• W2803149525 hasConcept C71924100 @default.
• W2803149525 hasConcept C74196892 @default.
• W2803149525 hasConceptScore W2803149525C118552586 @default.
• W2803149525 hasConceptScore W2803149525C139265228 @default.
• W2803149525 hasConceptScore W2803149525C143916079 @default.
• W2803149525 hasConceptScore W2803149525C144024400 @default.
• W2803149525 hasConceptScore W2803149525C144133560 @default.
• W2803149525 hasConceptScore W2803149525C150966472 @default.
• W2803149525 hasConceptScore W2803149525C159110408 @default.
• W2803149525 hasConceptScore W2803149525C162324750 @default.
• W2803149525 hasConceptScore W2803149525C162853370 @default.
• W2803149525 hasConceptScore W2803149525C175444787 @default.
• W2803149525 hasConceptScore W2803149525C190248442 @default.
• W2803149525 hasConceptScore W2803149525C2778063415 @default.
• W2803149525 hasConceptScore W2803149525C29122968 @default.
• W2803149525 hasConceptScore W2803149525C36289849 @default.
• W2803149525 hasConceptScore W2803149525C512399662 @default.
• W2803149525 hasConceptScore W2803149525C56995899 @default.
• W2803149525 hasConceptScore W2803149525C70410870 @default.
• W2803149525 hasConceptScore W2803149525C71924100 @default.
• W2803149525 hasConceptScore W2803149525C74196892 @default.

• next