Beneficence in chronic kidney disease patients undergoing haemodialysis therapy: A concept analysis

Abstract

Background: Beneficence is a very important ethical principle in the nursing process that relates to compassion, kindness, and charity, especially with regard to actions taken to benefit patients. But there is no consensus about its meaning.

Purpose: To analyze the concept of beneficence in patients with chronic kidney disease who undergo hemodialysis.

Method: Concept analysis is supported by studies on the benefits of using online databases like Pubmed, Science Direct, and Google Scholar. "Beneficence," "Chronic Kidney Disease" and "Hemodialysis" were the key search terms and the timeframe publications from 1999 to 2023.

Results: Identifying concepts and attributes of beneficence with empirical references are professional responsibility, patient welfare and interests, promoting health, engaging medical knowledge and maximizing benefits. From antecedents chronic kidney disease, gradual decline in kidney function, end-stage kidney disease, kidney replacement therapy, haemodialysis, benefits of therapy, side effects of therapy. Then we get consequences including quality of life of hemodialysis patients, optimizing therapy, end of life quality, negative emotions due to therapy.

Conclusion: The conclusions of the concept analysis gave a functional definition of the advantages of haemodialysis. To measure beneficience in dialysis patients, the Beneficence Satisfaction Scale can be used, to determine hemodialysis adequacy was URR, Kt/V, and UKM. To determine the quality of life using SF 36, and finally to measure quality end of life using SPELE to assess health workers perception and QODD of patients and families.