Perceptions of experiences of graft rejection among organ transplant recipients striving to control the uncontrollable

Journal of Clinical Nursing
Madeleine NilssonAnna Forsberg

Abstract

To investigate perceptions of graft rejection and different methods to obtain knowledge about graft rejection among adult organ transplant recipients. Rejection is the most common cause of graft loss and graft dysfunction in clinical transplantation. Little is known about the recipients' own explanation models related to graft rejection. Phenomenography. A strategic selection included patients who had undergone a kidney, liver, heart or lung transplant. Sixteen patients, six males and 10 females, aged 21-63 years with a follow-up time of between three months and 10 years were interviewed. The result comprised five domains of variations in perceptions of graft rejection: the abstract threat to life; the concrete threat to health; trust in the body; striving to control the threat; and one's identity. The inner perspective and personal explanation models involved threat, fear, trust, control and identity adjustment. Different approaches had the same purpose; 'striving to control the uncontrollable'. Learning about graft rejection revealed security, lack of security and uncertainty. The inner perspective of graft rejection in this result leads to several clinical implications in terms of patient education and recipients' differing ...Continue Reading

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Citations

Sep 16, 2014·Annales pharmaceutiques françaises·J-D BardetB Allenet
Aug 5, 2011·Scandinavian Journal of Caring Sciences·Dagfinn Nåden, Ida Torunn Bjørk
Oct 26, 2012·Nursing & Health Sciences·Yaprak S OrdinSally Wellard
May 19, 2012·Journal of Clinical Nursing·Paul Gill
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May 6, 2016·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Matilda AlmgrenAnna Forsberg
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Jul 9, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Anna ForsbergAnnette Lennerling
Jan 21, 2015·Global Qualitative Nursing Research·Anna ForsbergMadeleine Nilsson
Feb 12, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Anna ForsbergAnnette Lennerling
Apr 19, 2021·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·James TangAllison Tong
Jun 17, 2021·Transplantation Direct·Michael T OuJacqueline M Garonzik-Wang
Aug 28, 2021·Transplant International : Official Journal of the European Society for Organ Transplantation·Regina van ZantenEmma K Massey

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