Date of Award
Spring 1978
Document Type
Thesis - Restricted
Degree Name
Master of Science (MS)
Department
Nursing
Abstract
The concept of powerlessness was studied through an analysis of field notes kept on six clients with chronic renal failure who were being treated with hemodialysis and/or renal transplantation. A total of seventy stimuli which appeared to contribute to client powerlessness are described. The stimuli are separated into eight categories: client/staff relationships, disease process, family relationships, dialysis procedure, hospitalization, finances, medical regimen, and employment. The greatest number of stimuli are in the client/staff relationships and disease process categories, twenty and fifteen respectively. Verbal and behavioral indicators of powerlessness are identified. These indicators include: expression of feelings of anger and depression at one's lack of control; expressions of external control; difficulty with decision making; lack of information-seeking; and failure to volunteer relevant information to health professionals. Specific nursing strategies for decreasing client powerlessness are suggested. These strategies involve : 1) helping the client to recognize and learn to use control measures; 2) helping the client to set realistic goals and expectations; 3) helping the client learn as much as possible about his illness and its management; and 4) modifying the health care environment to decrease client powerlessness. The significance of the concept of powerlessness for nursing is discussed, and suggestions made for further research to develop the concept in nursing practice.
Recommended Citation
Stapleton, Susan Rutledge, "Powerlessness in Individuals with Chronic Renal Failure" (1978). Master's Theses (1922-2009) Access restricted to Marquette Campus. 3570.
https://epublications.marquette.edu/theses/3570