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A qualitative meta-synthesis of the essence of patient experiences of dialysis
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Soyoung Jang, Eunyoung E. Suh, Yoonhee Seok
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J Korean Acad Nurs 2025;55(1):119-136. Published online February 19, 2025
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DOI: https://doi.org/10.4040/jkan.24102
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 Abstract
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- Purpose
This study aimed to understand the experiences of dialysis and their meaning among patients with chronic kidney disease through a meta-synthesis of the existing literature. Since 2010, the prevalence of end-stage renal disease has doubled in South Korea, which has the sixth-highest incidence worldwide. Although most kidney disease patients undergo dialysis to attenuate disease-related symptoms and prolong their lives, the implications of dialysis on their lives, together with the role played by patients’ significant others, remain underexplored. Similarly, existing research has not considered both patients with hemodialysis and peritoneal dialysis.
Methods
In this meta-synthesis, seven electronic databases (PubMed, CINAHL, EMBASE, PsycINFO, DBpia, KISS, and RISS) were searched for the terms “dialysis” and “qualitative.” Thirty qualitative studies were selected for examination.
Results
The overriding theme observed in the studies was “I do not have much time left.”–navigating the dual realities of one’s limited existence, while other key themes were: (1) the inevitable experience of the troubles of dialysis, (2) life is extended, but deteriorating in every aspect, (3) accepting dialysis with a positive outlook for life, and (4) essential support experienced in an exhausting life.
Conclusion
These findings are important for the design and delivery of practical and tailored nursing interventions to help patients overcome the various challenges related to dialysis treatment, and improve their quality of life.
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Climate change literacy: a concept analysis with implications for older adults
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Soyoung Jang
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Received March 4, 2026 Accepted July 28, 2026 Published online August 19, 2026
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DOI: https://doi.org/10.4040/jkan.26028
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Abstract
ePub
- Purpose
This study analyzed the conceptual structure of climate change literacy by integrating climate-related literacy concepts used across disciplines and explored its implications for older adults’ health.
Methods
This concept analysis used Walker and Avant’s approach. Five electronic databases—PubMed, CINAHL, Embase, PsycINFO, and Web of Science—were searched from inception to December 2025. An additional search was conducted in March 2026 to identify literature specific to older adults.
Results
Eleven studies were included in the concept analysis. Five defining attributes were identified: (1) understanding of climate–health linkages, (2) perceived personal and local climate risks, (3) access to and critical interpretation of climate–health information, (4) capacity for adaptive and health-protective actions, and (5) readiness for collective engagement and collaboration.
Conclusion
Climate change literacy involves more than individual cognitive capacity; it is a multidimensional concept formed and practiced within social relationships and community structures. Because aging affects biological, psychological, and social conditions, each attribute of climate change literacy may be expressed differently in later life, making the concept particularly relevant to older adults. These findings may provide a theoretical basis for climate–health education programs, community-based adaptation strategies, and measurement tools, including approaches tailored to older adults.
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