Date of Conferral

5-12-2025

Date of Award

May 2025

Degree

Ph.D.

School

Nursing

Advisor

Donna Bailey

Abstract

There has been an increase in the incidence of Hispanics being diagnosed with end stage renal disease (ESRD), which has evolved from the rise in type 2 diabetes and hypertension. However, Hispanics and African American people are less likely to receive kidney transplants than non-Hispanic White individuals, and many Hispanics referred for transplants often do not complete the evaluation process due to its complexities. The purpose of this qualitative narrative descriptive study, guided by the socioeconomic model, was to explore the lived experiences of non-English-speaking Hispanic patients during the kidney transplant evaluation process. Six participants were recruited for the individual narrative interviews, which were analyzed using a descriptive coding and categorizing system. Findings revealed four themes: (a) positive experience with the evaluation process, (b) effective support systems, (c) determination to complete the process, and (d) delays in the evaluation and transplant process. Transplant centers and staff can incorporate the findings into their programs and develop interventions to enhance the completion of transplant evaluations, thereby sustaining wait lists. Additional research is needed to determine how well the kidney transplant educational information is understood or retained throughout the review through the waitlist phase. Additional transplant programs that serve non-English-speaking Hispanics are needed. The successful completion of pre-transplant procedures can lead to the achievement of transplantation, improve quality of life, and increase survival, which will affect positive social change.

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Nursing Commons

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