Critical Concerns and Challenges in Nephrology Social Work Practice: Reactions to the 2008 Conditions for Coverage

Abstract

This qualitative study examined the written comments provided by 406 nephrology social workers who responded to an online survey conducted in 2010 by the Council of Nephrology Social Workers (CNSW). Data were analyzed using a constant comparative method to identify themes that highlight concerns and challenges related to day-to-day practice in renal settings. Findings yielded four primary themes associated with the implementation of the 2008 Medicare and Medicaid Program Conditions for Coverage for End-Stage Renal Disease Facilities: increased paperwork expectations, loss of patient contact, workload demands, and job dissatisfaction. Implications for nephrology social work practice and research are discussed.