Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Deborah Schuhmacher DNP, RN

Second Advisor

Joyce P Miller DNP, RN

Third Advisor

Kathleen Clark DNP, RN


Pregnancy while dependent on hemodialysis is uncommon. Historically pregnancy with end-stage renal failure has been considered very high risk with many pregnancies ending in miscarriage. With improvements in the dialysis process along with providers' increased knowledge about pregnancy and renal dysfunction, the number of successful pregnancies while hemodialysis dependent is increasing. It is essential to provide proper medical and psychological care to the mother during pregnancy while hemodialysis dependent to improve outcomes for successful delivery of the baby. The purpose of this project is to create and implement a practice guideline to prevent the disparity in the treatment of pregnant women suffering from end-stage renal disease on hemodialysis at a large mid-western institution. This is accomplished with application of Newman’s Theory of Health as Expanding Consciousness with a multi-disciplinary approach supported by literature. The use of a conceptual model further illustrates the best care for pregnant women on hemodialysis at a large mid-western care facility.


SC 11.DNP.2020.Timmerma.E