Date of Award


Document Type

Open Access Thesis

Degree Name

Master of Social Work (MSW)


Social Work


The purpose of this study is to determine if the lack empowerment in health care is demonstrated in overt negative behavior in patients. Previous research demonstrated increases in perception of pain, depression, and noncompliance with the medical regime to be common responses to the lack of empowerment. As the incenter hemodialysis population has a highly restricted medical regime, they were utilized as the subjects for this study.

An exploratory study utilizing existing data was conducted at Dakota Hospital Medical Center in Fargo, North Dakota. Nursing care plans were screened to identify the negative behavior in question for all patients currently receiving incenter hemodialysis. Educational level was also evaluated for possible impact on behavior. Findings were that the incidence of the negative behavior were high. In factoring the educational level, it was found that those of higher educational levels experienced fewer incidences of negative behavior than those with lower levels of schooling.


SC 11.MSW.1995.Dahley.L

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Social Work Commons