Scoping review maps philosophical perspectives in hemodialysis education, suggesting holistic approaches enhance ethical patient care.
Background: Health education is crucial for hemodialysis patients, yet often limited to biomedical aspects. Philosophical perspectives, such as autonomy, caring, and humanism, may strengthen its ethical and holistic dimensions. Objective: To map the integration of philosophical perspectives into health education for hemodialysis patients. Methods: A scoping review was conducted using Arksey and O Malleys framework, refined by Levac and PRISMA ScR guidelines. Databases searched included CINAHL (Ebsco), Scopus, Web of Science, PubMed, and ProQuest (2020 until 2025). Articles addressing philosophy, ethics, or humanistic theories in hemodialysis health education were included. Data were extracted and analyzed thematically. Results: Four themes emerged: (1) autonomy and ethical responsibility, (2) caring ethics in nurse patient relationships, (3) phenomenological insights into patients lived experiences, and (4) humanistic approaches emphasizing dignity and meaning. Few studies directly applied philosophical frameworks in structured educational interventions. Conclusion: Philosophical perspectives enrich health education for hemodialysis patients by promoting autonomy, caring, and ethical engagement. Further studies are needed to develop and evaluate philosophy informed educational models in nephrology nursing.
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Fatmawati et al. (2025) studied this question.
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