Areas of Expertise (2)
Chronic Illnesses and Health Disparities in African Americans
African-Americans with End Stage Renal Disease
TCU Senior Class Legacy Honoree National Center for Faculty Development and Diversity
Southern University and A & M College: Ph.D., Nursing 2009
Southern University and A & M College,: M.S., Nursing 2002
Southern University and A & M College: B.S., Nursing 1996
Media Appearances (1)
Janie Robinson, now an associate professor in TCU Nursing, watched as beds filled up with African-American males with kidney failure every Sunday night in the cardiac unit of a Louisiana hospital. “Their kidneys had failed,” Robinson said. “Over the weekend, they had [drunk] too much water or fluid and, since their kidneys couldn’t function, they had to have emergency dialysis. This was just continual, every Sunday night.” She wanted to know why.
Glenda B Daniels, Janie R Robinson, Charles A Walker
2018 End stage renal disease (ESRD) affects African Americans more than any other ethnic group. Adherence is a challenge. Patients with ESRD must adhere to medication, diet, fluid restrictions, and dialysis treatment schedules if they do not receive a kidney transplant. The purpose of this exploratory, descriptive study was to assess adherence in 120 African Americans with ESRD undergoing hemodialysis (HD). Participants completed a demographic questionnaire and the ESRD Adherence Questionnaire (ESRD-AQ). Biomarkers were collected from medical records. Few participants (24%) adhered to dietary restrictions; however, fluid restriction was reported as the most difficult to manage, which was consistent with the interdialytic weight gain biomarker. Older participants were more adherent. Participants were adherent with HD attendance and medication. Participants reported frequent communication with the healthcare team, but a more formal process needs to be implemented with follow up to ensure understanding and reinforce adherence.