A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Experiences of safety among patients receiving home dialysis therapies




TekijätVirtanen H, Tuominen R, Kiukainen S, Koskinen J, Koskenniemi J, Laulaja J, Numanovic V, Leino-Kilpi H

KustantajaWILEY

Julkaisuvuosi2019

JournalJournal of Renal Care

Tietokannassa oleva lehden nimiJOURNAL OF RENAL CARE

Lehden akronyymiJ RENAL CARE

Vuosikerta45

Numero4

Aloitussivu223

Lopetussivu231

Sivujen määrä9

ISSN1755-6678

eISSN1755-6686

DOIhttps://doi.org/10.1111/jorc.12298

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/42791740


Tiivistelmä
Background: Dialysis patients' experience of safety can be seen
positively connected with their wellbeing and successful outcomes of
their treatment and care. Therefore, it is necessary to identify the
factors promoting and weakening the safety experiences and create a
basis for empowering interventions. Objectives: Analyse patients'
experiences of safety with dialysis and the factors promoting and
weakening their safety. Methods: A descriptive study design was used.
This study analysed Finnish patients' (n = 70) experiences of safety
with dialysis and the factors promoting and weakening patients' safety.
Data were collected using a questionnaire including one structured
question and two open questions. Findings: The patients experienced
their care as safe. Thematic analysis provided three factors promoting
patients' safety: certainty of patient's own competence in dialysis
self-management, competence of personnel in dialysis treatment and care,
continuity of ensuring patients' state of health, as well as three
factors weakening safety: patients' uncertainty of living with chronic
kidney disease, insufficient patient education and uncertain realisation
of dialysis treatment and care. Conclusion: This study provided new
insight into understanding patients' experiences of safety with
dialysis. We show that the factors connected with patients' safety were
related to the successful realisation of self-management, support for
the self-management, and delivery of dialysis treatment and care
anticipating high-level outcomes. In light of this study, there are
development needs in dialysis treatment and care as a whole in order to
ensure patients' safety.

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