A1 Refereed original research article in a scientific journal
Experiences of safety among patients receiving home dialysis therapies
Authors: Virtanen H, Tuominen R, Kiukainen S, Koskinen J, Koskenniemi J, Laulaja J, Numanovic V, Leino-Kilpi H
Publisher: WILEY
Publication year: 2019
Journal: Journal of Renal Care
Journal name in source: JOURNAL OF RENAL CARE
Journal acronym: J RENAL CARE
Volume: 45
Issue: 4
First page : 223
Last page: 231
Number of pages: 9
ISSN: 1755-6678
eISSN: 1755-6686
DOI: https://doi.org/10.1111/jorc.12298
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/42791740
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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