Factors affecting the safety of hemodialysis’ patients in dialysis ward and their strengthening strategies

authors:

avatar Monir Nobahar ORCID , *

Koomesh: Vol.17, issue 3; 547-562
published online: September 28, 2016
article type: Research Article
received: October 02, 2015
accepted: March 05, 2016

how to cite: Nobahar M. Factors affecting the safety of hemodialysis’ patients in dialysis ward and their strengthening strategies. koomesh. 2016;17(3):e151201. 

Abstract

Introduction: Safety of patients during hemodialysis is providing the foundation of high quality health care. The aim of this study was to determine those factors affecting the safety of hemodialysis patients and strengthening strategies. Materials and Methods: This study was conducted by using qualitative approach and conventional content analysis methods. The data was included the semi-structured interviews took place at the hemodialysis unit of Semnan Kowsar hospital. Purposeful sampling was started and continued on the basis of codes and classes till it reached the saturation point. Interviews were conducted with 20 participants (Consisted of eight patients, seven nurses, and two doctors and three attendants). Data Analysis was done, using conventional content analysis along with Granheim and Lundman (2004) five-step data collection method. Accuracy and strength of the research was assured by using Lincoln and Guba measurement method. Results: The data analysis showed that the four main categories of "constant nursing care", "patient participation", "organizational strategies" and "intellectual management" were effective on the safety of hemodialysis’ patients. Conclusion: This study showed that nurses, patients, organization and management are the most important factors in safety of hemodialysis patients. In order to strengthen the safety of patients undergoing hemodialysis, the development of criteria, check list and indicators of organizational standards are needed in order to reduce accidents and improve the process of the hemodialysis treatment for the patients

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