Strategies to Promote Patient Safety in Hemodialysis: An Integrative Review.

A way to promote patient safety is to create strategies that can contain the latent failures present in health organizations, especially in highly complexity services, such as hemodialysis units, which, by the characteristics of the treatment, offer potential risks for the occurrence of adverse events to their patients. The aim of this study was to identify strategies in the literature that contribute to the promotion of patient safety in hemodialysis. Eleven articles were identified, comprising 17 strategies to promote patient safety in hemodialysis, divided into three dimensions of care: teaching, assistance, and management. The category with the most strategies listed was management, with audit the most cited strategy in this category. All strategies found are interrelated and can be used together to optimize patient safety.

Construction and validation of content of a video on self-care with arteriovenous fistula. / Construcción y validación del contenido de un video acerca del autocuidado de la fístula arteriovenosa.

OBJECTIVE: To validate the content of the script of an educational video to promote self-care with arteriovenous fistula in chronic renal patients with nurses and social communicators. METHOD: Methodological study that constructed and validated an educational video. Firstly, the demands of self-care were identified through a literature review on self-care with arteriovenous fistula. Then the construction of the video followed the steps of pre-production, production and post-production. The script's content validation occurred in the pre-production phase and counted on 22 nursing judges and media professionals. The study was approved by the Ethics Committee in Research, under opinion 61705516.0.0000.5208. RESULTS: The following items received a negative evaluation from the judges: "The scenes described reflect stereotypes or discrimination" (p = 0.008) and "The pace of the scenes is tiring" (p = 0.001/p = 0.034), "The characters/images are appealing to the audience (p = 0.006), "The illustrations reflect important aspects of subject under study" (p = 0.006), "The illustrations promote the understanding of the video message" (p = 0.001) and "The general structure is creative" (p = 0.001). CONCLUSION: The educational video was considered valid by the nursing judges and media professionals to promote self-care with arteriovenous fistula among renal patients.

Knowledge: disease process in patients undergoing hemodialysis.

OBJECTIVES: To identify the relationship between socioeconomic variables and nursing outcome indicators Knowledge: disease process. METHODS: This is a cross-sectional study involving 51 patients undergoing hemodialysis at a public nephrology hospital in a city in northeastern Brazil. A questionnaire covering sociodemographic information and the 15 nursing outcome indicators Knowledge: disease process. RESULTS: A statistically significant but weak correlation was found between age and the indicators Specific process of the disease (r=-0.28), Cause and contributing factors (r=-0.36), Signs and symptoms of the disease (r=0.30), Signs and symptoms of complications of the disease (r=-0.37), Precautions to prevent complications of the disease (r=-0.35); number of years of schooling and the indicators Specific process of the disease (r=0.29), Cause and contributing factors (r=0.28), and Signs and symptoms of the disease (r=0.34). There were significant and moderate correlations of age with the indicator Psychosocial effect of the disease in the individual (r=-0.41), in the family (r=-0.44) and benefits of disease control (r=-0.48). Sex was related only to the indicator Specific process of the disease (p=0.03). CONCLUSIONS: There was no relationship between some indicators of the outcome Knowledge: disease process with the sociodemographic variables in patients undergoing hemodialysis, a fact that underscores the importance of implementing nursing interventions that take into account the particularities of the individuals.

Conocimiento: proceso de la enfermedad en pacientes sometidos a hemodiálises / Conhecimento: processo da doença em pacientes submetidos à hemodiálise / Knowledge: disease process in patients undergoing hemodialysis

Objective. To identify the relationship between socioeconomic variables and nursing outcome indicators Knowledge: disease process. Methods. This is a cross-sectional study involving 51 patients undergoing hemodialysis at a public nephrology hospital in a city in northeastern Brazil. A questionnaire covering sociodemographic information and the 15 nursing outcome indicators Knowledge: disease process. Results. A statistically significant but weak correlation was found between age and the indicators Specific process of the disease (r =-0.28), Cause and contributing factors (r=-0.36), Signs and symptoms of the disease (r=0.30), Signs and symptoms of complications of the disease (r=-0.37), Precautions to prevent complications of the disease (r=-0.35); number of years of schooling and the indicators Specific process of the disease (r=0.29), Cause and contributing factors (r=0.28), and Signs and symptoms of the disease (r=0.34). There were significant and moderate correlations of age with the indicator Psychosocial effect of the disease in the individual (r=-0.41), in the family (r=-0.44) and benefits of disease control (r=-0.48). Sex was related only to the indicator Specific process of the disease (p=0.03). Conclusion. There was no relationship between some indicators of the outcome Knowledge: disease process with the sociodemographic variables in patients undergoing hemodialysis, a fact that underscores the importance of implementing nursing interventions that take into account the particularities of the individuals.(AU)

Objetivo. Identificar la relación de las variables socioeconómicas con los indicadores del resultado de enfermería Conocimiento: proceso de la enfermedad. Métodos. Estudio de corte transversal en el que participaron 51 pacientes sometidos a hemodiálisis en un hospital público de referencia en nefrología en una ciudad del nordeste de Brasil. Se utilizó un formulario que contenía preguntas sobre información sociodemográfica y de los 15 indicadores del resultado de enfermería de Conocimiento: proceso de la enfermedad. Resultados. Se encontró correlación significativa pero baja entre la edad y los indicadores de proceso específico de la enfermedad (r=-0.28), causa y factores colaboradores (r=-0.36), señales y síntomas de la enfermedad (r=-0.30), signos y síntomas de complicaciones de la enfermedad (r=-0.37), precauciones para prevenir complicaciones de la enfermedad (r=-0.35); años de estudio y los indicadores proceso específico de la enfermedad (r=0.29), causa y factores colaboradores (r=0.28), y señales y síntomas de la enfermedad (r=0.34). Se observaron correlaciones significativas y moderadas de la variable edad con el indicador efecto psicosocial de la enfermedad sobre el individuo (r=-0.41), con la enfermedad en la familia (r=-0.44) y con los beneficios del control de la enfermedad (r=-0.48). El sexo solamente se relacionó con el indicador de proceso específico de la enfermedad (p=0.03). Conclusión. Hay relación entre algunos indicadores del resultado Conocimiento: proceso de la enfermedad con las variables sociodemográficas en los pacientes sometidos a hemodiálisis, hecho que resalta la importancia de la implementación de intervenciones de enfermería que tengan en cuenta las particularidades del individuo. (AU)

Objetivo. Identificar a relação das variáveis socioeconômicas com os indicadores do resultado de enfermagem Conhecimento: processo da doença. Métodos. Estudo transversal em que participaram 51 pacientes em hemodiálise de um hospital público de referência em nefrologia em uma cidade no nordeste do Brasil. Foi utilizado um formulário contendo perguntas sobre informações sócio-demográficas e sobre os 15 indicadores do resultado de enfermagem Conhecimento: processo da doença. Resultados. Foi encontrada uma correlação significativa, mas baixa, entre a idade e os indicadores de processo específico da doença (r=-0.28), causa e os fatores colaboradores (r=-0.36), sinais e sintomas da doença (r=-0.30), sinais e os sintomas de complicações da doença (r=-0.37), precauções para prevenir complicações da doença (r=-0.35); anos de estudo e os indicadores processo específico da doença (r=0.29), causa e fatores colaboradores (r=0.28), e sinais e sintomas da doença (r=0.34). Houve correlações significativas e moderadas da idade com o indicador efeito psicossocial da doença no indivíduo (r=-0.41), da doença na família (r=-0.44) e os benefícios do controle da doença (r=-0.48). O sexo foi relacionado apenas com o indicador processo específico da doença (p=0.03). Conclusão. Há relação entre alguns indicadores do resultado Conhecimento: processo de doença com as variáveis sócio-demográficas em pacientes submetidos à hemodiálise, fato que ressalta a importância da implementação de intervenções de enfermagem que levem em consideração as particularidades do indivíduo.(AU)