Safety of patients with chronic kidney disease in hemodialysis clinics: cross-sectional study

Abstract

Analyzing the patient safety level in hemodialysis institutions and the associated sociodemographic factors of the Nursing team. This is a cross-sectional study composed of 37 nursing professionals, including seven nurses and 30 nursing technicians, from three hemodialysis clinics in the city of Fortaleza, Ceará, Brazil. Data collection was conducted in February and March 2021, through the application of a sociodemographic characterization form and the Chronic Renal Patient Hemodialysis Patient Safety Assessment Scale. The sample was selected by convenience according to the following inclusion criteria: being in the hemodialysis session on the day the researcher collected data and being 18 years of age or older. The scale had its construct validation with a Cronbach's Alpha of 0.78. In the two hemodialysis institutions, safe care practices were observed, and one unsafe practice, with mean scores of 37.3, 37.7, and 32.2 points, respectively. There was a statistical association between the patient safety level and the sociodemographic variables of the nurses: marital status, level of education, family income, age, weekly workload, length of employment at the institution, and length of employment in hemodialysis. In the profile of nursing technicians, there was an association with the variables: family income, weekly workload, and length of employment at the institution. It was evidenced that one of the sample clinics presented unsafe health care practices related to the patient safety level in the hemodialysis session (mean= 32.2; p-value= 0.000). However, there was no adherence to the level at which patient safety and the sociodemographic factors of the Nursing team in the clinics were associated.