Introduction:
Home dialysis treatments have many potential hazards that need to be monitored, evaluated and addressed. Due to the inability of the healthcare team to regulate and constantly control physical conditions in a home treatment and the complexity of dialysis treatment, it may cause some difficulties and potential risks, patients may experience safety-related problems. Evaluation of the home environment in terms of patient safety is also valuable in terms of revealing the relationship of potential problems that may arise in the future with the safe environment at home.
TThe aim of this study is to develop a valid and reliable “patient safety scale for home peritoneal dialysis patients” to determine possible health risks related to patient safety that may be encountered during home dialysis treatment applications.
Methods:
The steps were followed in the development of the measurement tool.
1. Scale items consisting of 60 questions were created
2. The stage of seeking expert opinion: The Davis technique was used to evaluate the opinions of three faculty members, two nephrology specialists, six dialysis nurses and a faculty member who is expert in the field of measurement and evaluation.
3. Pre-trial phase; A pilot study was conducted on 10 peritoneal dialysis patients.
4. Data were collected from a total of 630 patients during the implementation phase.
5. Validity and reliability stage
Percentage, mean, Cronbach Alpha, Pearson Correlation and factor analysis tests [KMO, Bartlett Test, Anti-Image Correlation, Principal Components Analysis and Varimax Rotation] were used for the validity and reliability studies of the scale.
Results:
Upon examining the participants' features about the disease and therapy, it was found that 70.8% underwent CAPD treatment, 58.8% received PD as their initial treatment, and 70.8% adhered to their diet. It was noted that 92% of participants consistently prepared dialysis materials, 88% verified expiry dates, 74% regularly utilized antiseptic solutions, 88% frequently washed their hands, 86% consistently administered dialysis treatment, 75% regularly maintained catheters, 67% received training on fall risks, 50% disposed of used materials appropriately and consistently, 78% regularly changed transfer sets, and 78% consistently monitored fluid levels. Statistical analysis and evaluation process is ongoing.
Conclusions:
In the literature review, no scale was found to evaluate patient safety in home treatments, so it is expected to make a significant contribution to the literature.
I have no potential conflict of interest to disclose.
I did not use generative AI and AI-assisted technologies in the writing process.