Patient Safety in Hemodialysis: A Systematic Review in the Context of Nursing Practice
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Abstract
Background: Hemodialysis is a crucial treatment for end-stage renal disease (ESRD) which makes sure the toxins filtration, balance of fluid, and elimination of waste. Despite being life-saving, the method exhibits notable risks like infections, complications of vascular access, and systemic concerns such as hypotension and imbalances of electrolytes. Nurses play a crucial role in minimizing such risks through interventions, communication, and alignment to protocols of safety, yet gaps sustained in evidence connect practices of nursing to safety outcomes that can be measured.
Objective: To systematically review interventions of nursing that improve the safety of patients when hemodialysis is done decreasing complications and enhancing outcomes of safety by impactful communication and alignment with practices based on evidence.
Methodology: This systematic review aligned with PRISMA guidelines, assessing peer-reviewed articles published in the 2019-2024 timeline. A total of 13 articles were selected for detailed analysis. Criteria of inclusion focused on interventions of nursing, outcomes of patient safety, and hemodialysis-associated research. Data extraction was done and retrieved from databases such as PubMed, Scopus, and Google Scholar, analysing findings on the control of infection, communication of nurse and patient, and protocols of safety.
Results: A total of 13 articles were added to the review, underscoring the efficiency of structured protocols of safety, education of nurses, and strategies of communication in decreasing infections and enhancing alignment. Nurse-patient association notably improved psychological and physical outcomes, while technological and leadership interventions enhanced the overall culture of safety.
Conclusion: Interventions of nursing are critical in ensuring patient safety in hemodialysis, with synthesized protocols, education, and communication playing critical roles. Catering gaps in training, allocation of resources, and practice adoption based on evidence can further improve safety and outcomes.