The purpose of this study was to explore the relationship between quality of life, depression, perception of seriousness of illness and adherence to treatment among Jordanian patients with end stage renal disease on maintenance haemodialysis. The study was carried out using a descriptive, correlation design. A convenience sample of 244 participants was recruited from four major dialysis units in Amman. A self-report questionnaire included demographic data, adherence to treatment and perception of seriousness of illness. Quality of Life Index and Beck Depression Inventory were used for data collection. There was a negative correlation between quality of life and depression (r = -0.05, P = 0.000). Depression was higher among women than men, whereas both gender had low quality of life scores. Higher quality of life has been associated with perceived seriousness of illness and more adherence to treatment regimen. This study provides preliminary evidence to develop culturally sensitive nursing strategies to asses and manage depression, enhance quality of life and adherence to treatment of patients on haemodialysis.

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Introduction: To date, there have been no studies located investigating Saudi women's self-determination in their own healthrelated issues. This study aims to investigate how women in Saudi Arabia see their ability and willingness to decision making in this matter. Methodology: The study design is ethnonursing and Leininger's Sunrise model was utilized as background theory; qualitative data analysis method was used. 12 Saudi women worked at a large University in Saudi Arabia were interviewed in-depth. Results and discussion: Seven universal Saudi Arabian cultural themes were identified: customs and traditions, women's decision-making denied, shared decision-making, informed women and empowerment rise, financial status matters, emerging changes in the society, and impact from the Western world. Conclusions: One of the major findings in the interviews was that all research participants observed themselves as more independent and empowered than in the accounts reflecting other women they knew. They saw other women, whom they met at the hospital or who were their friends or relatives, were without equal rights for independent decision making. Mainly, men are interested in reproductive health and are willing to dominate women's independent decision making in healthcare. The main conclusion, according to this study, the Saudi women research participants who are educated, are more independent in their health-related decision making than the previous literature suggested. The result may be different in villages and among less educated women and their husbands.