Exploring experiences of the quality of nursing care among patients, nurses, caregivers and physicians in a haemodialysis department

Abstract

The findings of the present study showed that maintaining health, person/client interaction, nursing responsibility and environment are four important nursing metaparadigms that affect the quality of nursing care in HD departments.

“Being, Transcending, & Harmonizing”: Nature, Patterns and Expressions of Caring Among Nurses Working in Hemodialysis Unit

“…It is for them their reason for being in the nutrsing profession. These findings bear similarity to the results of the study by Nobahar (2016) which points out that providing high-quality care to patients undergoing dialysis is the main priority of the nurse. This finding reflects Boykin and Schoenhoffer's (2001) assertion that caring is expressed moment to moment, person to person.…”

Experience of Nurses in Hemodialysis Care: A Phenomenological Study

“…Moran, in their study on the need for increasing nurses’ awareness, pointed out the importance of effective communication in providing supportive care for renal patients [27]. Confirming the importance of the nurse’s work experience, Mohammadi declared that more experienced people in the workplace can have a stronger supportive role than other people in therapeutic team, especially those with low experience [28], and regarding the need for a safe healthcare environment, Nobahar in their qualitative study aimed at explaining the experiences of patients, nurses, caregivers, and doctors in hemodialysis department in the quality of nursing care mentioned environment as one of the important factors in this regard [9]. Mahdavi Shahri also suggested that the quality of care can improve through environmental monitoring and creating a pleasant environment with the least stress possible [29].…”

“…Although, hemodialysis reduces the disease symptoms and improves patients’ lifestyle, their quality of life is affected by the disease and its complications that lead to disability [8]. Meanwhile, hemodialysis imposes great stress on the patient, and patients undergoing it usually experience higher levels of psychological than physical stress [9]. Hemodialysis, therefore, requires specialized nursing care, including establishment of a therapeutic and interpersonal relationship, treatment of physical symptoms, and attention to the functional limitations, mental disorders, and educational needs of these patients [5].…”

“…Hemodialysis patients need mental support to adapt to their current status, and nurses can help them become accustomed to their problems and fears of the disease by reducing anxiety, enhancing adaptability, supporting decision making, and providing emotional support and education [11]. Therefore, nurses’ awareness of high quality of care can affect the care of these patients and increase patients’ satisfaction; notably, the quality of the provided nursing care is an important indicator of nurses’ involvement in the care program [9]. Shafipour reported in their qualitative study that patients receive comfort from humans more than environment and modern facilities [12].…”

“…Although nephrology nurses play an important role in determining the adequacy and quality of care in hemodialysis patients, few studies in Asia have examined the quality of nursing care. Meanwhile, adequacy of the provided care is assessed by quantitative measures rather than qualitative ones, while qualitative studies provide the best tool for understanding human experiences and is more appropriate for assessing the experiences and views of a group of people on a particular topic [9]. Qualitative research is based on the hypothesis that there is a dynamic truth and proposes a perspective for searching and understanding human elements that cannot be measured through quantitative research methods [14].…”