Journal of Qualitative Research in Health Sciences

Journal of Qualitative Research in Health Sciences

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Peer Review Process

Editorial Policy

Indexing and Abstracting

Related Links

Journal Metrics

FAQ

News

Guide for Authors

Galley Proof

Hemodialysis Patients and Nurses’ Perspective: What Is a Qualified Nursing Care?

Document Type : Original Article

Authors

1 Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran

2 Department of Medical Emergencies, School of School of Paramedicine Sciences, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran

3 department of critical care, nursing and midwifery faculty, Qazvin university of medical science ,Qazvin, Iran.

10.34172/jqr.2022.16

Abstract

Background: With the high prevalence of chronic diseases such as chronic kidney disease (CKD) and consequently, the increasing number of hemodialysis (HD) patients, providing high-quality care has become a health concern in many countries. Therefore, the present study aimed to explore the concept of “qualified care” from HD patients’ and nurses’ points of view.
Methods: This qualitative study was conducted using a content analysis approach. A total of 48 patients and nurses in the HD wards were selected through purposive and snowball sampling methods. Sampling continued until data saturation. Finally, a total of 54 interviews were conducted with the participants. The interviews were recorded with the participants’ permission and analyzed using Graneheim and Lundman approach.
Results: In this study, 16.7% of the nurses were male, and their mean age was 35.4 ± 7.47 years. Moreover, 50% of the HD patients were male, and their mean age was 53.1 ± 8.6 years. The results of the analysis of the interviews in response to the main question were classified into four main themes including (a) physical care, (b) psychological care, (c) ethical care, and (d) extensive skills and knowledge of the nurse.
Conclusion: From the patients’ and nurses’ perspective, empathy and companionship in sessions, fulfilling daily needs, social support, and high-quality dialysis are the components of the concept of care. Therefore, these concepts should be considered in the care programs for HD patients designed by the healthcare team.

Keywords

References

  1.  

    1. Piccoli GB, Alrukhaimi M, Liu ZH, Zakharova E, Levin A. Women and kidney disease: reflections on World Kidney Day 2018. Clin Kidney J. 2018;11(1):7-11. doi: 1093/ckj/sfx147.
    2. Saritas SC, Buyukbayram Z. The relation between the spiritual orientation and quality of life in hemodialysis patients. Med Sci. 2021;10(1):82-7. doi: 5455/medscience.2020.07.138.
    3. Kaboré J, Metzger M, Helmer C, Berr C, Tzourio C, Drueke TB, et al. Hypertension control, apparent treatment resistance, and outcomes in the elderly population with chronic kidney disease. Kidney Int Rep. 2017;2(2):180-91. doi: 1016/j.ekir.2016.10.006.
    4. Lonnemann G, Duttlinger J, Hohmann D, Hickstein L, Reichel H. Timely referral to outpatient nephrology care slows progression and reduces treatment costs of chronic kidney diseases. Kidney Int Rep. 2017;2(2):142-51. doi: 1016/j.ekir.2016.09.062.
    5. Nobahar M. Changes in the lifestyle from the perspective of hemodialysis patients: content analysis. J Qual Res Health Sci. 2018;6(4):373-84. [Persian].
    6. Polinder-Bos HA, Nacak H, Dekker FW, Bakker SJL, Gaillard C, Gansevoort RT. Low urinary creatinine excretion is associated with self-reported frailty in patients with advanced chronic kidney disease. Kidney Int Rep. 2017;2(4):676-85. doi: 1016/j.ekir.2017.02.021.
    7. Henrich WL. Principles and Practice of Dialysis. Philadelphia: Lippincott Williams & Wilkins; 2016.
    8. Narres M, Claessen H, Droste S, Kvitkina T, Koch M, Kuss O, et al. The incidence of end-stage renal disease in the diabetic (compared to the non-diabetic) population: a systematic review. PLoS One. 2016;11(1):e0147329. doi: 1371/journal.pone.0147329.
    9. Kazemi S, Didarlo A, Khalkhali H, Feizi A. Studying the relationship between self-efficacy and dietary adherence, in patients under hemodialysis. J Urmia Nurs Midwifery Fac. 2018;15(11):835-42. [Persian].
    10. Gennari FJ. Acid-base homeostasis in dialysis. In: Handbook of Dialysis Therapy. Elsevier; 2017. p. 489-97.
    11. Guenzani D, Buoli M, Carnevali GS, Serati M, Messa P, Vettoretti S. Is there an association between severity of illness and psychiatric symptoms in patients with chronic renal failure? Psychol Health Med. 2018;23(8):970-9. doi: 1080/13548506.2018.1426868.
    12. Nisak K, Safrina L, Mawarpury M. Dynamics of hope in hemodialysis patients in Rsudza Banda Aceh. In: Proceedings of the 2nd Syiah Kuala International Conference on Medicine and Health Sciences. SCITEPRESS; 2018.
    13. Park EJ, Kim MH. Characteristics of nursing and caring concepts measured in nursing competencies or caring behaviors tools. J Korean Acad Nurs Adm. 2016;22(5):480-95.
    14. Nobahar M. Factors affecting the safety of hemodialysis’ patients in dialysis ward and their strengthening strategies. Koomesh. 2016;17(3):547-62. [Persian].
    15. Byrne AL, Baldwin A, Harvey C. Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. PLoS One. 2020;15(3):e0229923. Published 2020 Mar 10. doi:1371/journal.pone.0229923
    16. Nguyen DB, Arduino MJ, Patel PR. Hemodialysis-associated infections. In: Chronic Kidney Disease, Dialysis, and Transplantation. Elsevier; 2019. p. 389-410.e8. doi: 1016/b978-0-323-52978-5.00025-2.
    17. Wang J, Yue P, Huang J, Xie X, Ling Y, Jia L, et al. Nursing intervention on the compliance of hemodialysis patients with end-stage renal disease: a meta-analysis. Blood Purif. 2018;45(1-3):102-9. doi: 1159/000484924.
    18. Haghanizemeydani M, Ahmadi S, Ashouri F, Showani E, Monavari Roozbahani L. Qualitative study of spiritual experiences in nurses of psychiatry wards. J Qual Res Health Sci. 2020;8(4):59-67. doi: 22062/jqr.2020.90991.
    19. Naderi S, zaboli r, Khalesi N, Nasiripour AA. The role of medical students in patient safety: a qualitative study. J Qual Res Health Sci. 2020;9(3):166-76. doi: 22062/jqr.2020.91510.
    20. Sepahvand R, Morovati H. University excellence with level 5 leadership approach: a qualitative study. J Qual Res Health Sci. 2020;9(1):59-69. doi: 22062/jqr.2020.90994.
    21. Seyedein S, Mesbahi M. Nurses’ lived experience of green human resource management: a qualitative study. J Qual Res Health Sci. 2020;9(3):188-99. doi: 22062/jqr.2020.91513.
    22. da Silva MN, Ferreira EM, Rodrigues FM, Maia AB, de Macedo Alves A, de Leonice Castro K, et al. Nursing care in the hemodialysis room: integrative review. Int Arch Med. 2017;10(228):1-7. doi: 3823/2498.
    23. Ashby D, Borman N, Burton J, Corbett R, Davenport A, Farrington K, et al. Renal association clinical practice guideline on haemodialysis. BMC Nephrol. 2019;20(1):379. doi: 1186/s12882-019-1527-3.
    24. Dad T, Tighiouart H, Lacson E Jr, Meyer KB, Weiner DE, Richardson MM. Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey. BMC Nephrol. 2018;19(1):340. doi: 1186/s12882-018-1147-3.
    25. Sola L, Levin NW, Johnson DW, Pecoits-Filho R, Aljubori HM, Chen Y, et al. Development of a framework for minimum and optimal safety and quality standards for hemodialysis and peritoneal dialysis. Kidney Int Suppl (2011). 2020;10(1):e55-e62. doi: 1016/j.kisu.2019.11.009.
    26. Mehrotra R, Cheung AK, Meyer T, Nath KA. Vascular access for hemodialysis and value-based purchasing for ESRD. J Am Soc Nephrol. 2017;28(2):395-7. doi: 1681/asn.2016070769.
    27. Li KJ, Chen L. Association between duration of dialysis and Helicobacter pylori infection in dialysis patients: a meta-analysis. Int Urol Nephrol. 2019;51(8):1361-70. doi: 1007/s11255-019-02205-2.
    28. Garthwaite E, Reddy V, Douthwaite S, Lines S, Tyerman K, Eccles J. Clinical practice guideline management of blood borne viruses within the haemodialysis unit. BMC Nephrol. 2019;20(1):388. doi: 1186/s12882-019-1529-1.
    29. Lee JJ, Hwang SJ, Huang JF. Review of the present features and the infection control challenges of COVID-19 pandemic in dialysis facilities. Kaohsiung J Med Sci. 2020;36(6):393-8. doi: 1002/kjm2.12239.
    30. Khaki S, Esmaeilpourzanjani S, Mashouf S. Nursing cares quality in nurses. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2018;3(4):1-14. doi: 29252/sjnmp.3.4.1. [Persian].
    31. Nobahar M, Saffari M, Babamohamadi H, Sotodehasl N. Exploration of adjustment in hemodialysis patients: qualitative content analysis. Koomesh. 2016;19(1):164-74. [Persian].
    32. Mohammadi M, Peyrovi H, Mahmoodi M. The relationship between professional quality of life and caring ability in critical care nurses. Dimens Crit Care Nurs. 2017;36(5):273-7. doi: 1097/dcc.0000000000000263.
    33. Omidi N, Asgari H, Omidi MR. The relationship between professional ethics and the efficiency of the nurses employed in Imam hospital and Mostafa Khomeini hospital in Ilam. Iran J Med Ethics Hist Med. 2016;9(3):65-73. [Persian].
    34. Oshvandi K, Salavati M, Ahmadi F, Soltanian A. The effect of training on hemodialysis patients’ lifestyle promotion. Avicenna J Nurs Midwifery Care. 2018;26(3):165-72. doi: 30699/sjhnmf.26.3.165. [Persian].
    35. Sadeghian Z, Shahgholian N, Dashti-Dehkordi A. Hemodialysis patients and nurses in relation with caring behaviors. J Urmia Nurs Midwifery Fac. 2017;15(9):659-66. [Persian].

     

     

     

     

     

Journal of Qualitative Research in Health Sciences
Volume 11, Issue 4
December 2022
Pages 267-273
Files
History
  • Receive Date: 16 July 2021
  • Revise Date: 02 December 2022
  • Accept Date: 06 March 2022
Share
How to cite
Statistics