الفهرس 
The Kidney and Renal Disease
Symptoms of ESRD may includeOnly 14 pages are availabe for public view
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Abstract
Quality improvement has positive results on HD as it
will achieve greater probabilities and success for change of
knowledge and performance of nurses. Quality of client
care has become an important factor in the health care area.
There is no single definition of quality; the core of a
definition is the balance of health benefits and harms to a
client.
This study aimed to improve the quality of nurses’
performance to meet haemodialysis clients’ satisfaction.
A quasi experimental design were used in the
conduction of the study at HD units in Ain-Shams
University Hospital, Dar El-Shefaa Hospital and El-Khanka
El-Markazy Hospital. A purposive sample of 85 HD nurses,
and 100 clients who were undergoing HD. The tools of
this study included, 1) An interviewing questionnaire for
nurses and clients, and questionnaire to assess nurses
knowledge, 2) An observational checklist, to assess nurses
performance and 3) client’s satisfaction tool.
Results: findings of the present study, revealed that,
the age for more than half of nurses their age ranged from
20-<30 years, more than two thirds was diploma, more
than three quarters of them didn’t have any training before
on HD. There were statistically significant relations between pre and post program related to nurses knowledge
in renal failure, RF prevention, diet regimen, HD process,
HD complication management, quality, infection control,
management of pre-during and after HD sessions. There
were statistically significant relations between pre and post
program related to nurses’ performance in pre dialysis
preparation, starting HD session, termination of the session
and post dialysis. Regarding to the outcome of the study
(client satisfaction), there were statistically significant relations
pre and post program related to clients’ satisfaction from the
nurses communication, performance, knowledge and skills.
There were statistically significant relations between sociodemographic characteristics and nursing knowledge [the age
from 35 > 45 years old, educational level especially in highest
educational level]. There were statistically significant relations
between socio-demographic characteristics and nursing
performance especially in single nurses their performance
better than the married one. There were statistically significant
between socio-demographic characteristics and nursing
management for haemodialysis problems especial with highly
educational level. There were improvement of the nurses’
knowledge and performance after the program
implementation. In conclusion the nurses improved their
performance to meet HD clients’ satisfaction.
Recommendation: 1) Developing a training program,
for nurses of the HD units, about: A) the standard methods ofHD session preparation, starting the session with infection
control measures, termination of the session and post dialysis.
B) Increase the nurse’s awareness about standards of practice
and Egyptian guidelines for HD nurses to be disseminated
with explanation of these standards. C) Applying quality of
nursing care standards for HD units by hospital authority to
improve nurses’ performance. 2) Applying satisfaction sheet
to the clients to know immediately the nurses’ weak points to
improve their performance. 3) To improve nurses’
performance their knowledge must be improved through
applying from A to Z materials related to RF and HD, written
in Arabic language. 4) Improving nurses education and
training by developing an- orientation program for newly
staff nursing in HD units.