Patient perceived quality of nursing care in hemodialysis: a meta-synthesis
Open accessAbstract
This study was done with the purpose of clarifying the concept of patient perceived quality of nursing care in hemodialysis. In this meta-synthesis study, qualitative studies was searched in the four interntional databases from January 1st, 2000 to December 30th, 2019. The keywords used were: nursing care quality, and hemodialysis. Studies which had been done with the purpose of understanding the patient perceived quality of nursing care concept aomg hemodialysis patients were included. Two researchers were evaluate the quality of included studies separately using JBI tool, required information were extracted using the designed table. The main themes in the structure dimension include Sufficient Human resource, quality of equipment, financial support from patient and quality of the patient care environment. Process dimension consisted of continuous monitoring of the syndromes, effective patient education, efficient care, effective therapeutic relationship, and patient’s empowerment and participation in the process, and in the outcome dimension included high dialysis adequecy, patient burnout reduction, and increased patient satisfaction from services. The results of the study indicated a comprehensive, deep and interactive dimensions about the concept of nursing quality of care.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Inadequate nurse staffing will directly lead to an excessive number of patients per nurse, which in turn reduces the standardization of vascular access assessment and maintenance procedures, and elevates the risk of adverse events such as unplanned extubation and catheter-related infections.
“Inadequate nurse staffing will directly lead to an excessive number of patients per nurse, which in turn reduces the standardization of vascular access assessment and maintenance procedures, and elevates the risk of adverse events such as unplanned extubation and catheter-related infections.”
From Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study (2026) · cites this paper as Balouchi et al. [25]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Methods for the thematic synthesis of qualitative research in systematic reviews
Thomas, J., & Harden, A. (2008) · BMC Medical Research Methodology · doi:10.1186/1471-2288-8-45 · Cited by 9,312 · see citing works
The quality of health care delivered to adults in the United States
McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., & Kerr, E. A. (2003) · New England Journal of Medicine · doi:10.1056/nejmsa022615 · Cited by 5,079 · see citing works
Evaluating the Quality of Medical Care
Donabedian, A. (1966) · The Milbank Memorial Fund Quarterly · doi:10.2307/3348969 · Cited by 4,418 · see citing works
Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis
Hill, N. R., Fatoba, S., Oke, J. L., Hirst, J. A., O’Callaghan, C. A., Lasserson, D. S., & Hobbs, R. F. (2016) · PLoS ONE · doi:10.1371/journal.pone.0158765 · Cited by 4,046 · see citing works
US Renal Data System 2015 Annual Data Report: Epidemiology of Kidney Disease in the United States
Saran, R., Li, Y., Robinson, B. M., Abbott, K. C., Agodoa, L. Y. C., Ayanian, J. Z., Bragg‐Gresham, J. L., Balkrishnan, R., Chen, J. L. T., Cope, E. L., et al. (2016) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2015.12.014 · Cited by 1,154 · see citing works
Mills, K. T., Xu, Y., Zhang, W., Bundy, J. D., Chen, C.-S., Kelly, T. N., Chen, J., & He, J. (2015) · Kidney International · doi:10.1038/ki.2015.230 · Cited by 865 · see citing works
Improving the quality of health care for chronic conditions
Epping‐Jordan, J. E. (2004) · BMJ Quality & Safety · doi:10.1136/qshc.2004.010744 · Cited by 775 · see citing works
US Renal Data System 2020 annual data report: epidemiology of kidney disease in the United States
Johansen, K. L., Chertow, G. M., Foley, R. N., Gilbertson, D. T., Herzog, C. A., Ishani, A., Israni, A. K., Ku, E., Kurella Tamura, M., Li, S., et al. (2021) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2021.01.002 · Cited by 724 · see citing works
Grassmann, A., Gioberge, S., Moeller, S., & Brown, G. S. (2005) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfi159 · Cited by 564 · see citing works
Chapter 2: Systematic Reviews of Qualitative Evidence
Lockwood, C. S., Porritt, K. A., Munn, Z., Rittenmeyer, L., Salmond, S. W., Bjerrum, M. B., Loveday, H. P., Carrier, J., & Stannard, D. (2019) · JBI eBooks · doi:10.46658/jbirm-17-02 · Cited by 395 · see citing works
Chronic kidney disease in low- and middle-income countries
Stanifer, J. W., Muiru, A. N., Jafar, T. H., & Patel, U. D. (2016) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfv466 · Cited by 344 · see citing works
Medicare: a strategy for quality assurance
(1990) · Choice Reviews Online · doi:10.5860/choice.28-1584 · Cited by 190 · see citing works
Edvardsson, D., Watt, E., & Pearce, F. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.13105 · Cited by 181 · see citing works
The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units
Baernholdt, M., & Mark, B. A. (2009) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2009.01027.x · Cited by 174 · see citing works
The cost of dialysis in low and middle-income countries: a systematic review
Mushi, L., Marschall, P., & Fleßa, S. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-1166-8 · Cited by 146 · see citing works
Nurse Practitioner Care Improves Renal Outcome in Patients with CKD
Peeters, M. J., van Zuilen, A. D., van den Brand, J. A. J. G., Bots, M. L., van Buren, M., ten Dam, M. A. G. J., Kaasjager, K. A. H., Ligtenberg, G., Sijpkens, Y. W. J., Sluiter, H. E., et al. (2013) · Journal of the American Society of Nephrology · doi:10.1681/asn.2012121222 · Cited by 114 · see citing works
Symptom Management of the Patient with CKD: The Role of Dialysis
Cabrera, V. J., Hansson, J. H., Kliger, A. S., & Finkelstein, F. O. (2017) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.01650216 · Cited by 103 · see citing works
Bouya, S., Balouchi, A., Rafiemanesh, H., & Hesaraki, M. (2018) · Therapeutic Apheresis and Dialysis · doi:10.1111/1744-9987.12716 · Cited by 100 · see citing works
Self-citationThe impact of education on knowledge, adherence and quality of life among patients on haemodialysis
Alikari, V., Tsironi, M., Matziou, V. N., Tzavella, F., Stathoulis, J. D., Babatsikou, F., Fradelos, Ε. C., & Zyga, S. (2018) · Quality of Life Research · doi:10.1007/s11136-018-1989-y · Cited by 75 · see citing works
Rubin, H. R., Jenckes, M. W., Fink, N. E., Meyer, K. B., Wu, A. W., Bass, E. B., Levin, N. W., & Powe, N. R. (1997) · American Journal of Kidney Diseases · doi:10.1016/s0272-6386(97)90084-6 · Cited by 73 · see citing works
The work environment of haemodialysis nurses and its impact on patients’ outcomes
Prezerakos, P. E., Galanis, P., & Moisoglou, I. (2013) · International Journal of Nursing Practice · doi:10.1111/ijn.12223 · Cited by 53 · see citing works
Barriers to and facilitators of care for hemodialysis patients; a qualitative study
Nobahar, M., & Tamadon, M. R. (2016) · Journal of Renal Injury Prevention · doi:10.15171/jrip.2016.09 · Cited by 49 · see citing works
Assessment of hemodialysis adequacy and its relationship with individual and personal factors
Shahgholian, N., Rezaiee, O., & Shahidi, S. (2016) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/1735-9066.197673 · Cited by 44 · see citing works
Patient assessment of quality of care in a chronic peritoneal dialysis facility
Wuerth, D. B., Finkelstein, S. H., Kliger, A. S., & Finkelstein, F. O. (2000) · American Journal of Kidney Diseases · doi:10.1016/s0272-6386(00)70010-2 · Cited by 40 · cited 1× · see citing works
“Main results The most well-known model used to classify care quality components is the Donabedian model, which classifies the quality of cares provided into three parts: structure, process, and outcome (25).”
MethodA health‐related quality of life model for patients undergoing haemodialysis
Jung, H. M., & Kim, H. Y. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.15113 · Cited by 34 · see citing works
Achieving equity in dialysis care and outcomes: The role of policies
Crews, D. C., & Novick, T. K. (2020) · Seminars in Dialysis · doi:10.1111/sdi.12847 · Cited by 33 · see citing works
Alzahrani, N. N., Aljuaid, M. M., Alshehri, A., Alkhaldi, L. H., Alosaimi, F., Aljuaid, N., Asiri, O., & Atalla, A. A. (2020) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_848_19 · Cited by 24 · see citing works
The care preferences of patients under hemodialysis
Vafaei, A. A., & Nobahar, M. (2017) · Journal of Renal Injury Prevention · doi:10.15171/jrip.2017.40 · Cited by 19 · see citing works
Improving Quality of Care in Hemodialysis: a Content Analysis
Hashemi, M., Irajpour, A., & Abazari, P. (2018) · Journal of Caring Sciences · doi:10.15171/jcs.2018.024 · Cited by 19 · see citing works
Karaboyas, A., Morgenstern, H., Li, Y., Bieber, B. A., Hakim, R. M., Hasegawa, T., Jadoul, M. Y., Schäeffner, E., Vanholder, R. C., Pisoni, R. L., et al. (2020) · Clinical Epidemiology · doi:10.2147/clep.s233197 · Cited by 19 · see citing works
Donabedian, A. (1980) · Cited by 18 · see citing works
Nobahar, M. (2016) · Journal of Renal Care · doi:10.1111/jorc.12187 · Cited by 15 · see citing works
Perceptions and experiences of financial incentives: a qualitative study of dialysis care in England
Abma, I. L., Jayanti, A., Bayer, S., Mitra, S., & Barlow, J. G. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-004249 · Cited by 13 · see citing works
Survival probabilities of end stage renal disease patients on renal replacement therapy in Iran
Rouchi, A. H., Mansournia, M. A., Aghighi, M., & Mahdavi‐Mazdeh, M. (2017) · Nephrology · doi:10.1111/nep.13021 · Cited by 11 · see citing works
Alradaydeh, M. F., & Khalil, A. A. (2019) · Open Journal of Nursing · doi:10.4236/ojn.2019.912092 · Cited by 8 · see citing works
Flagged first, then by citations
1 of the 36 references couldn’t be matched to a known paper.
Research works printed but not linked: 5
- Duffy JR, Hoskins LM. The quality-car- ing model©: Blending dual paradigms. Adv Nurs Sci 2003;26:77-88.
- Ponte PR, Conlin G, Conway JB, et al. Making patient-centered care come alive: achieving full integration of the patient's perspective. J Nurs Adm 2003;33:82-90.
- Rodrigues TA, Botti NCL. Providing and receiving nursing care during hemodialysis. Acta Paulista De Enfermagem 2009;22:528-30.
- Boyle DK, Miller PA. Focus on nursing turnover: A system-centered perform- ance measure. Nurs Manag 2008;39:16- 8.
- Cabrera VJ, Hansson J, Kliger AS, [Healthcare in Low-resource Settings 2020; 8:9320]
Cited by
Sorted by citations
Zhang, Y., He, L., Tang, S., Gao, Y., Chen, H., Shi, M., & Chen, L. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1858484
“These findings are consistent with the study by Balouchi et al. (25).”
Mbunda, S., Mawi, N. E., & Iseselo, M. K. (2025) · PLoS ONE · doi:10.1371/journal.pone.0325501
Sharin, I. A., Mohmad, S., Zakaria, N. H., Zakaria, N., Jinah, N., & Lee, K. Y. (2025) · International Journal of Healthcare Management · doi:10.1080/20479700.2025.2549350
“Under the Donabedian framework, the ‘structure’ component encompasses essential resources such as human resources, medical equipment, and the healthcare environment [54].”
Philosophical Perspectives in Health Education for Hemodialysis Patients: A Scoping ReviewPreprint
Fatmawati, A., Sukartini, T., & Pandin, M. G. R. (2025) · medRxiv · doi:10.1101/2025.09.14.25335738
- Authors
- Balouchi, A., Ebadi, A., Parvizy, S., & Sharif Nia, H.
- Affiliations
- Iran University of Medical Sciences (IR)
- Baqiyatallah University of Medical Sciences (IR)
- Mazandaran University of Medical Sciences (IR)
- Corresponding author
- Balouchi, Abbas
- Ebadi, Abbas
- Parvizy, Soroor
- Venue
- Healthcare in Low-resource Settings
- Publisher
- PAGEPress Publications
- Published
- 2021-04-12
- Volume
- 8
- Issue
- 1
- ISSN
- 2281-7824 (ISSN-L)
- OpenAlex
- W3155202131
- Cited by
- 4
- References
- 36
- Citations by year
- 2026: 1 · 2025: 3
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Healthcare in Low-resource Settings (publishedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Iran University of Medical Sciences
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare Quality and Satisfaction
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- hemodialysis, nursing care quality, structure-process-outcome, patient education, therapeutic relationship, patient empowerment, patient satisfaction, dialysis adequacy, nursing human resources
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
