Quality Management System in a Haemodialysis Unit and Patient Satisfaction

Athanasia Kavalieratou, Georgia Garofyllou, Eftychia Evangelidou, Michalis Mantzanas

Abstract


Haemodialysis Units adopt a Quality Management System to provide quality healthcare services, to promote reliability and to increase the patients’ contentment and faith they receive the best possible care. The purpose of this study was to ascertain whether the ELOT EN ISO 9001:2015 Quality Management System, “Provision of Dialysis Services in Patients with Renal Failure”, in a Haemodialysis Unit affected the patients’ satisfaction level. The Quality Management System stipulated the use of a questionnaire containing 11 questions to measure the patients’ satisfaction. The data were collected in July 2018 during the annual audit for the continuous compliance of the Haemodialysis Unit with the quality requirements. 35 patients undergoing Chronic Haemodialysis for at least the last 6 months participated. The Quality Management System enabled the identification of the patients’ individual needs and the areas that required more attention. More specifically, 97.1% of the patients stated that the services provided had been improved and that requests such as the installation of TVs and the collaboration with a dietologist have been met. 77.1% of the patients were satisfied by the healthcare provided and 88.6% were satisfied by the staff in general. Regarding the care provided by the medical staff 74.3% of the patients were satisfied, while 54.2% found the information given for their health to be adequate. All of the patients (100%) were satisfied by the care provided by the nursing staff and almost all (97.1%) felt that the nursing staff was easy to communicate with. Only 6.1% of the patients stated that specific areas required further improvement. A Quality Management System in a Haemodialysis Unit leads to a better understanding of the patients’ individual needs, allowing for higher satisfaction. Moreover, the evidence based documentation of the quality of the services provided and the emphasis put on continuous improvement further enhances the patients’ trust.

 

Doi: 10.28991/SciMedJ-2021-0303-2

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Keywords


Haemodialysis; Haemodialysis Unit; Patient Satisfaction; Quality Management System.

References


Himmelfarb, J., Vanholder, R., Mehrotra, R., & Tonelli, M. (2020). The current and future landscape of dialysis. Nature Reviews Nephrology, 16(10), 573–585. doi:10.1038/s41581-020-0315-4.

Jager, K. J., Kovesdy, C., Langham, R., Rosenberg, M., Jha, V., & Zoccali, C. (2019). A single number for advocacy and communication—worldwide more than 850 million individuals have kidney diseases. Nephrology Dialysis Transplantation, 34(11), 1803–1805. doi:10.1093/ndt/gfz174.

Xie, Y., Bowe, B., Mokdad, A. H., Xian, H., Yan, Y., Li, T., … Al-Aly, Z. (2018). Analysis of the Global Burden of Disease study highlights the global, regional, and national trends of chronic kidney disease epidemiology from 1990 to 2016. Kidney International, 94(3), 567–581. doi:10.1016/j.kint.2018.04.011.

Vasiliki, K. S. E., Martha, K. S. N., Evgenia, V. D., & Georgia, F. B. G. (2009). The impact of chronic heamodialysis on the personality of patients with chronic renal failure. Rostrum of Asclepius2009, 8(3), 240-254.

Murtagh, F. E. M., Addington-Hall, J., & Higginson, I. J. (2007). The Prevalence of Symptoms in End-Stage Renal Disease: A Systematic Review. Advances in Chronic Kidney Disease, 14(1), 82–99. doi:10.1053/j.ackd.2006.10.001.

Wyld, M., Morton, R. L., Hayen, A., Howard, K., & Webster, A. C. (2012). A Systematic Review and Meta-Analysis of Utility-Based Quality of Life in Chronic Kidney Disease Treatments. PLoS Medicine, 9(9), e1001307. doi:10.1371/journal.pmed.1001307.

Jansen, D. L., Heijmans, M. J. W. M., Rijken, M., Spreeuwenberg, P., Grootendorst, D. C., Dekker, F. W., … Groenewegen, P. P. (2012). Illness perceptions and treatment perceptions of patients with chronic kidney disease: Different phases, different perceptions? British Journal of Health Psychology, 18(2), 244-262. doi:10.1111/bjhp.12002.

Kalantar-Zadeh, K., & Unruh, M. (2005). Health Related Quality of Life in Patients with Chronic Kidney Disease. International Urology and Nephrology, 37(2), 367–378. doi:10.1007/s11255-004-0012-4.

Palmer, S. C., de Berardis, G., Craig, J. C., Tong, A., Tonelli, M., Pellegrini, F., … Strippoli, G. F. M. (2014). Patient satisfaction with in-centre haemodialysis care: an international survey. BMJ Open, 4(5), e005020. doi:10.1136/bmjopen-2014-005020.

Bayoumi, M., El Guindy, H. A., & Ahmed, A. (2016). Patients’ Satisfaction with Care at Dialysis Unit. International Journal of Nursing Science, 6(5), 117-122.

Lima, G. O., Cruz, R. de F. de A., Vale, S. R. M., & Carneiro, É. C. R. de L. (2009). Methodology for Implementation of Quality Care in a Dialysis Center. Acta Paulista de Enfermagem, 22(spe1), 580–582. doi:10.1590/s0103-21002009000800028

Materla, T., Cudney, E. A., & Hopen, D. (2019). Evaluating factors affecting patient satisfaction using the Kano model. International Journal of Health Care Quality Assurance, 32(1), 137–151. doi:10.1108/ijhcqa-02-2018-0056.

Varkey, P., Reller, M. K., & Resar, R. K. (2007). Basics of Quality Improvement in Health Care. Mayo Clinic Proceedings, 82(6), 735–739. doi:10.4065/82.6.735.

Van der Veer, S. N., van Biesen, W., Couchoud, C., Tomson, C. R. V., & Jager, K. J. (2013). Measuring the quality of renal care: things to keep in mind when selecting and using quality indicators. Nephrology Dialysis Transplantation, 29(8), 1460–1467. doi:10.1093/ndt/gft473.

Van den Heuvel, J., Koning, L., Bogers, A. J. J. C., Berg, M., & van Dijen, M. E. M. (2005). An ISO 9001 quality management system in a hospital. International Journal of Health Care Quality Assurance, 18(5), 361–369. doi:10.1108/09526860510612216.

Donia, A., Elhadedy, M., El-Maghrabi, H., Abbas, M., & Foda, M. (2015). Exploring the opinion of hemodialysis patients about their dialysis unit. Saudi Journal of Kidney Diseases and Transplantation, 26(1), 73-77. doi:10.4103/1319-2442.148741

Pansini, F., Gargano, L., Sambati, M., Dambrosio, N., D'Altri, C., Giannoccaro, G., ... & Manno, C. (2007). Patient satisfaction in hemodialysis: a pilot cross-sectional analysis and a review. Giornale italiano di nefrologia: organo ufficiale della Societa italiana di nefrologia, 24(6), 584-594.

Rundle, K., Keegan, O., & McGee, H. (2004). Patients’ experiences of dialysis services: are national health strategy targets being met? Irish Journal of Medical Science, 173(2), 78–81. doi:10.1007/bf02914561.

Iqbal, M. S., Iqbal, Q., Iqbal, S., & Ashraf, S. (2021). Hemodialysis as long term treatment: Patients satisfaction and its impact on quality of life. Pakistan Journal of Medical Sciences, 37(2). doi:10.12669/pjms.37.2.2747.

Kshirsagar, A. V., Tabriz, A. A., Bang, H., & Lee, S.-Y. D. (2018). Patient Satisfaction Is Associated With Dialysis Facility Quality and Star Ratings. American Journal of Medical Quality, 34(3), 243–250. doi:10.1177/1062860618796310.

Door, Z. H., & Mukhtar, H. F. (2019). The Satisfaction of Patients on Maintenance Hemodialysis Concerning the Provided Nursing Care in Hemodialysis Units. IOSR J Nurs Health Sci, 8(06), 25-35.

Niedźwiecka, A., Nowicki, M., & Tkaczyk, M. (2009). Chronic dialysis patients' expectations towards dialysis nurses. Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego, 26(154), 311-314.

Davison, S. N., & Simpson, C. (2006). Hope and advance care planning in patients with end stage renal disease: qualitative interview study. BMJ, 333(7574), 886. doi:10.1136/bmj.38965.626250.55

Dad, T., Grobert, M. E., & Richardson, M. M. (2020). Using Patient Experience Survey Data to Improve In-Center Hemodialysis Care: A Practical Review. American Journal of Kidney Diseases, 76(3), 407–416. doi:10.1053/j.ajkd.2019.12.013.


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DOI: 10.28991/SciMedJ-2021-0303-2

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