First published online: 28 Feb 2016
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J Renal Inj Prev. 2016;5(1).
doi: 10.15171/jrip.2016.09
PMID: 27069967
PMCID: PMC4827385
  Abstract View: 1200
  PDF Download: 672

Original Article

Barriers to and facilitators of care for hemodialysis patients; a qualitative study

Monir Nobahar 1, Mohammad Reza Tamadon 2 *

1 Nursing Care Research Center, Faculty of Nursing and Paramedical, Semnan University of Medical Sciences, Semnan, Iran
2 Department of Internal Medicine, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran
*Corresponding author: Mohamad Reza Tamadon, Email: mrt_tamadon@yahoo.com

Article

Introduction: Patients undergoing hemodialysis require direct and continuous care. Identifying the barriers to and factors facilitating hemodialysis care can improve care quality.

Objectives: The aim of this study was to assess the barriers and facilitators of care for hemodialysis patients.

Patients and Methods: This study was conducted as a qualitative study and it utilized content analysis approach. The study was performed in hemodialysis ward of Kowsar hospital in Semnan, in 2014. We used purposive sampling method with maximum diversity. Semi-structured interviews with open questions were used to collect data from a total of 20 participants.

Results: The main topic of health care challenges was divided into two main categories, including the facilitators and barriers of hemodialysis care. The facilitators of hemodialysis care had four subcategories, including "intimate relationship", "basic knowledge", "hemodialysis skills", and "experience". The category of barriers had eight subcategories, including "shortage of nurses and heavy workload", "weak authority of the head nurse", "ignorant director of nursing", "shortage of nephrologists", "lack of vascular surgery expert", "lack of nurse’s aide and nursing assistant ", "unskilled staffs", and "interference by patients’ caregivers".

Conclusion: The findings of this study showed that access to human resources and their abilities were among the factors facilitating care. However, lack of qualified medical staff at each level of care delivery was one of the barriers to hemodialysis care. Hence, it is of great importance for policy makers, managers, and program designers to recruit human resources who have the characteristics and competencies required for providing hemodialysis care.

Implication for health policy/practice/research/medical education:

In a study on a group of hemodialysis patients, in Semnan of Iran, we found that, access to human resources and their abilities were among the factors facilitating care. However, lack of qualified medical staff at each level of care delivery was one of the barriers to hemodialysis care. Hence, it is of great importance for policy makers, managers, and program designers to recruit human resources who have the characteristics and competencies required for providing hemodialysis care.

Please cite this paper as: Nobahar M, Tamadon MR. Barriers to and facilitators of care for hemodialysis patients; a qualitative study. J Renal Inj Prev. 2016;5(1):39-44. DOI: 10.15171/jrip.2016.09

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