Adherence to Hemodialysis Safety Protocols and Perceived Quality of Nursing Care Among Dialysis Nurses

Hemodialysis requires consistent observance of safety protocols while ensuring accurate, responsive, and patient-centered nursing care. This study determined dialysis nurses’ adherence to hemodialysis safety protocols, their perceived quality of nursing care, and the relationship between these variables. A descriptive-correlational research design was employed among dialysis nurses assigned to selected healthcare facilities with hemodialysis units. Data were gathered using a researcher-developed questionnaire covering five dimensions of safety-protocol adherence and five dimensions of perceived nursing-care quality. Mean and standard deviation were used for descriptive analysis, while Pearson Product-Moment Correlation was employed to determine the relationship between the variables. Findings revealed that the dialysis nurses demonstrated Very High Adherence to hemodialysis safety protocols, with infection prevention and control emerging as the strongest dimension, while monitoring and management of hemodialysis-related complications was comparatively lower. The nurses perceived the overall quality of nursing care as High, with accuracy and consistency of nursing care emerging as the strongest dimension and patient education and communication as the comparatively weakest. A moderate positive and statistically significant relationship was established between adherence to hemodialysis safety protocols and perceived quality of nursing care; hence, the null hypothesis was rejected. The study concludes that stronger adherence to hemodialysis safety protocols is associated with better perceived quality of nursing care, although protocol adherence alone does not account for all aspects of quality hemodialysis nursing.