Quality of Healthcare Services toward Hemodialysis Unit in Al Diwaniyha Government

Abstract

Chronic kidney disease is the most common devastating injury that represents a major societal health problem worldwide that may lead to an enormous long-term burden on the physical, psychological, social and economic condition of an individual, their family and health services. To assess patient satisfaction with the quality of health care services provided at Al Diwaniyah Teaching Hospital at Zahra Dialysis Center, A descriptive (quantitative) study was conducted in Diwaniyah General / Dialysis Unit from (15September 2020) to (22May 2021). The study aims to assess the quality of healthcare services provided to dialysis patients. A non-probability sample (target sample) of (100) patients who were admitted to Diwaniyah General Hospital/Dialysis Unit to receive treatment was included in the study sample. The data is collected using a questionnaire consisting of two parts: the first part consists of demographic data that contains (9) elements, and the second part consists of (25) items distributed into five areas of the quality of health care services, (7)) the tangible elements in the field, (5) Elements in reliability domain, (4) elements of field of response, (5) elements of empathy, and finally (4) elements of field of assurance. To determine the validity of the study, (19) experts were selected to review the questionnaire, and the validity of the questionnaire was determined through the experimental study to know the internal consistency of the elements using a half-split, which is r = 0, 85. The data were collected in a direct interview method with patients on hemodialysis. The researcher analyzed the data through the use of descriptive statistical procedures. The results of the current study indicate partial satisfaction by patients with the quality of health care services provided in the dialysis unit, especially in terms of reliability, responsiveness and sympathy with the quality of health care services, while the patients are at a high degree of partial satisfaction. Moreover, the study concluded that half of the patients are satisfied with the quality of healthcare services provided in the Dialysis Unit. The study recommends the following: - Continuously assessing the quality of health care services in the dialysis unit in order to implement quality improvement and/or quality assurance in this unit. Health education programs and infection control training courses should be implemented for nurses to increase and improve their capabilities in managing a patient under dialysis.