فهرست مطالب m. zagheri-tafreshi

Patients on hemodialysis need effective self-care education. Computer-based patient education is an effective educational method. The aim of this study was to compare the effects of multimedia based education، and traditional method on patients’ hemodialysis knowledge and treatment adherence.

In this quasi- experimental study، all of the patients referred to four hemodialysis centers in Tabriz City were divided randomly into intervention and control groups. A knowledge (Cronbach’s alpha = 0/78) and treatment adherence questionnaire (Cronbach’s alpha = 0/84) were completed as a pretest and repeated three months after the educational program. The intervention group interfaced and navigated their way through the Hemodialysis and Essentials Care application with a laptop during their hemodialysis time. The control group received the same content in the traditional way (face to face and pamphlet).

Findings showed that post-education knowledge mean scores had changed substantially (p< 0/05) in both the intervention (n= 32) and control groups (n= 30)، however، treatment adherence mean scores were statistically significant only in the intervention group (p< 0/05). There were no statistically significant differences between the two groups in pre- and post-education knowledge and treatment adherence mean scores (p>0/05).

The Hemodialysis and Essentials Care application based education improved patients’ knowledge and treatment adherence compared to the traditional method. This application could be used to facilitate the patient education process and to improve its quality.

Optimizing the quality of health care is essential for delivery of effective, efficient and cost-benefit professional health services to people and communities. As nurses are the largest groups among health care professionals and are legally liable and morally responsible for their care, so their perspectives on quality of nursing care is very important. The purpose of this qualitative study was to define and describe “quality of nursing care” from the perspective of nurse experts and clinical nurses.

In this qualitative study, data were collected in two phases (10 individual interviews and 5 focus group discussions). Fifty-four nurses and experts participated by purposeful sampling. Data analysis was conducted by latent content analysis to achieve a definition of nursing care quality.

After taking into consideration different statements from experts in nursing and clinical nurses' perspectives on quality, we arrived at the final definition of optimal health care: "delivery of safe care based on nursing standards which eventuates client satisfaction". Also, both participating groups emphasized on collaborating with social workers in health care (teamwork).

Findings revealed that in nurses' perspectives on quality definition, two important aspects that have been taken into consideration were: "standard of care" and "client satisfaction". Also coordinating organizational and socio-cultural workers in delivering quality nursing care was deemed to be important.