Vol. 3 No. 1 (2026): April 2026
Articles

Patient Satisfaction with Hemodialysis Nurses' Care: An Interaction Model of Client Behavior Perspective

pdf
  • Hazel Anne R. Cinco,
  • Rica Rose May A. Rubio
Hazel Anne R. Cinco
Zamboanga City Medical Center, Zamboanga City, Philippines
Rica Rose May A. Rubio
Western Mindanao State University, Zamboanga City, Philippines
DOI: https://doi.org/10.70848/cnj.v3i1.87

Published 2026-04-12

Keywords

  • Interaction Model of Client Health Behavior,
  • Hemodialysis Nursing Care,
  • Patient Satisfaction,
  • Patient Experience

How to Cite

Cinco, H. A. R., & Rubio, R. R. M. A. (2026). Patient Satisfaction with Hemodialysis Nurses’ Care: An Interaction Model of Client Behavior Perspective. Celebes Nursing Journal, 3(1), 259–267. https://doi.org/10.70848/cnj.v3i1.87

Abstract

Introduction: Hemodialysis nurses’ competence and interpersonal skills are central to patient satisfaction, yet local evidence remains limited. Objective: This study assessed patient satisfaction with nursing care in the Hemodialysis Unit of a tertiary hospital in Zamboanga City, Philippines, and examined its association with selected patient characteristics, guided by the Interaction Model of Client Health Behavior. Methods: A quantitative descriptive-correlational design was conducted among 80 randomly selected adult hemodialysis patients using an adapted Patient Satisfaction with Nursing Care Scale. Descriptive and inferential statistics were applied. Results: Overall satisfaction was high (M = 1.61, SD = 0.66), with professional-technical competence rated highest, followed by affective support and health information. Lower ratings were observed for privacy, discharge instructions, and shared decision-making. Most demographic variables were not significantly associated with satisfaction. Marital status showed positive associations across all domains, while age was positively related to decisional control and technical competence. Higher educational attainment was negatively associated with decisional control. Conclusion: Patients reported high satisfaction with hemodialysis nursing care. Improving privacy, discharge education, and shared decision-making may further enhance patient-centered care.

pdf

References

  1. Alatawi, A. A., Alaamri, M., & Almutary, H. (2024). Social support and adherence to treatment regimens among patients undergoing hemodialysis. Healthcare, 12(19), 1958. https://doi.org/10.3390/healthcare12191958
  2. Bastable, S. B. (2017). Nurse as educator: Principles of teaching and learning for nursing practice (5th ed.). Jones & Bartlett Learning.
  3. Campbell, Z. C., Dawson, J. K., Kirkendall, S. M., McCaffery, K. J., Jansen, J., Campbell, K. L., Lee, V. W., & Webster, A. C. (2022). Interventions for improving health literacy in people with chronic kidney disease. Cochrane Database of Systematic Reviews, 12(12), CD012026. https://doi.org/10.1002/14651858.CD012026.pub2
  4. Cox, C. L. (1982). An interaction model of client health behavior: Theoretical prescription for nursing. Advances in Nursing Science, 5(1), 41–56. https://doi.org/10.1097/00012272-198210000-00007
  5. Cueva, A. G., & Migallos, S. F. (2025). Cherubims in RDU: Experiences of novice nurses in renal dialysis unit among tertiary hospitals in Davao City. International Journal of Latest Technology in Engineering Management & Applied Science, 14(4), 438–456. https://doi.org/10.51583/IJLTEMAS.2025.140400045
  6. de Mello, A. L. S. F., Engel, F. D., Lanzoni, G. M. de M., Cechinel-Peiter, C., Costa, D. G., dos Santos, J. L. G., Erdmann, A. L., & Backman, C. (2025). Association between age and patients’ perceptions of safety in hospitals during the COVID-19 pandemic: A cross-sectional study. Clinical Epidemiology and Global Health, 31, 101869. https://doi.org/10.1016/j.cegh.2024.101869
  7. Galmarini, E., Marciano, L., & Schulz, P. J. (2024). The effectiveness of visual-based interventions on health literacy in health care: A systematic review and meta-analysis. BMC Health Services Research, 24(1), 718. https://doi.org/10.1186/s12913-024-11138-1
  8. Guan, M., Han, J. Y., Shah, D. V., & Gustafson, D. H. (2021). Exploring the role of social support in promoting patient participation in health care among women with breast cancer. Health Communication, 36(13), 1581–1589. https://doi.org/10.1080/10410236.2020.1773704
  9. Helmy, N. H., Hussein, A., Kamal, M., Minshawy, O. E., & Wahsh, E. A. (2022). Hemodialysis patients’ satisfaction with dialysis care: A cross-sectional prospective study conducted in a non-profitable care facility, Minia, Egypt. BMC Nephrology, 23(1). https://doi.org/10.1186/s12882-022-03010-3
  10. Hreńczuk, M. (2021). Therapeutic relationship nurse–patient in hemodialysis therapy. Nursing Forum, 56(3), 579–586. https://doi.org/10.1111/nuf.12590
  11. Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nursing Open, 6, 535–545. https://doi.org/10.1002/nop2.237
  12. Khan, M. I., Rahman, Z. U., Saleh, M. A., & Khan, S. U. Z. (2022). Social media and social support: A framework for patient satisfaction in healthcare. Informatics, 9(1), 22. https://doi.org/10.3390/informatics9010022
  13. Koon, J. (2020). Staff nurses’ perception of the hemodialysis unit as practice environment and patients’ perception of nurse caring behaviors and their level of satisfaction. Journal of Health and Caring Sciences, 2(1), 4–18.
  14. Laschinger, H. S., Hall, L. M., Pedersen, C., & Almost, J. (2005). A psychometric analysis of the patient satisfaction with nursing care quality questionnaire. Journal of Nursing Care Quality, 20(3), 220–230. https://doi.org/10.1097/00001786-200507000-00006
  15. Lee, H., & Cho, M. K. (2025). Effects of shared decision-making, health literacy, and self-care knowledge on self-care behavior among hemodialysis patients in Korea: A cross-sectional survey. Healthcare, 13(2), 175. https://doi.org/10.3390/healthcare13020175
  16. Luo, H., Liu, G., Lu, J., & Xue, D. (2021). Association of shared decision making with inpatient satisfaction: A cross-sectional study. BMC Medical Informatics and Decision Making, 21, 25. https://doi.org/10.1186/s12911-021-01385-1
  17. Ma, S., Tang, Q., Li, S., Zhou, C., Hu, L., Wang, Z., Liao, X., Ma, W., & Hu, L. (2025). Effectiveness of an intervention based on Cox's interaction model of client health behavior for reducing symptom burden among post-stroke patients: A randomized controlled trial. BMC Nursing, 24, 1227. https://doi.org/10.1186/s12912-025-03833-z
  18. Monshi, S. S., Alamri, H. M., Almuaddi, A. M., Almutairi, F. M., Aljishi, H. R., Alfaki, K. A., AlTurki, M. S., Saqah, R. M., & Aldossary, M. S. (2026). Patient satisfaction with dialysis services provided across different providers in Saudi Arabia. Frontiers in Nephrology, 5, 1691773. https://doi.org/10.3389/fneph.2025.1691773
  19. Nuairi, A. A., Bermamet, H., Abdulla, H., Simsekler, M. C. E., Anwar, S., & Lentine, K. L. (2022). Identifying patient satisfaction determinants in hemodialysis settings: A systematic review. Risk Management and Healthcare Policy, 15, 1843–1857. https://doi.org/10.2147/RMHP.S372094
  20. Nurhayati, E., Anggeria, E., & Nababan, T. (2026). Analysis of determinants of hemodialysis patient satisfaction in nursing services: A literature review. Jurnal Keperawatan Priority, 9(1), 18–28. https://doi.org/10.34012/jukep.v9i1.7791
  21. Pakpahan, R. (2023). Satisfaction level undergoing patients hemodialysis in service nursing in the hemodialysis unit Efarina Hospital Berastagi. International Journal of Public Health Excellence, 2(2), 520–523. https://doi.org/10.55299/ijphe.v2i2.368
  22. Santos, M. C. L., Calimbas, N. D., & dela Rosa, R. D. (2024). Caring experiences of nurses and elderly hemodialysis patients: Basis for modular development on patient care and education. Journal of Education and Culture, 4(2), 119–134. https://doi.org/10.47918/jeac.v4i2.1857
  23. Saygili, M., Kandemir Ture, A., & Akca, N. (2025). Health care quality and patient satisfaction in hemodialysis clinic: Investigation of patient-reported outcomes. Journal of Clinical Medicine of Kazakhstan, 22(6), 19–27. https://doi.org/10.23950/jcmk/17358
  24. Sułkowski, L., Matyja, A., & Matyja, M. (2024). Social support and quality of life in hemodialysis patients: A comparative study with healthy controls. Medicina, 60(11), 1732. https://doi.org/10.3390/medicina60111732
  25. Takham, A., & Srisook, R. (2025). The role of hemodialysis nurses in the care of patients with chronic kidney disease and anemia undergoing hemodialysis. Nursing Journal CMU, 52(1), 300–310.
  26. Terkeş, N., & Bedir, G. (2025). Determination of the effect of perceived social support on adherence to treatment in hemodialysis patients. Turkish Journal of Health Science and Life, 8(1), 16–22. https://doi.org/10.56150/tjhsl.1451279
  27. Thomas, N. (2019). Renal nursing: Care and management of people with kidney disease (5th ed.). Wiley Blackwell.