Nurse Competencies in Achieving Hemodialysis Adequacy in a Tertiary Hospital in Metro Manila, Philippines

Chronic Kidney Disease (CKD) remains a significant global and national health concern, with hemodialysis serving as the most common renal replacement therapy for patients with End-Stage Renal Disease (ESRD). The effectiveness of hemodialysis is highly dependent on dialysis adequacy, which may be influenced by the competence of the nurses providing care. This study determined the level of nursing competence among nurses working in a hemodialysis unit at a tertiary hospital in Metro Manila, Philippines, and examined whether significant differences existed across demographic profiles. A descriptive–correlational design was used involving 65 registered nurses selected through purposive sampling. Data were gathered using a validated Nursing Competency Assessment Questionnaire and analyzed using descriptive statistics and one-way ANOVA. Findings revealed that respondents demonstrated a generally competent level across all domains, with technical skills obtaining the highest mean score, followed by knowledge, critical thinking and decision-making, and professional attitude. No statistically significant differences were found in competence levels when grouped according to age, sex, and years of service. The study concludes that hemodialysis nurses possess adequate competencies for safe and effective dialysis care; however, continued professional development and competency-based training are recommended to further strengthen specialized nursing practice.