Objective:

To design and validate a tool for improving nursing care process in a hemodialysis unit of a secondary level hospital.

Material and Method:

A quality improvement study was developed at Regional General Hospital N°1 Vicente Guerrero in Guerrero, Mexico, between may-august 2017. Hemodialysis nurse clinical record sheet was modified in two stages. For the design stage, a focus group with experts was carried out and for content validation, Delphi method was applied. The collected data were processed and analyzed with statistics program SPSS V.22.

Results:

70% of experts considered the instrument as good in terms of quality of the record. There was a discrepancy in the design, considered partially efficient (70%), since each expert evaluated according the area that dominated. All the observations made were included in the final design.

Conclusion:

The instrument is valid, giving the right information about the patient prior to hemodialysis, satisfying legal requirements regarding the continuity of care.