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Background & Aim: Quality of care is one of the basic rights of patients. Since the survey of nurses and patients' viewpoint can provide more comprehensive information about the status of provision of services, this study aimed to assess the quality of nursing care from nurses and patients viewpoints. Materials & Methods: This applied descriptive-analytic study was conducted in Zanjan in 2016. In this study, 150 patients and 16 nurses working in the only dialysis center in Zanjan located in Valiasr Hospital were enrolled by census method. Data were completed using the SERVQUAL questionnaire (Service Quality). Paired t-test, independent t-test and ANOVA and SPSS 16 software were used to analyze the data. Results: From the perspective of the patients participating in the study, the gap (i.e. the difference in what was expected of the patients and what they understood in practice) was in the quality of providing services in all aspects of perceptions and expectations, except for the guarantee of existence (P < 0.001). From the viewpoint of nurses, there was a gap in the quality of services in all aspects of perceptions and expectations (P < 0.001). There was a significant relationship between education (P = 0.027) and occupation (P = 0.002). Conclusion: The results of this study indicate that there is a gap in the quality of nursing care in the dimensions of perceptions and expectations of patients and nurses. Therefore, it is recommended to design and implement programs to improve the quality of nursing services after investigating and identifying the reasons for the lack of quality of services.

Objectives Dialysis is a therapeutic method suitable for elderly people with chronic renal failure. However, the patient faces with multiple challenges. This study explores the challenges of elderly people with dialysis for better identification and prevention of its side effects. Methods & Materials In this study, a comprehensive search of electronic databases of PubMed, Web of science, ProQuest, Scopus, Elsevier, Google scholar, and IranMedex was conducted using the key words "Aged," "Renal dialysis," "challenges," and “elderly syndromes" with no time limitation until the end of 2015. Results Elderly people undergoing dialysis have multiple physical and mental problems. They consume more drugs and have comorbidity compared to young people. This leads to lower quality of life in them compared to other age groups. Elderly people under dialysis experience more challenges, such as aging syndromes (including falls, functional disability, frailty, and cognitive impairment) compared to healthy people. The prevalence of these disorders is more in the elderly people undergoing dialysis leading to disability and loss of independence and increased mortality rate. Conclusion The number of elderly people undergoing dialysis has increased, and it seems that we need to know more about the problems of this age group. With the increasing awareness and knowledge about these problems, we can plan prevention, care, and rehabilitation programs for the elderly people with dialysis.