Knowledge and Practice Regarding Hemodialysis Procedure Among Nurses Working at the Dialysis Centers, in Khartoum, Sudan: A Cross-sectional Study

Abstract

Background: Hemodialysis procedures is considered as a supportive management for kidney failure. Nurses play a major role in hemodialysis procedures, because most of the complications facing patients during dialysis as hypotension, cramped muscles, and weak pulse, need nurses with knowledge and practical experience. The current study aimed to assess nurses’ knowledge and practice about hemodialysis procedures.
Methods: This is a cross-sectional study, which included 103 nurses who worked in dialysis centers in Khartoum State in Sudan, from February to May 2022. A selfadministered questionnaire and observational checklists were used to collect the data and was analyzed using the statistical program for social science (SPSS) version 23, the knowledge and practice score was calculated, and the mean was obtained.
Results: The results of our study showed the mean scores of the participant knowledge 11.3, and practice 13.6, and also showed statistical significance regarding the relationship between the level of education and knowledge of nurses regarding hemodialysis procedure; p-value = 0.01.
Conclusion: The study concluded that there is sufficient knowledge and practice of nurses in dialysis centers, and there is also a relationship between educational level and knowledge, so the study recommends conducting continuous training for nurses in dialysis centers.

Keywords:

Nurses' knowledge, Practice, Hemodialysis procedure

References
[1] Emran, S. (2021). Nephrology nurses’ views in giving a dietary recommendation for dialysis patients: An interview study. Belitung Nursing Journal, 7(7), 425–430.

[2] Han, D., Bock, M., Glover, J., & Vemulakonda, V. M. (2022). Outcomes of dialysis in neonates with anuric end-stage renal disease at birth: Ethical considerations. Journal of Perinatology, 13(5), 159

[3] Khan, S., & Rosner, M. (2017). Peritoneal dialysis for patients with end-stage renal disease and liver cirrhosis. Journal of the International Society for Peritoneal Dialysis, 38(2), 397–401.

[4] Manzi, E., Posada, J. G., Mesa, L., Echeverri, G. J., Duran, C., Caicedo, L. A., Villegas, J. I., & Tobón, G. J. (2017). Kidney transplantation for end-stage renal disease in lupus nephritis, a very safe procedure: A single Latin American transplant center experience. Lupus, 26(11), 456–512.

[5] Jin, D. C., Yun, S. R., Lee, S. W., Han, S. W., Kim, W., Park, J., & Kim, Y. K. (2015). Lessons from 30 years’ data of Korean end-stage renal disease registry. Kidney Research and Clinical Practice, 43(4), 132–139.

[6] Kirsch, A. H., Lyko, R., Nilsson, L. G., Beck, W., Amdahl, M., Lechner, P., Schneider, A., Wanner, C., Rosenkranz, A. R., & Krieter, D. H. (2017). Performance of hemodialysis with novel medium cut-off dialyzers. Nephrology Dialysis Transplantation, 32(3), 165–172.

[7] Vanholder, R., Pletinck, A., Schepers, E., Glorieux, G. (2018). Biochemical and clinical impact of organic uremic retention solutes: A comprehensive update. Toxins, 10(5), 133–159.

[8] Mustafa, S., & Baris, H. N. (2020). Comparison of circulating levels of uremic toxins in hemodialysis patients treated with medium cut-off membranes and high-flux membranes. Blood Purification, 94(1), 733–742.

[9] Yeter, H .H., Korucu, B., Akcay, O. F., Derici, K., Derici, U., & Arinsoy, T. (2020). Effects of medium cut-off dialysis membranes on inflammation and oxidative stress in patients on maintenance hemodialysis. International Urology and Nephrology, 52(5), 1779– 1789.

[10] Al-Abbas, A., Peter, S., Helen, N., et al. (2019). Detection and evaluation of chronic kidney disease. American Journal of Kidney Diseases, 59(4), 523–530.

[11] Watnick, S. (2018). The kidney accelerator: Innovation wanted, nephrologists needed. Clinical Journal of the American Society of Nephrology, 13(2), 1750–1761.

[12] Saha, M., & Allon, M. (2017). Diagnosis, treatment, and prevention of hemodialysis emergencies. Clinical Journal of the American Society of Nephrology, 12(1), 357– 369.

[13] Barbose, G. S., & Valdares, G. V. (2014). Becoming proficient knowledge and practice of hemodialysis nurses. Escola Anna Nery, 18(1), 163–166.

[14] Brady, B. M., Zhao, B., Niu, J., Winkelmayer, W. C., Milstein, A., Chertow, G. M., & Erickson, K. F. (2018). Patient-reported experiences of dialysis care within a national pay-for-performance system. JAMA Internal Medicine, 11(1), 1358–1367.

[15] Hadi, Q., & Alreda, D. J. (2021). Assessment of nurses’ knowledge and practices concerning hemodialysis adequacy guideline in Baghdad Teaching Hospitals. Kufa Journal for Nursing Sciences, 11(1), 1–9.

[16] Mahmood, A., Aziz, K., Ahmed, S., Baig, Z. F., Muhammad, W., Rahman, M. (2018). Frequency of acute complications of hemodialysis in adult age group at a tertiary care center. PAFMJ-Pakistan Armed Forces Medical Journal, 9(2), 1219–1224.

[17] Jarelnape, A. A. A. (2021). Nurses’ knowledge about the discharge plan for patients after cardiac surgery at the Sudan Heart Institute. Majmaah Journal of Health Sciences, 9(2), 71–79.

[18] Hassona, F. M. (2011). Evaluation of an educational program: A report from the hemodialysis unit in Zagazig Univer-sity Hospitals, Egypt. Nephrology Nursing Journal, 7(3), 39–53.

[19] Kanagarajah, S., Velraja, S., & Arambakkam, H. J. (2022). Knowledge, attitude, and practices of renal diets among hemodialysis patients. Biomedical and Biotechnology Research Journal, 6(1), 86–92.

[20] Al-Mawsheki, E., Ibrahim, M. H., & Taha, N. M. (2016). Nurses’ knowledge and practice regarding care for the patients during hemodialysis. The Medical Journal of Cairo University, 4(1), 1135–1141.

[21] Yousef, Y. E., Elashir, U. M., Mahmoud, S. R., & Maghraby, N. (2019). The effect of nursing educational program on knowledge and practice of nurses regarding infection control measures for children under hemodialysis. Egyptian Nursing Journal, 7(3), 113–133.

[22] Shahdadi, H., & Rahnama, M. (2018). Experience of nurses in hemodialysis care: A phenomenological study. Journal of Clinical Medicine, 7(2), 30–45.