Soheir Tawfeek Ahamed^1,, Salwa Abd El Gawad Sallam^2,

Hemodialysis now is an important and standardized treatment that is used as a life-saving treatment for more than 800,000 people worldwide who have end-stage renal disease. Protecting patients from adverse events at hemodialysis units is fundamental responsibility of all health team generally and nursing especially. Aim: To evaluate the effect of nursing instructions on nurses¡¯ knowledge, practice and suggestions regarding adverse events in hemodialysis. Research design: A quasi experimental design was utilized. Setting: The study was conducted in hemodialysis unit at King Khalid Hospital in Hail City; Kingdom of Saudi Arabia. Sample: Convenient sample of 26 nurses working in hemodialysis unit. Tools: First; Self-administered nurses¡¯ knowledge questionnaire; Second; Safety and quality observational checklist in hemodialysis session. Results: There was a statistical significant improvement between levels of nurses¡¯ knowledge and practice before and after nursing instructions, no relation between levels of nurses¡¯ knowledge and their levels of practice post nursing instructions and there was a difference in nurses¡¯ suggestion ranks regarding adverse events prevention pre and post nursing instructions. Conclusion: Implementation of nursing instructions regarding adverse events in hemodialysis was effective in improving the level of nursing knowledge and practice. Recommendations: Applying nursing instructions in other places with a large sample to enhance and confirm the current results.

adverse events, hemodialysis nursing instructions, nurses¡¯ knowledge