The Effect of Nursing Instructions on Nurses' Knowledge, Practice and Suggestions Regarding Adverse Events in Hemodialysis

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

¹Medical Surgical Nursing Department, Faculty of Nursing, Ain-Shams University, Egypt

²Medical Surgical Nursing Department, Faculty of Nursing, Meonofia University, Egypt

Cite this paper:
Soheir Tawfeek Ahamed and Salwa Abd El Gawad Sallam. The Effect of Nursing Instructions on Nurses' Knowledge, Practice and Suggestions Regarding Adverse Events in Hemodialysis. American Journal of Nursing Research. 2018; 6(5):237-243. doi: 10.12691/ajnr-6-5-4

Abstract

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.

Keywords:
adverse events hemodialysis nursing instructions nurses¡¯ knowledge

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Dawood R., El-sebai., Salem Y and Hussein R. (2016): Effect of implementing a protocol of nursing care on hemodialysis patients' safety outcomes. IORS Journal of nursing and Health Science. Sep-Oct.2016; Vol 5; (5).
[2]	Silver S., Thomas A., Rathe A., Robinson P., Wald & R et al. (2015): Development of a hemodialysis safety checklist using a structure panel process. Clin kidney J. 2015 Feb 12 (2)5.
[3]	Lotfy E, Sakla N, El-Naggar S. Demographic study with risk factors of hemodialysis patients in Damietta Governorates, Egypt. International journal of Advanced Research (2015). Vol 3, Issue 10, 91-100.
[4]	Moursy A. & Sharaf A.(2017): Vascular access care at hemodialysis unit; nurses compliance to infection prevention and control practices. IORS Journal of Nursing and Health Science. Mar -Apr.2017; Vol. 6, Issue 2.
[5]	Thomas-Hawkins, C., & Flynn L. (2013). Patient safety culture and nurse-reported adverse patient events in outpatient hemodialysis facilities. Nephrology Nursing JOURNAL. 40(2), 170.
[6]	Thomas- Hawkins C.(2014): Culture of patient safety in dialysis care. Culture of patient safety in dialysis care Renal Society of Australasia Journal, 10(2). 86-90.
[7]	Garrick R., Kliger A. and Stefanchik B. (2012). Patient and facility safety in hemodialysis: opportunities and strategies to develop a culture of safety. Clinical Journal of the American Society of Nephrology, Apr; 7(4): 680-688.
[8]	Minn W.(2014): Enhancing patient safety in hemodialysis nursing care practice among nurses in the renal unit at the defense services general hospital: a best practice implementation project. JBI Database of Systematic reviews & implementation reports. 2014; 12(9).
[9]	Alamry A., Al Owais S., Al-Dorzi.,& Taher S.(2012): patient saf. Incidence reporting at a tertiary care hospital in Saudi Arabia. J. patient Saf., 2(8): 81-87.
[10]	Hassan S.,Sorour A., Eldahshan K, and Elmoghazy G. (2013). Nurses knowledge and practice regarding intradialytic complication for hemodialysis patient. Journal of American Science; 9(11): 300-307.
[11]	Thomas- Hawkins., Flynn L. & Weaver S. (2015). Nurse Manager Safety practices in outpatient hemodialysis units. Nephrology nursing journal Mar/Apr 2015: 125-133.
[12]	UNIVERSITY OF TAMPERE Health Care Professionals' Knowledge and Attitudes Regarding Patient Safety and Skills for Safe Patient Care. Acta. Tampere 2016, University of Tampere, School of Health Sciences Finland
[13]	Almaramhy H., Al-Shobaili H., El-Hadary K. and Dandash K. (2011). Knowledge and attitude towards patient safety among a group of undergraduate medical students in Saudi Arabia. IJHS international journal of health sciences (Qassim). 2011 Jan; 5(1): 59-67.
[14]	Marcelli D.,Matos A., Sousa F., Peralta R. &et al. (2015). Implementation of a quality and safety checklist for hemodialysis sessions. Clin Kidney J. 2015 Jun; 8(3).
[15]	World Health Organization (WHO). Conceptual framework for the international classification for patient safety. Taxonomy. World Alliance for patient safety. 2009[cited in 2016 Feb19]. Available from: http://www.who int/patientsafety/taxonomy/icps_fuul-report.pdf.
[16]	Vafaei A., & Nobahar M. The care preference of patients under hemodialysis. J. Ren. Inj. Prev. 2017, 6. 210-215.
[17]	Sousa M., Camargo A., Bezerra A., Freitas J. and Neves G. & et al (2016): Prevalence of adverse events in a hemodialysis unit. Capa v.24, N.6.
[18]	Thomas A., Silver S., Rathe A., Robinson P., Wald P., & et al (2016): Feasibility of a hemodialysis safety checklist for nurses and patients: a quality improvement study. Clin kidney J. 2016 Ju; 9(3): 335-342.
[19]	Sousa M., Camargo A., Bezerra A., Freitas J. and Miasso A. (2013). Adverse events in hemodialysis: reports of nursing professionals. Revista da Escola de Enfermagem da USP. Feb Vol. 47. No.1.
[20]	Shahdadi H. & Rahnama M. (2018). Experience of nurses in hemodialysis care:A phenomenological study. J. Clin. Med. 2018; (7) 30.
[21]	Bray B & Metcalfe W.(2015): Improving patient safety in hemodialysis. Clin kidney J. 2015 Jun; 8 (3): 262-264.
[22]	Dziubek W. the level of anxiety and depression in dialysis patients undertaking regular physical exercise training. Kidney and blood pressure research journal.2016; 4(1): 86-88.
[23]	Mohesn M., Mohammed W., Riad N and Atia G. (2013). Impact of designed nursing intervention protocol for hemodialysis patients on patients' outcomes. Journal of Biology, Agriculture and healthcare. Vol.3, No.16, 2013:53-56.
[24]	Hamed O. (2016). Knowledge and Practice of Nurses towards Care of Hemodialysis Patients at Governmental Hospitals in Khartoum State. thesis submitted in Partial fulfillment for the requirement of M.Sc Degree in Health Management. The National Ribat University Faculty of Graduate Studies & Scientific Research.
[25]	Mabrouke E. Assessment of hemodialysis adequacy in patients with chronic kidney disease in the hemodialysis unit at Tanta University Hospital in Egypt. Kasr Al-Ainy Medical Journal. 2015; 21(2): 47-54.
[26]	Pageb M. Practice implications of keeping patients safe. Journal of Care Quality. 2014; 20(3): 193-197.
[27]	Paranagua T., Bezerra AL., Silva A., &Filho A.(2016): Prevelance of no harm incidents and adverse events in a surgical clinic. Acta Paul Enferm. [citaded in 2016 Feb 19]; 26(3): 256-262. Available from: http://www.scielo.br/pdf.
[28]	Ulrich B., & Kear T. (2014): Patient Safety Culture in Nephrology Nurse Practice Settings: Initial Findings. Nephrology Nursing Journal Sep.-Oct. 2014 Vol. 41, No. 5.
[29]	Ahamed S & Ebraheim M. (2017): Glascow Coma Scale Technique: Effect of theoretical and practice educational program on Nurses' compliance. IORS Journal of Nursing and Health Science. May -June.2017; Vol. 6, Issue 3.
[30]	Bassuni E. and Bayoumi M.(2015): Improvement critical care patient safety: Using nursing staff development strategies, at Saudi Arabia. Global Journal of Health science; Vol.7, No.2; 2015: 335-341.
[31]	Eid N. & Abd el-Aziz.2013): Proposed Developed Standards: Staff Nurses Compliance at Dialysis Unit. Greener Journal of Medical Sciences ISSN: 2276-7797 Vol. 3 (5), pp. 179-189, July 2013.
[32]	Kliger A.(2015): Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015 apr.7; 10(4): 688-695.
[33]	Mendes W., Pavao ALB., Matins M., Travassos C. The feature of preventable adverse events in hospital in the State of Rio de janeiro, razil. Rev Assoc Med Bars.[ cited in 2016 Feb19]; 59(5): 421-428.
[34]	Lira A. & Oliveira L. (2011): nursing diagnosis: educational strategy based on problem-based learning. Rev. Latino-am enfermagem July ¨CAug. Vol. 19 (4).