Hemodialysis Nurses Research Articles

Application Value of High-quality Nursing in Hemodialysis Nursing after Arteriovenous Fistula Operation

Application Value of High-quality Nursing in Hemodialysis Nursing after Arteriovenous Fistula Operation

Effect of a Breathing Exercise on Respiratory Function and 6-Minute Walking Distance in Patients Under Hemodialysis: A Randomized Controlled Trial.

Pulmonary disorders and poor functional capacity are common complications in patients under hemodialysis. Although breathing exercise is frequently prescribed to improve respiratory function, its efficacy in this patient community is not well established. Our study was designed to determine the effectiveness of a breathing exercise on respiratory function and 6-minute walk (6MW) distance in patients under hemodialysis. A randomized controlled trial approach was used. The sample consisted of 52 patients under hemodialysis from a university teaching hospital in Iran. The experimental group (n = 26) received the breathing exercise program and was encouraged to perform incentive spirometry for 2 months. The control group (n = 26) received only routine hospital care. The respiratory function test and 6MW test were performed at baseline and at 2 months after the intervention (posttest). The two groups were homogeneous in terms of respiratory function parameters, 6MW distance, and demographic characteristics at baseline. Forced expiratory volume in 1 second and forced vital capacity were significantly better in the experimental group compared with the control group at 2 months after intervention. No significant difference was found in 6MW distance between the groups at the 2-month posttest. The 2-month breathing exercise effectively improved pulmonary function parameters (forced vital capacity, forced expiratory volume in 1 second) in patients under hemodialysis but did not affect 6MW distance. Hemodialysis nurses should strengthen their clinical health education and apply breathing exercise programs to reduce the pulmonary complications experienced by patients under hemodialysis.

Job Satisfaction among Hemodialysis and Labour Ward Nurses: A Comparative Descriptive Study

Introduction: Increasing CKD cases means higher demands for haemodialysis nurses. Haemodialysis nurses are required to fulfil many demanding roles such as advocate, caregiver, educator, mentor and technician while patients attend a dialysis unit. The complexities of the role that are performed by these nurses along with organization factors within the work environment have led to haemodialysis nurses experiencing high levels of burnout thus impacting on satisfaction derived from job done. Objectives: To compare job satisfaction among haemodialysis nurses with that of labour ward nurses and determine if the type of patient managed affects job satisfaction of nurses. Methodology: The multidimensional Job satisfaction scale designed and validated by Murat Ozpehlivan and Zafer Acar was used to determine job satisfaction among sixty-six hemodialysis nurses and sixty-four labour ward nurses in a cross sectional comparative descriptive study. Statistical significance difference between the two group of nurses attributed to events with a p-value lower than 5% (p < 0.05). Results: The overall mean job satisfaction score was higher among the labour ward nurses 67.95 ± 13.39 compared to the mean score among renal nurses 65.07 ± 14.24 (T= 1.81, p = 0.240). The mean score of labour ward nurses regarding satisfaction based on patient managed 74.51 ± 14.96 is higher than the mean score among renal participants of 71.21 ± 14.70 (T= 1.27, p = 0.201). Conclusion: Hemodialysis nurses in Nigeria are satisfied with the job they do and this is comparable to that of nurses in labour ward.

The influence of patient-involved supervision on hand hygiene compliance and accuracy among hemodialysis nurses

The influence of patient-involved supervision on hand hygiene compliance and accuracy among hemodialysis nurses

Relationships between resilience, empathy, compassion fatigue, work engagement and turnover intention in haemodialysis nurses: A cross-sectional study.

To explore the relationships between resilience, empathy, compassion fatigue, work engagement and turnover intention in Chinese haemodialysis nurses. Although several studies explored nurses' turnover intention in multiple hospital wards, fewer studies focused on turnover intention and its predictors among nurses in dialysis care. We conducted a cross-sectional study and adopted a two-stage sampling method to recruit 528 Chinese haemodialysis nurses. Multiple regression analysis was performed to explore the effects of resilience, empathy, compassion fatigue and work engagement on turnover intention. The prevalence of high and exceptionally high levels of turnover intention was 59.1% and 9.0%. Compassion fatigue had the strongest significant effect on turnover intention (β=0.276), followed by work engagement (β=-0.256) and resilience (β=0.193). Haemodialysis nurses in tertiary hospitals reported significant higher levels of turnover intention than those in secondary hospitals (β=0.127). Higher levels of compassion fatigue and lower levels of resilience and work engagement can result in higher turnover intention in haemodialysis nurses. Strategies such as resilience training programme, mindfulness-based intervention and establishing a positive work environment may be effective methods to improve resilience, reduce compassion fatigue, promote work engagement and decrease turnover intention.

Occupational Blood Exposure of Nursing Staff During Dialysis Connection and Disconnection Procedures: A Quantitative Assessment

Background: Hemodialysis patients are at high risk for developing healthcare-associated infections and acquiring multidrug-resistant microorganisms. The importance of hand hygiene in the prevention of healthcare-associated infections is well known. To date, no quantitative study has been undertaken to verify hand hygiene and nosocomial infection management prevention and control. Methods: This quantitative, exploratory, descriptive, observational study used the pyramidon semi-quantitative examination method to detect hemoglobin on the fingers of enrolled nursing staff. We sampled all the fingers of participants who had just finished operating vascular access routes during randomly selected 15-min detection periods that covered all steps of a hemodialysis session (connection and disconnection). Findings: In all the periods that were investigated, numerous residual blood-exposure positive results were found on the fingers of the nurses. Among a total of 454 samples, 273 were found to be residual blood positive and 181 were negative on semi-quantitative examination. The processes where significant differences were found included connection and disconnection of the vascular access routes to the hemodialysis machine (p<0.001). Interpretation: The novel detection method provides direct evidence for hand-based exposure to blood by hemodialysis nurses during the operation of the patient’s vascular access route for hemodialysis. Pyramidon semi-quantitative examination is an excellent method for the evaluation of blood exposure in a hemodialysis unit. Enhanced hand hygiene can be achieved through immediate and intuitive feedback. Clinical Trial Registration Details: This study has been registered with the China Clinical Trial Center, and the number is: ChiCTR2100051448. Funding Information: This study did not receive any funding or financial support. Declaration of Interests: All other authors do not declare any conflict of interest related to the results of this study. Ethics Approval Statement: This research project was approved by the ethical review board of the Affiliated Hospital of Inner Mongolia Medical University (No. KY2020027).

Rewriting burnout as metaphor

Abstract Today’s healthcare professionals shoulder consequences of budget cuts, staff shortages, longer hours and a growing, aging patient population. To address support for both patients and staff in this challenging context, the kidney dialysis unit of a major Italian hospital was chosen for a three-phase pilot study of Metaphoric Affect Processing (MAP). MAP is a metaphor-based interview technique designed to enhance wellbeing in hospital settings by facilitating the identification, verbalization and regulation of affect as metaphor. The subject of this article is Phase 1 of the study, which focused on mitigation of burnout symptoms among peritoneal and hemodialysis nurses. In Phase 1, nurses were offered weekly group sessions of MAP training. All participants learned to use codified, “poetic” dialogue to explore, share and metaphorically “rewrite” present-moment feelings. By the end of training, a number of nurses also qualified as MAP facilitators themselves. Nurses’ pre-training burnout levels were measured in subcategories of depressive anxiety, loss of empathy, and reduced sense of personal achievement. Assessment after MAP training confirmed nurses’ self-reports of having engaged metaphor to address these aspects of burnout, reducing stress levels, increasing empathy among colleagues and expanding perspective. Phase 1 outcomes suggest that MAP may be an effective intervention to boost wellbeing for healthcare workers at high risk for burnout, and merits further study. This article also offers an overview of MAP’s early development with patient populations in cancer treatment and acute care psychiatric settings.

Hubungan Asupan Cairan Dengan Penambahan Berat Badan Interdialisis Pada Pasien Hemodialisis Di RSUD Kota Tanjungpinang

Chronic kidney disease (CKD) is a failure to maintain metabolic function and fluid and electrolyte balance due to the progressive destruction of renal structures degan buildup of residual metabolic manifestations (toxic uremic) in the blood. Hemodialysis is a method of dialysis used to remove fluid and waste products from the body when it is acute or progressive renal unable to perform the process by using a machine equipped with a semi-permeable membrane filter (artificial kidney). The purpose of this study was to determine the relationship of fluid intake with weight gain interdialytic undergoing hemodialysis in hospitals Tanjungpinang. This study uses a quantitative method with anatik survey and design cross-sectional The sample size of 16 people, with a sampling technique purposive were analyzed by test. Pearson correlation results of the analysis showed the r -0,907 and p-value 0.000 p &lt;αof 0.1, which means there is a connection with the fluid intake, weight gain interdialytic In hemodialysis in hospitals Tanjungpinang. the results of this study are expected for hemodialysis nurses in order to improve the quality in the development of nursing science can provide fluid management education to patients experiencing excessive weight gain (5% of the dry BB).Keywords: Fluid Intake, Hemodialysis, Weight Gain Interdialisis

The work environment of haemodialysis nurses and its mediating role in burnout.

The work environment can contribute to the occurrence of nurses' burnout. This study assessed the work environment of haemodialysis nurses andthe extent of burnout they have suffered, and it explored the connection between work environment and burnout. A multicentre cross-sectional study was conducted in 53 public, hospital-based haemodialysis units in Greece. A total of 537 haemodialysis nurses participated. The majority consisted of females (90.8%) who possessed a university degree or a degree from a technological institute (72.6%). They had an average of 15 years of experience in dialysis. The Practice Environment Scale of the Nursing Work Index and the Copenhagen Burnout Inventory (CBI) were used. The demographic characteristics of the participants were also collected. Although the nurses rated their work environment as healthy, they were experiencing a moderate degree of burnout. The multivariate linear regression analysis with the CBI scales as dependent variables was applied. The increased nurses' participation in hospital affairs was associated with decreased personal (coefficient β = -9.4, 95% confidence interval [CI] = -17.4 to -1.3, p = 0.023), work-related (coefficient β = -12.9, 95% CI = -22.5 to -3.5, p = 0.008) and patient-related burnout (coefficient β = -15.9, 95% CI = -24.5 to -7.4, p = < 0.001). The better collegial nurse-physician relationships were associated with decreased personal (coefficient β = -10.7, 95% CI = -18.3 to -3.0, p = .007) and work-related burnout (coefficient β = -15.1, 95% CI = -23.3 to -7.0, p = < 0.001). The work environment of haemodialysis nurseswas associated with burnout. Its improvement is an important tool in administrations' effort to ensure the nursing staff's well-being.

Analysis of experience of the use of plastic cannulas in Spanish haemodialysis units.

Plastic cannulas (PC) have shown efficacy in haemodialysis (HD) and are presented as a positive innovation for patients and vascular access survival. To analyse Spanish HD nurses' experience of using PC. Cross-sectional observational study. An ad hoc questionnaire was administered on nurses' experience of PC use. A total of 163 Spanish HD nurses were surveyed, of whom 42.3% had PC in their workplace and 50.9% had used them. In all, 55.8% had received training and 77.9% wished to receive more training. These needles were significantly more available in public institutions than in private centres (p < 0.001). There was no significant difference between years of experience and having received training (p = 0.915). There was a moderate-strong correlation (ρ = 0.659) between greater professional satisfaction with the product and greater patient satisfaction (p < 0.001). The nurses would make a median of two [P25 , 1; P75 , 3] modifications in the product design. The characteristics of the PC were rated positively by 55.8% and negatively by 10.3%. A substantial proportion of the nurses surveyed did not use PC and had not received training in their use. Respondents reported that PC could be improved and a small percentage perceived them negatively. Based on the evidence presented and available, if we manage to integrate this knowledge and work on the continuum of achieving excellence, we will continue to grow as a profession and provide higher quality care.

Nurse Needs, Hope, and Satisfaction during Hemodialysis Care in Medan Indonesia

BACKGROUND: Patients with chronic kidney disease need hemodialysis kidney replacement. Nurses in providing hemodialysis services require the needs during treatment, have hopes / desires and feel satisfaction while doing patient nurses.&#x0D; AIM: This study aims to identify the needs, hopes/desires and satisfaction of nurses in providing care to hemodialysis patients in Medan.&#x0D; METHODS: The research design used is descriptive, sampling method using purposive sampling with a sample of 41 respondents. Inclusion criteria were permanent nurses in government hospitals, working period of more than 2 years, nurses working in hemodialysis units. Data collection is done by distributing questionnaires, questionnaires are made based on literature reviews that have been tested by content validation by experts. Reliability tests using Cronbach’s Alpha with 0.88 test results so that the instrument is feasible to use.&#x0D; RESULT: The results showed that the majority of nurses said that the need for hemodialysis nurses was highest, namely the latest information on HD services by 39 respondents (98%), the hopes and desires of nurses during the care of HD patients comfortably and well as many as 37 respondents (93%), satisfaction while caring Patients who monitored the patient’s weight reached 38 respondents (98%),&#x0D; CONCLUSIONS: This study recommends that hospitals, especially the Hemodialysis room, continue to provide maximum service to every patient who is undergoing Hemodialysis as a motivation for patients to stay motivated in living their daily lives.

The Duration of Hemodialysis Treatment and the Adherence of Chronic Kidney Disease Patients in Fluid Intake Limitation: a Relationship

Hemodialysis is a routine medical intervention for a patient with chronic kidney disease. The duration of hemodialysis treatment makes the patient's behavior change to be not adherence to the recommended diet, including restrictions on fluid intake. The objective of this research is to determine the Relationship duration of hemodialysis treatment with Adherence to fluid restriction of Chronic Kidney Disease Patients. This cross-sectional study involving 44 respondents, taken by consecutive sampling techniques. Research has been conducted in the hemodialysis room at the Reksodiwiryo hospital in Padang from May-June 2019. Data collection was carried out by looking at medical records and questionnaires regarding fluid intake compliance in patients with chronic kidney disease. The data obtained were analyzed univariate with frequency distribution and bivariate with the Kendall Tau test. The results showed that there were 26 (59.1%) non-adherence patients, and 18 (40.9%) patients were adherence to limiting fluid intake. Old patients were 17 people (38.6%) and new patients were 27 (61.4%). The Kendall Tau bivariate test showed that the length of hemodialysis has a significant correlation with adherence fluid restriction (p = 0.014), with a negative correlation (r -0.375), it's meaning that the longer the hemodialysis, the lower the fluid restriction compliance. It is expected that hemodialysis nurses regularly evaluate the compliance of hemodialysis patients and routinely carry out educational and motivational programs as well as fluid diet counseling at each hemodialysis session. Keywords: compliance, fluid, hemodialysis, restriction

Staff Nurses’ Perception of the Hemodialysis Unit as Practice Environment and Patients’ Perception of Nurse Caring Behaviors and their Level of Satisfaction

Background: Despite the concomitant rise of kidney diseases and hemodialysis services nationwide, the Philippines still lacks research on hemodialysis nursing care quality. Using nursing-sensitive indicators under the Nursing Role Effectiveness Model, this study aimed to describe hemodialysis nurses’ perception of their unit as practice environment; patients’ perception of nurse caring behaviors based on Jean Watson’s 10 Caritas Processes; patients’ level of satisfaction on nursing care; and determine the association between perceived nurse caring behaviors and satisfaction levels.&#x0D; Methodology: This descriptive cross-sectional study purposely selected seven free-standing hemodialysis centers in Metro Manila. Ninety-four nurses were surveyed via complete enumeration using the Practice Environment Scale of Nursing Work Index (PES-NWI) while 345 randomly selected patients answered the Caring Factor Survey-Tagalog (CFS-T) and Patient Satisfaction of Nursing Care Quality Questionnaire-Tagalog (PSNCQQ-T). Pearson’s correlation was used to analyze the gathered data.&#x0D; Results: The study revealed that nurses perceived their respective work unit as a favorable practice environment while hemodialysis patients perceived nurse caring behaviors as practiced to a great extent and their satisfaction with nursing care as very good. The study also revealed a significant positive correlation between the process and outcome indicators (r=0.64, p=&lt;0.0001).&#x0D; Conclusion: The study reflected positive nursing-sensitive indicators in hemodialysis. However, hemodi alysis facilities should improve nurse staffing, spiritual nurse caring behavior, and facilitate a more healing environment while maintaining their current favorable qualities.

P1538AN EXPERIENCE OF FORCED SHUTDOWN OF HEMODIALYSIS UNIT IN SOUTHERN INDIA DUE TO FLOODS

Abstract Background and Aims The southern state of India, Kerala was hit by the worst flood in the last century on 16.08.18, due to unprecedented monsoon rains. The Indian government had declared it a Level 3 Calamity. According to the Kerala government, over 483 people died, about a million people were evacuated. This paper describes the experience of the Hemodialysis (HD) unit at Aster Medcity, which was forcibly closed due to floods. The Nephrology department does over 1100 dialysis treatments per month and about 60 kidney transplants per year. Aim To study unexpected shutdown of hemodialysis unit and its effect on maintenance hemodialysis patients. Method This is a descriptive study of forced closure of HD unit due to floods. The sequence of events till shut down after the decision of closure has been retrospectively studied by reviewing the minutes of meetings with chief of medical services and memory recall of the Nephrology team involved in the process. Role of HD nurses during the period of flood was also studied. HD patients were interviewed and impact of floods on them was recorded, including, ability to find an alternate HD unit, any missed HD sessions, access to medicines and admissions in hospital. The characteristics of HD patients was recorded. After reopening of our HD unit, 30days assessment was done for clinical consequences including, hospitalization, infections, vascular access problems and seroconversion. Results The services of HD unit were suspended from midnight 17.08.18 to 27.08.18. The HD unit is at the ground floor of the hospital. The HD unit has 13 HD machines, which were used for 77 maintenance HD patients (Males: 55; Females: 22). The mean age was 61 ±14 years and the median dialysis vintage was 2 years. Vascular access was a catheter (tunnelled and non-tunnelled) in 19 patients, arterio-venous fistula in 57 patients and arterio-venous graft in 1 patient. Patients known to have Diabetes were 77.7%, Hypertension 91%, Coronary artery disease were 26 in number and chronic liver disease were 5. Hospital authorities decided to evacuate the hospital 24 hours before the floods hit the hospital premises. The Nephrology team comprised of 4 consultants, 6 residents, 33 dialysis nurses and technicians and a social worker. The HD unit was closed after draining the reverse osmosis (RO) plant at 10pm on 16.08.18. The lead consultant contacted potentially safe HD units in other parts of the state; willingness for accepting HD patients and the surge capacity of each HD unit was recorded. The HD patients were informed over telephone the centers they can approach and HD summary (includes diagnosis and HD details) was sent to them via e-mail. All HD patients were reminded to comply with diet restrictions and inform the shelter camp regarding the same. Accordingly, 77 HD patients were accommodated in 25 HD units. 12 dialysis nurses provided their services voluntarily at other HD units unaffected by floods. 15 HD patients were displaced from their homes due to floods. 19 HD patients missed one HD session; 5 HD patients missed two HD sessions; 1 patient missed three HD sessions. Our HD unit reopened on 27.08.18 after complete disinfection of the RO plant and servicing of HD machines by the manufacturer. All patients returned to our HD unit. In the first 30 days after floods, 3 patients were admitted to intensive care unit with fluid overload, 3 patients were admitted with respiratory tract infection, 2 patients had an AV fistula dysfunction, 3 patients developed catheter related blood stream infection. There was no seroconversion. There was no mortality in HD patients during and one month after flood. Conclusion The timely decision to suspend dialysis services played a crucial role in preparing for HD unit closure, arranging alternate HD places for patients and providing treatment summaries. However, the increase in adverse clinical consequences heralds the drop in the quality of healthcare services during natural disasters.

Improvement of catheter-related outcomes after application of tunneled cuffed hemodialysis catheter insertion without fluoroscopy.

BackgroundNon-tunneled catheters (NTCs) are used for hemodialysis (HD) in many centers in which fluoroscopy is not easily accessed despite high complication rates and conditions requiring long-term HD. Therefore, here we aimed to evaluate the superiority of catheter-related outcomes after the application of tunneled cuffed catheter (TCC) without fluoroscopy versus unconditioned NTC insertion.MethodsWe divided the participants into two phases: those receiving NTCs between March 2010 and February 2011 (phase I), and those receiving TCCs or NTCs between March 2011 and February 2012 (phase II). Catheter survival, nurse satisfaction, and reasons for catheter removal were analyzed.ResultsTwo hundred and sixty patients in phase I and 300 patients in phase II were enrolled in this study. The success rate of TCC insertion was 99.2%. The catheter survival rate in phase I was 65.5% at 1 month, while that in phase II was 74.9% at 1 month (p=0.023). We compared catheter survival between TCCs and NTCs for all periods regardless of phase. The TCC survival rate was higher than the NTC survival rate (p<0.001). Catheter-associated problems led to catheter removal in 97 patients (26.6%) in phase I and 68 patients (18.5%) in phase II (p=0.009). Among 14 HD nurses, all reported being satisfied with manipulation during pre-/post-HD, manupulation during HD, and overall. Eleven HD nurses (78.6%) reported being satisfied with the workload.ConclusionCompared with unconditional NTC insertion for HD, TCC insertion without fluoroscopy improved the overall catheter survival and nurse satisfaction rates.

Rural dialysis nurses’ experiences with challenging patients: a thematic qualitative analysis

Background: This study explored the experience of nurses encountering challenging patient behaviour while working at a rural hospital-based haemodialysis unit. Methods: Focus groups were conducted with haemodialysis nurses at a rural hospital. Five participants across two focus groups were asked questions regarding their experiences of challenging patients, including impacts that the experiences may have had on their ongoing professional practice. Transcripts of the focus groups were analysed thematically. Findings: Three themes arose from the focus group discussion - experiencing challenging behaviour, long-term relationships with patients, and nursing professionalism. Participants described challenges arising when caring for patients who were aggressive, did not comply with self-management, or caused avoidable logistical challenges. Long-term caring relationships presented challenges as patients could become emotionally dependent upon one nurse, making it difficult to share workloads with other nurses. Participants reported decreased confidence, being near tears, being angry, and experiencing 'burnout' when caring for patients with difficult behaviour over extended periods. Participants managed challenging behaviours by identifying triggers, allocating staff to specific patients, and trying to understand the patient's motivation for action. 'Not taking work home' and 'not taking things personally' were ways in which nurses attempted to look after their own wellbeing, although this was not always possible. Participants stressed the importance of working as a team and having supportive management and inter-professional relationships. Significance: Participants' perceptions of working in the nursing profession were more related to their ability to work as a team and manage challenging behaviour exhibited by patients in a supportive environment than the presence of patients exhibiting challenging behaviour.

SAT-489 AUDIT OF A WHATSAPP BASED CONTINUING EDUCATION PLATFORM TO FACILITATE ON THE JOB FORMAL LEARNING TO IMPROVE QUALITY OF CARE DELIVERED AMONG HAEMODIALYSIS NURSES

WhatsApp messaging is a common internet based communication tool among smart phones users across East Africa. Medical and nursing communities have reported successful educative initiatives via this messaging platform. Continuing nephrology education (CNE) was provided on a single WhatsApp group to the hemodialysis nurses of the organization across Rwanda and Tanzania since January 2019. This tool was used as a CNE channel for informal learning via group chats, enabling the sharing of large data files (e.g. photos, videos, short voice messages, documents in powerpoint, word or in portable document formats) at no added costs on a common platform. In this study, the contents of this WhatsApp group was audited to determine content of interest and provided formats to incentivise frequent access and use for learning especially when employed in a busy and shift based work schedule in hemodialysis units. All communication within the organization occurs across multiple WhatsApp groups. Seventy nursing and physician staff of AHN, who had access to a smart phone, were introduced and added to these groups of the CNE WhatsApp channels upon appointment. Group administrators were gate-keepers for the quality of material inserted with no forwards or confidential patient information permitted into the CNE group without appropriate checks and validation. While those without smart phone access missed out on the WhatsApp communication, they occasionally received materials via e-mail. The permitted content included reporting of weekly topic discussions from each center, case discussions, 1-2 page short simplified topic inserts for relaxed reading, internally prepared or external videos, text books and notes, and messages as educative instructions for processes, protocols and operations within the unit. Between January and October 2019, 1,662 WhatsApp messages were analyzed for content and popularity of format from across our dialysis centers. These included 179 weekly topic discussion reports, 40 practical case discussions, 97 educative pages, 4 internal and 15 external video messages, 11 messages including textbooks and notes and 42 messages as educative instructions. Practical case discussions on day-to-day hemodialysis patient management found the most uptake. Simple and short educative pages were well received by clinicians due to time constraints related to work. Short educative videos (e.g. on infection control), either prepared internally or externally, were also very popular. Finally, WhatsApp reporting of mandatory once weekly academic topic discussionsenabled comprehensive monitoring and allowed for clarification, answering questions and peer-to-peer interactions across the board garnering interest and learning within the group. The use of WhatsApp to provide CNE among our hemodialysis nurses created an excellent method for informal education. Simple and effective renal education message content, tailored to suit busy schedules and practical to the workplace, can improve quality of care and patient outcomes.

The Impact of Work Environment on Job Satisfaction and Stress among Haemodialysis Nurses in Malaysia: A Concept Paper

The Impact of Work Environment on Job Satisfaction and Stress among Haemodialysis Nurses in Malaysia: A Concept Paper

Associations between materials used and work-related musculoskeletal hand complaints among haemodialysis nurses.

One in every two haemodialysis nurses has reported musculoskeletal complaints concerning their hands, which is twice that reported for hospital nurses in general. It is possible that there is an association between the materials used by haemodialysis nurses and the occurrence of hand complaints. To examine the association between the type of dialysis machine and disposables used with the occurrence of hand complaints among haemodialysis nurses. To compare occupational risks of developing work-related musculoskeletal disorders based on the materials used for haemodialysis. Cross-sectional. Two hundred and eighty-two nurses working in 27 haemodialysis centres in Sweden participated in a survey, and 19 nurses at five centres were observed during priming procedures. Nurses supplied demographic data and answered the Nordic Musculoskeletal Questionnaire. Centre level data regarding machines and disposables used for haemodialysis during the past year were also collected. There were no differences in the prevalence of hand complaints based on the type of haemodialysis machines, dialysers or tubing used. There were no differences found in physical exposure to the hands during priming, based on machine type used. The results of this study could not reveal any association between disposable materials used and the occurrence of hand complaints among haemodialysis nurses. Additionally, there were no occupational risks detected based on the types of machines used. Hence, the results of the present study strongly indicate that a deeper ergonomic analysis of the work environment is needed to understand the prevalence of hand complaints among nurses working in haemodialysis settings.

Knowledge, attitudes and practices for dialysis nursing staff regarding personal protection means from hospital acquired in Mousl hospital

Background: This study intended to assess knowledge, attitudes, and practices regarding standard precautions concerning Hospital acquired protection (HAIs) among hemodialysis nurses in hemodialysis centers in Mosul Methods: A descriptive study was carried out during the period from 18th of February 2019until 14th of February 2019. A non – probability purposive sample consisting of 25 nurses. Results: there were a total of 25 hemodialysis nurses in hemodialysis centers in Mosul. All agreed to participate in the study. Although72% of the nurses knew that their hands could be a source of infection associated with health care, only 36% of the nursing staff washed their hands before contacting another used 92% by the nursing staff when contacting the patient in the dialysis unit and 40% of nursing staff also wore masks when contacting patient. Gloves were actually used by 98% of the nurses. 46% of the nurses were usually wearing masks when contacting a patient. Books and journals were the main source of information about (HAI) among 52% of the nurses. conclusions: The nurses' knowledge of healthcare-related illnesses did not fulfill this purpose because some of the nursing staff did not adhere to personal hygiene practices. Recommendations: the necessary training programs for nurses in hemodialysis centers on the promotion of hygiene standards and optimal use of personal protection against hospital infection . Keyword: Knowledge, attitude , practices , nursing staff, dialysis, hospital acquired, infections