Nursing Intervention for Application of Safety Measures for Children Undergoing Hemodialysis

Abstract

Background: Hemodialysis is the most common method used to treat advanced and permanent kidney failure in pediatric patients. Hemodialysis defined as a medical procedure that uses a special machine to filter waste products from the blood safety measures. Aim: The study is aimed to evaluate the effect of application of nursing intervention for safety measures on nurses' performance for care of children undergoing hemodialysis. . Setting: This study was conducted at hemodialysis units affiliated to both Mansoura University Children Hospital and Ain Shams University Hospital. Sampling: This study encompasses A purposive sample of 80 nurses who are qualified is providing direct care for children undergoing hemodialysis. A quasi experimental research design was selected. Tool I: An Interview Questionnaire format was used (pre/post intervention) to assess Nurses' knowledge regarding hemodialysis care and preparation for Children Undergoing Hemodialysis and Safety measures for Children. Tool II: Observational Checklist Sheets for application of safety measures for children undergoing hemodialysis. Results: More than two thirds (68.8%) of studied nurse had satisfactory knowledge about the hemodialysis at post intervention compared to 6.3% of them pre intervention. Mostly (81.2%) of the studied nurses had competent total practice post implementation of training program in compared to only (8.8%) pre implementation. Conclusion: There were strong positive correlation between the studied nurses' total knowledge and their total practice about safety measures for children undergoing hemodialysis post intervention at r =.590 (p<01). Recommendation: Periodic training programs and refreshing courses should be provided to nurses to enhance the use safety measures, which will reflect into their performance and minimize the risk for transmission of infection.