Department of Nursing, Nanfang Hospital, Southern Medical University, Guangzhou, China.
School of Nursing, Southern Medical University, Guangzhou, China.
Hemodial Int. 2024 Jul;28(3):278-289. doi: 10.1111/hdi.13160. Epub 2024 May 27.
Hemodialysis nurses' cannulation technique, monitoring, and management methods can affect patients' vascular access longevity. An arteriovenous access assessment comprises a medical history and vascular assessment through physical examination and surveillance. However, further exploration is needed to fully understand hemodialysis nurses' knowledge, attitudes, and practices (KAP) in this area.
Between June and July 2023, we recruited hemodialysis nurses from 21 cities in Guangdong Province using a convenience sampling method. Four questionnaires-the General Data Questionnaire, the KAP Scale of Arteriovenous Access Assessment among Hemodialysis Nurses, the Utrecht Work Engagement Scale, and the NASA Task Load Index-were utilized for data collection through the Questionnaire Star platform.
Of the 530 hemodialysis nurses participating in the study, 458 (86.4%) had a valid response. The participants demonstrated moderate knowledge and practice levels regarding arteriovenous access assessment and exhibited positive attitudes. We identified several factors related to arteriovenous access assessment that predict KAP in hemodialysis nurses. These factors included years of experience as a hemodialysis nurse, whether a nurse's knowledge of physical examination was sufficient to meet clinical needs, whether a nurse had received training in performing physical examination, whether a nurse's department regularly checked the quality of physical examination, and nurses' levels of work engagement and mental workload. All factors explained 32.4% of the variance in participants' KAP regarding arteriovenous access assessment.
Improving hemodialysis nurses' assessment of arteriovenous access is crucial to ensure optimal patient care. Dialysis center managers and educators should prioritize understanding hemodialysis nurses' KAP of arteriovenous access assessment and any factors influencing these areas.
血液透析护士的置管技术、监测和管理方法会影响患者血管通路的寿命。动静脉通路评估包括病史和体格检查及监测的血管评估。然而，需要进一步探索，以充分了解血液透析护士在这一领域的知识、态度和实践（KAP）。
2023 年 6 月至 7 月，我们采用便利抽样法从广东省 21 个城市招募血液透析护士。使用一般资料问卷、血液透析护士动静脉通路评估 KAP 量表、Utrecht 工作投入量表和 NASA 任务负荷指数四个问卷，通过问卷星平台收集数据。
在 530 名参与研究的血液透析护士中，458 名（86.4%）的回答有效。参与者对动静脉通路评估有一定的知识和实践水平，表现出积极的态度。我们确定了与动静脉通路评估相关的几个预测血液透析护士 KAP 的因素。这些因素包括血液透析护士的工作年限、护士对体格检查知识是否足以满足临床需要、护士是否接受过体格检查培训、护士所在科室是否定期检查体格检查质量，以及护士的工作投入度和心理工作量。所有因素共同解释了参与者对动静脉通路评估的 KAP 差异的 32.4%。
提高血液透析护士对动静脉通路的评估能力对于确保患者的最佳护理至关重要。透析中心的管理者和教育者应优先了解血液透析护士对动静脉通路评估的 KAP 以及影响这些领域的任何因素。
