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Cited by 2Central Venous Catheters and HemodialysisNursing Roles and PracticesVascular Procedures and Complications

The knowledge, attitudes, and practices of arteriovenous access assessment among hemodialysis nurses: a multicenter cross-sectional survey

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Chen, Jingying, Lu, Jinghua, Fu, Xia, Zhou, Hongzhen·2024·Hemodialysis International
DOI 10.1111/hdi.13160
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Abstract

Introduction: 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. Methods: 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. Findings: 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. Discussion: 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.

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Cited by

Sorted by citations

Authors
Chen, J., Lu, J., Fu, X., & Zhou, H.
Affiliations
  • Nanfang Hospital (CN)
  • Sun Yat-sen University (CN)
Corresponding author
  • Fu, Xia
  • Zhou, Hongzhen
ORCID
Venue
Hemodialysis International
Publisher
Wiley
Published
2024-05-27
Volume
28
Issue
3
Pages
278-289
ISSN
  • 1492-7535 (ISSN-L)
  • 1542-4758
DOI
10.1111/hdi.13160
OpenAlex
W4399095493
Cited by
2
References
1
Citations by year
2026: 1 · 2025: 1
FWCI
1.10
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Hemodialysis International (publishedVersion)
  • PubMed (publishedVersion)
Funders
Chinese Medical Association
Topics
  • Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
Keywords
hemodialysis nurses, knowledge, attitudes and practices, vascular access surveillance, physical examination training, work engagement, mental workload, nurses' experiences
MeSH terms
Adult, Cross-Sectional Studies, Female, Renal Dialysis, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Nurses, Surveys and Questionnaires

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