الفهرس 
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Abstract
y
Nurses are the frontline defense for applying daily infection control
practices to prevent infection transmission from one source to another.
They have different opportunities to reduce the risk of infections through
properly following and practicing standard procedures (Adhikari &
Aryan, 2019).
Aim of the study:
1- Assess nurses knowledge and practice regarding aseptic technique in
hemodialysis unit.
2- Assess nurses compliance for aseptic technique at hemodialysis unit.
3- Design suggested guidelines regarding aseptic technique at
hemodialysis unit.
Research design:
Descriptive design was utilized to conduct this study.
Setting:
The study was conducted in Hemodialysis Unit at Assiut
University Hospital.
Sample:
Forty four nurses working in hemodialysis unit were selected and
willing to participate in this study, the total number who complete the
study were fourty nurses. Four nurses did not complete the study (2
traveled and 2 in vacation).
Tools:
Three tools were utilized to collect data for this study:
Tool I: Nurses questionnaire sheet:
It included:
Part (1): Demographic data about the nurses such as (age,
gender, qualifications, years of experience, training courses.)
Part (2): Nurses knowledge:
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Tool II: Observation checklist sheet:
Tool III: Assessment of nurses compliance with aseptic technique
sheet:
The suggested guide lines in the study:
Apply the suggested guide lines in the setting for hemodialysiss
nurses for continuous updating their knowledge and practices. Simple
educational pamphlet for nurses’ work in the hemodialysis unite about the
aseptic technique practice.
The main findings of the present study were:
1. More than half of the studied nurses aged from 20 to less than 30
years old and males (21(52.5%) and 24 (60%) respectively). The
majority of them had a diplom education 35 (87.5%). Half of them
their years of experience 10 years and more and three quarters of
them attained training programs about infection control 30 (75%).
2. More than half of the studied nurses 22 (55.0%) had a poor
knowledge level about a septic technique and infection control
regarding hemodialysis.
3. There was no statistically significant difference between the total
nurses knowledge regarding infection and infection control
practices among hemodialysis patients and their demographic data
except their years of experience and sex (p.value 0.022, 0.035
respectively). The high percentage of good knowledge found
among the high experienced nurses.
4. Less than half of the studied nurses 17 (42.5%) performing correct
infection control practices regarding invasive procedures. There
were 25 (75%) of nurses non compliance to infection control
practice before and after invasive procedures.
Summary
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5. All nurses 40 (100%) performing correct steps while washing
hands before non invasive procedure and while removing gloves
after non- invasive procedures. More than half of nurses were noncomplince to all infection control practices while performing noninvasive procedures.
6. More than half of the studied nurses performing infection control
practices correctly during initiation of hemodialysis care and
termination of hemodialysis care for patients undergoing
hemodialysis (27(67.5%), 30 (75.5%) respectively) and also more
than half of nurses were compliance to those practices (26(65%),
23 (57.5%) respectively).
7. More than half of the studied nurses performing correct infection
control practices concerning administering intravenous medications
and administering medication through central venous access
device. The majority of them performing correct infection control
practices concerning dealing with blood, body secretions and
fluids, and safe injection practices.
8. More than half of the studied nurses 27 (67.50 %) compliance with
safe injection practices. More than half of the studies nurses
24(60%) performing correctly routine disinfection of the dialysis
station before beginning hemodialysis and half of them 20 (50%)
were compliance to those practices. More than half of the studied
nurses 26 (65%) performing incorrect routine disinfection of the
dialysis station after patient had been left and more them half of
them 32 (80%) non compliance to those practices.
9. All nurses 40 (100%) stated there are available room numbers for
patients, separated room for emergency cases, suitable numbers for
patients beds, suitable number of health team, safe environment for
Summary
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medication preparation (injection), routine disinfectant of the
dialysis unit and safe waste and sharp management.
10. There was a positive correlation between the nurses total
knowledge and their age (P. value 0.023*). There was a positive
correlation between the total practice scores and nurses educational
level (P. value 0.007*). A positive correlation was found between
both total knowledge and practice with nurses years of experience
(P. value 0.054* and 0.007*).
11. There was no significant correlation between nurses knowledge
and practices scores (r= 0.142 & P= 0.384)