Knowledge, attitudes, practices, and self-efficacy of hemodialysis nurses in vascular access management: a multicenter cross-sectional survey in Anhui.

BACKGROUND

Chronic kidney disease has become a major public health concern and poses substantial risks to global health. Hemodialysis is the most common treatment for patients with chronic kidney disease. Vascular access is considered the “lifeline” of hemodialysis. Hemodialysis nurses play a crucial role in vascular access management. However, few studies have examined their knowledge, attitudes, and practices in this area.

OBJECTIVES

This study aimed to assess the knowledge, attitudes, practices, and self-efficacy of hemodialysis nurses regarding vascular access management. DESIGN AND

PARTICIPANTS

A cross-sectional survey was conducted in 25 hospitals and included 426 hemodialysis nurses in Anhui Province. MEASUREMENTS: Data were collected using the Knowledge, Attitude, Practice, and Self-Efficacy Scale.

Results

The total possible knowledge score was 12, and the mean score achieved by participants was 7.97. Only 18.5% of nurses accurately identified the bruit indicative of severe stenosis. Nurses who had received systematic training had significantly higher scores. Self-efficacy was lowest for creating a buttonhole tunnel (64.4%). Attitudes were generally positive; 83.8% of nurses reported that ultrasound-guided puncture is beneficial. Multiple regression analysis showed that both prior training years of hemodialysis experience were significant predictors of knowledge level.

CONCLUSIONS

The knowledge level of dialysis nurses in Anhui Province was moderate. Nurses who had received prior training in dialysis vascular access management demonstrated better knowledge. To improve professional competence and patient outcomes, standardized training programs emphasizing advanced assessment skills and practical vascular access training are recommended.