الفهرس 
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Abstract
Background: Hemodialysis requires access to blood vessels capable of providing rapid
extracorporeal blood flow. A non-tunneled catheter can be placed for initiation of acute
hemodialysis. If dialysis for more than a week or so is likely, a cuffed, tunneled catheter can be
used instead. Hemodialysis nursing is a specialized area of nursing practice focusing on needs of
patients with renal failure and their families across the life span. Aim: the aim of the study was
to assess nurses’ knowledge and practices related to management of non-tunneled hemodialysis
catheter among acute renal failure patients. Design: A descriptive exploratory research design
was used to attain the aim of the study. Setting: The current study was carried out at
hemodialysis unit at El Fayoum Insurance hospital. Sample: A purposive sample of 50 male and
female nurses working in hemodialysis unit at El Fayoum Insurance Hospital was selected over a
period of six months. Tools of data collection: Two tools were developed by the investigator to
collect data, Tool (1) Nurses’ knowledge self-administered questionnaire tool consists of two
parts; part one covers nurses personal background data while part two covers knowledge
assessment data. Tool (2) Nurses’ practices observational checklist. Structured interviews and
direct observation were utilized for data collection. Results: The entire studied sample had
unsatisfactory level of knowledge and all of them had an unsatisfactory level of practices
regarding non-tunneled hemodialysis catheter management, and there was a significant positive
statistical correlations between age, years of experience and total knowledge scores. Also there
was a significant statistical correlation between age, years of experience and total practices
scores and there was a significant statistical correlation between total knowledge scores and total
practices scores. Conclusion: Results of the current study indicated a real gab between nurses’
knowledge and practices as compared to evidence based guidelines of (Centers of Disease
Control & Prevention CDC). Knowledge regarding of non-tunneled hemodialysis catheter
management was unsatisfactory and the level of hemodialysis nurses’ practice was
unsatisfactory. Recommendation: the hospital should institute regular continuing training for
nurses regarding care of non-tunneled hemodialysis catheter and ongoing clinical and
educational competency evaluation should be carried out for nurses in clinical setting.