الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
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Abstract
Infection is reported as the second most common cause of death in hemodialysis patients (20.2%), after cardiovascular disease. by the United States National Nosocomial Infection Surveillance.. The study aimed to Assess the nurses’ knowledge and practices about infection control of measures in the hemodialysis units before apply educational and training program . Develop and apply educational program for nurses This study was conducted in pediatric hemodialysis units at Minia University and Minia General Hospital all nurses in hemodialysis units (36) nurses; it divided into, at Minia University Hospital (20nurse), Minia General Hospital (16 nurse)Tools for Data Collection: Tool 1:- A structured interview questionnaire sheet in Arabic language was used for the studied nurses as pre/posttest. It was designed by the research investigator after extensive review of the related literature. Part I- Demographic data related to the nurses’ age, sex, qualification, years of experience and previous attending courses in infection control. Part II- Nurses, knowledge related to infection control in pediatric hemodialysis unites Part III:An observational checklists that was adopted from Control Diseases Center (CDC, 2014a) to assess the nurses, practices about infection control procedures in hemodialysis unites The nurses’ actual practices were assessed by the research investigator using the checklists by direct and indirect observation. The nurses, practices evaluated as done or not done where a score of 1 was given for done correctly, score of zero was given for not done practice these scores were converted in to a percentage score. The nurses, practice was considered satisfactory if the percent score is 60% or more and unsatisfactory if less than 60%. It was done during actual routine work in the morning. The main results shows that more than half (55.6%) of the studied nurses are between 20 to less than 30 years old, more than two thirds (72.2%) of the studied nurses were female, All the studied nurses (100%) had previous attendance of training courses affiliated to (ICU), (EMOH) and (WHO). More than half of them (52.8%) were from ruler area. regarding all hemodialysis procedure (p. <0.05) pre, post and after 6 months education program. So there are observed elevation in the hemodialysis procedure practice level in post program than in preprogram in relation to hemodialysis injectable medication administration, arteriovenous fistula graft cannulation, arteriovenous fistula graft decannulation, hemodialysis catheter connection, hemodialysis catheter disconnection, and hemodialysis catheter exit site care and dialysis station routine disinfection. The nurses’ knowledge related to infection control pre/post educational program, it indicates an increase in knowledge scores in all knowledge area at the post- program phase. However this increase reached statistical significance for nurses knowledge about infection protection method and infection (p.0 .001), the total mean scores of knowledge about infection control were 57.1±8.1 (p.0.001) Recommendations Continuing education programs on regular basis is suggested in order to refresh and update nurse’s knowledge.