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 arisen as a serious public health issue, posing significant risks to worldwide human health. Hemodialysis is the most common treatment option for patients with chronic renal disease. Vascular access is considered the "lifeline" for hemodialysis. Hemodialysisnurses play a crucial role in managing patients' vascular access. However, there are currently few studies on the knowledge, attitudes, and practices of hemodialysis nurses regarding vascular access management. Objectives: Therefore, this study aims to explore the knowledge, attitudes, practices, and self-efficacy of hemodialysis nurses in the management of vascular access. Design and Participants: A cross-sectional survey was conducted in 25 hospitals, involving 426 hemodialysis nurses in Anhui Province. Measurements: Data were collected using the Knowledge, Attitude, Practice, and Self-Efficacy Scale. Results: The total score for hemodialysis nurses was 12, with an average of 7.97 for the knowledge dimension. Hemodialysis nurses' attitudes on vascular access puncture and treatment varied widely. Conclusions: The knowledge of dialysis nurses working in Anhui Province is at a medium level. Dialysis nurses who have previously received relevant training in dialysis vascular access knowledge have a better understanding of this topic. Dialysis nurses need further standardized training programs to enhance their systematic learning of vascular access knowledge, thus updating and optimizing their professional knowledge and practical skills to provide professional and high-quality nursing services for patients, improving the patient care experience.