International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

Frequency: 12
line decor
  
line decor

 Volume 11, Issue 7 (July 2024), Pages: 31-38

----------------------------------------------

 Original Research Paper

Nurses' knowledge, attitude, and practice toward chronic kidney disease in hemodialysis centers at Hail City, Saudi Arabia

 Author(s): 

 Awatif M. Alrasheeday 1, Meshael H. Alshammari 2, Sameer A. Alkubati 3, 4, *, Jordan H. Llego 3, 5, Dhahyah M. Alshammari 6, Hessah H. Alshammari 2, Mohammad A. AlShammari 2

 Affiliation(s):

 1Nursing Administration Department, College of Nursing, University of Ha’il, Ha’il, Saudi Arabia
 2Ha’il Health Cluster, Ha’il, Saudi Arabia
 3Medical Surgical Nursing Department, College of Nursing, University of Ha’il, Ha’il, Saudi Arabia
 4Department of Nursing, Faculty of Medicine and Health Sciences, Hodeida University, Hodeida, Yemen
 5College of Nursing, University of Luzon, Dagupan City, Philippines
 6Ha’il General Hospital, Ha’il, Saudi Arabia

 Full text

  Full Text - PDF

 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0000-0001-8538-5250

 Digital Object Identifier (DOI)

 https://doi.org/10.21833/ijaas.2024.07.004

 Abstract

Chronic kidney disease (CKD) is a significant global issue with clinical, social, and economic impacts. It negatively affects quality of life and is linked to higher rates of illness and death. Nurses are crucial in the early detection and management of CKD. This study aimed to evaluate the knowledge, attitudes, and practices of nurses regarding CKD, and the factors influencing these aspects in hemodialysis centers in Hail City, Saudi Arabia. A cross-sectional study was conducted from July to October 2022 using a self-administered questionnaire. This questionnaire assessed nurses’ knowledge of CKD, their attitudes toward it, and their CKD care practices. A significance level of p<0.05 was used for all tests. Approximately 63.06% of the nurses provided correct answers related to CKD knowledge. Most nurses (84.52%) had positive attitudes towards caring for CKD patients, and more than half (53.06%) had positive CKD care practices. There was a significant relationship between nurses’ knowledge scores and both “years of experience” and “received information regarding CKD care” (p=0.033 and p<0.001, respectively). Nurses with more experience and previous information had higher knowledge scores than those with less experience and no prior information. Additionally, nurses with more experience and previous information also had more positive attitudes toward CKD patients than those with less experience and no prior information (p=0.004 and p=0.008, respectively). Therefore, nurses with more experience and prior information about CKD care were more knowledgeable and had more positive attitudes towards CKD patients compared to those with less experience and no prior information.

 © 2024 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords

 Chronic kidney disease, Nurse knowledge, Attitudes, Hemodialysis centers, Experience and information

 Article history

 Received 14 February 2024, Received in revised form 3 June 2024, Accepted 15 June 2024

 Acknowledgment 

The authors thank all nurses for their participation in this study.

 Compliance with ethical standards

 Ethical considerations

All procedures were carried out in accordance with the relevant standards and laws, including the Helsinki Declaration. The Ministry of Health's scientific research gave the study approval (ethical approval no: 2022-16). Informed written consent was obtained from all participants who were involved in the study.

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Alrasheeday AM, Alshammari MH, Alkubati SA, Llego JH, Alshammari DM, Alshammari HH, and AlShammari MA (2024). Nurses' knowledge, attitude, and practice toward chronic kidney disease in hemodialysis centers at Hail City, Saudi Arabia. International Journal of Advanced and Applied Sciences, 11(7): 31-38

 Permanent Link to this page

 Figures

 No Figures

 Tables

 Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 

----------------------------------------------   

 References (34)

  1. Alkubati SA, Al-Sayaghi KM, Salameh B, Halboup AM, Ahmed WAJ, Alkuwaisi M, and Zoromba MA (2024). Prevalence of depression and its associated factors among hemodialysis patients in Hodeida City, Yemen. Journal of Multidisciplinary Healthcare, 17: 689-699. https://doi.org/10.2147/JMDH.S452935   [Google Scholar] PMid:38370607 PMCid:PMC10874630
  2. Almutary HH, Bonner A, and Douglas C (2013). Chronic kidney disease in Saudi Arabia: A nursing perspective. Middle East Journal of Nursing, 7(6): 17-25. https://doi.org/10.5742/MEJN.2013.76337   [Google Scholar]
  3. Alshammari B, Alkubati SA, Alrasheeday A, Pasay-An E, Edison JS, Madkhali N, Al-Sadi AK, Altamimi MS, Alshammari SO, Alshammari AA, and Alshammari F (2024). Factors influencing fatigue among patients undergoing hemodialysis: A multi-center cross-sectional study. Libyan Journal of Medicine, 19(1): 2301142. https://doi.org/10.1080/19932820.2023.2301142   [Google Scholar] PMid:38194427 PMCid:PMC10786431
  4. Alshammari B, Alkubati SA, Pasay-An E, Alrasheeday A, Alshammari HB, Asiri SM, Alshammari SB, Sayed F, Madkhali N, Laput V, and Alshammari F (2023). Sleep quality and its affecting factors among Hemodialysis patients: A multicenter cross-sectional study. Healthcare, 11(18): 2536. https://doi.org/10.3390/healthcare11182536   [Google Scholar] PMid:37761733 PMCid:PMC10531149
  5. Bello AK and Johnson DW (2022). Educating primary healthcare providers about kidney disease. Nature Reviews Nephrology, 18(3): 133-134. https://doi.org/10.1038/s41581-021-00527-y   [Google Scholar] PMid:34921298 PMCid:PMC8679563
  6. Chen TK, Knicely DH, and Grams ME (2019). Chronic kidney disease diagnosis and management: A review. JAMA, 322(13): 1294-1304. https://doi.org/10.1001/jama.2019.14745   [Google Scholar] PMid:31573641 PMCid:PMC7015670
  7. Dhanorkar M, Prasad N, Kushwaha R, Behera M, Bhaduaria D, Yaccha M, Patel M, and Kaul A (2022). Impact of early versus late referral to nephrologists on outcomes of chronic kidney disease patients in Northern India. International Journal of Nephrology, 2022: 4768540. https://doi.org/10.1155/2022/4768540   [Google Scholar] PMid:35692284 PMCid:PMC9177347
  8. Diongole HM, Tondi ZMM, Garba A, Aboubacar I, Ibrahim O, Djibril B, and Rostaing L (2022). Knowledge, attitudes and practices of health personnel caring for kidney disease in Zinder. Health Sciences and Disease, 23(5): 147-150. https://doi.org/10.5281/hsd.v23i5.3644   [Google Scholar]
  9. Erfanpoor S, Etemad K, Kazempour S, Hadaegh F, Hasani J, Azizi F, Parizadeh D, and Khalili D (2021). Diabetes, hypertension, and incidence of chronic kidney disease: Is there any multiplicative or additive interaction? International Journal of Endocrinology and Metabolism, 19(1): e101061. https://doi.org/10.5812/ijem.101061   [Google Scholar] PMid:33815514 PMCid:PMC8010431
  10. Fan Z, Yun J, Yu S, Yang Q, and Song L (2019). Alcohol consumption can be a “double-edged sword” for chronic kidney disease patients. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 25: 7059–7072. https://doi.org/10.12659/MSM.916121   [Google Scholar] PMid:31538630 PMCid:PMC6767945
  11. Fernandez-Lazaro CI, García-González JM, Adams DP, Fernandez-Lazaro D, Mielgo-Ayuso J, Caballero-Garcia A, Moreno Racionero F, Córdova A, and Miron-Canelo JA (2019). Adherence to treatment and related factors among patients with chronic conditions in primary care: A cross-sectional study. BMC Family Practice, 20: 132. https://doi.org/10.1186/s12875-019-1019-3   [Google Scholar] PMid:31521114 PMCid:PMC6744672
  12. Gapira BE, Chironda G, Ndahayo D, Theos MPM, Tuyisenge MJ, and Rajeswaran L (2020). Knowledge related to chronic kidney disease (CKD) and perceptions on inpatient management practices among nurses at selected referral hospitals in Rwanda: A non-experimental descriptive correlational study. International Journal of Africa Nursing Sciences, 13: 100203. https://doi.org/10.1016/j.ijans.2020.100203   [Google Scholar]
  13. George C, Mogueo A, Okpechi I, Echouffo-Tcheugui JB, and Kengne AP (2017). Chronic kidney disease in low-income to middle-income countries: The case for increased screening. BMJ Global Health, 2(2): e000256. https://doi.org/10.1136/bmjgh-2016-000256   [Google Scholar] PMid:29081996 PMCid:PMC5584488
  14. Hejazi SS, Hosseini M, Ebadi A, and Alavi Majd H (2021). Components of quality of life in hemodialysis patients from family caregivers’ perspective: A qualitative study. BMC Nephrology, 22: 379. https://doi.org/10.1186/s12882-021-02584-8   [Google Scholar] PMid:34774021 PMCid:PMC8590210
  15. Jui-Chin H, Fen-Fang C, Tso-Ying L, Pao-Yu W, and Mei-Hsiang L (2024). Exploring the care experiences of hemodialysis nurses: From the cultural sensitivity approach. BMC Nursing, 23: 17. https://doi.org/10.1186/s12912-023-01678-y   [Google Scholar] PMid:38166820 PMCid:PMC10763141
  16. Kovesdy CP (2022). Epidemiology of chronic kidney disease: An update 2022. Kidney International Supplements, 12(1): 7-11. https://doi.org/10.1016/j.kisu.2021.11.003   [Google Scholar] PMid:35529086 PMCid:PMC9073222
  17. Levey AS, Titan SM, Powe NR, Coresh J, and Inker LA (2020). Kidney disease, race, and GFR estimation. Clinical Journal of the American Society of Nephrology, 15(8): 1203-1212. https://doi.org/10.2215/CJN.12791019   [Google Scholar] PMid:32393465 PMCid:PMC7409747
  18. Lv JC and Zhang LX (2019). Prevalence and disease burden of chronic kidney disease. In: Liu BC, Lan HY, and Lv LL (Eds.), Renal fibrosis: Mechanisms and therapies: 3-15. Springer, Singapore, Singapore. https://doi.org/10.1007/978-981-13-8871-2_1   [Google Scholar] PMid:31399958
  19. Mlambo M, Silén C, and McGrath C (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nursing, 20: 62. https://doi.org/10.1186/s12912-021-00579-2   [Google Scholar] PMid:33853599 PMCid:PMC8045269
  20. Moudatsou M, Stavropoulou A, Philalithis A, and Koukouli S (2020). The role of empathy in health and social care professionals. Healthcare, 8(1): 26. https://doi.org/10.3390/healthcare8010026   [Google Scholar] PMid:32019104 PMCid:PMC7151200
  21. Mousa D, Alharbi A, Helal I, Al-Homrany M, Alhujaili F, Alhweish A, Marie MA, and Al Sayyari A (2021). Prevalence and associated factors of chronic kidney disease among relatives of hemodialysis patients in Saudi Arabia. Kidney International Reports, 6(3): 817-820. https://doi.org/10.1016/j.ekir.2020.12.029   [Google Scholar] PMid:33732996 PMCid:PMC7938070
  22. Oliva-Damaso N, Oliva-Damaso E, Rodriguez-Perez JC, and Payan J (2019). Improved nephrology referral of chronic kidney disease patients: Potential role of smartphone apps. Clinical Kidney Journal, 12(6): 767-770. https://doi.org/10.1093/ckj/sfz115   [Google Scholar] PMid:31807289 PMCid:PMC6885667
  23. Pedreira‐Robles G, Garcimartín P, Bach‐Pascual A, Giró‐Formatger D, Redondo‐Pachón D, and Morín‐Fraile V (2023). Creating the nursing care map in the evaluation of kidney transplant candidates: A scoping review and narrative synthesis. Nursing Open, 10(10): 6668-6689. https://doi.org/10.1002/nop2.1937   [Google Scholar] PMid:37480193 PMCid:PMC10495730
  24. Qalehsari MQ, Khaghanizadeh M, and Ebadi A (2017). Lifelong learning strategies in nursing: A systematic review. Electronic Physician, 9(10): 5541–5550. https://doi.org/10.19082/5541   [Google Scholar] PMid:29238496 PMCid:PMC5718860
  25. Raghubir AE (2018). Emotional intelligence in professional nursing practice: A concept review using Rodgers's evolutionary analysis approach. International Journal of Nursing Sciences, 5(2): 126-130. https://doi.org/10.1016/j.ijnss.2018.03.004   [Google Scholar] PMid:31497624 PMCid:PMC6718873
  26. Ranabhat K, Khanal P, Mishra SR, Khanal A, Tripathi S, and Sigdel MR (2020). Health related quality of life among haemodialysis and kidney transplant recipients from Nepal: A cross sectional study using WHOQOL-BREF. BMC Nephrology, 21: 433. https://doi.org/10.1186/s12882-020-02085-0   [Google Scholar] PMid:33046010 PMCid:PMC7552453
  27. Sahu G, Kumar S, Acharya S, Talwar D, Annadatha A, Patel M, Pawar T, Shah D, Phate N, and Verma P (2022). The act of prevention: Knowledge, attitudes, and perception among caretakers of kidney disease patients in rural Wardha District of Central India. Cureus, 14(3): e23058. https://doi.org/10.7759/cureus.23058   [Google Scholar]
  28. Sargent GM, Forrest LE, and Parker RM (2012). Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: A systematic review. Obesity Reviews, 13(12): 1148-1171. https://doi.org/10.1111/j.1467-789X.2012.01029.x   [Google Scholar] PMid:22973970 PMCid:PMC3533768
  29. Sinclair PM, Kable A, Levett-Jones T, Holder C, and Oldmeadow CJ (2019). An evaluation of general practice nurses’ knowledge of chronic kidney disease risk factors and screening practices following completion of a case study-based asynchronous e-learning module. Australian Journal of Primary Health, 25(4): 346-352. https://doi.org/10.1071/PY18173   [Google Scholar] PMid:31288905
  30. Skolnik NS and Style AJ (2021). Importance of early screening and diagnosis of chronic kidney disease in patients with type 2 diabetes. Diabetes Therapy, 12(6): 1613-1630. https://doi.org/10.1007/s13300-021-01050-w   [Google Scholar] PMid:33914300 PMCid:PMC8179861
  31. Tenney ER, Poole JM, and Diener E (2016). Does positivity enhance work performance?: Why, when, and what we don’t know. Research in Organizational Behavior, 36: 27-46. https://doi.org/10.1016/j.riob.2016.11.002   [Google Scholar]
  32. Togioka BM, Duvivier D, and Young E (2023). Diversity and discrimination in healthcare. StatPearls Publishing, Treasure Island, USA.   [Google Scholar]
  33. Wolide AD, Kumela K, Kerga F, Debalke S, Seboka M, Edilu B, Gashe F, and Bobassa EM (2020). Knowledge, attitude, and practices toward chronic kidney disease among care providers in Jimma town: Cross-sectional study. BMC Public Health, 20: 1079. https://doi.org/10.1186/s12889-020-09192-5   [Google Scholar] PMid:32646400 PMCid:PMC7346627
  34. Wu MF, Lee CH, Pai PH, and Wang JM (2023). Screening cases of suspected early stage chronic kidney disease from clinical laboratory data: The comparison between urine conductivity and urine protein. Biomedicines, 11(2): 379. https://doi.org/10.3390/biomedicines11020379   [Google Scholar] PMid:36830916 PMCid:PMC9953103