Assessment of Nurses’ Safety Practices in relation to Intravenous Iron Administration for Patients Undergoing Hemodialysis. | ||||
| Egyptian Journal of Health Care | ||||
| Article 91, Volume 12, Issue 2, June 2021, Page 1491-1501 PDF (355.42 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2021.191029 | ||||
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| Authors | ||||
Noura Mahmoud Elrefaey  1; Wafaa Hassan Ali Awad2; Thoraya Mohamed Abdelaziz3
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| 1lecturer; Medical-Surgical Nursing, Faculty of Nursing, Matrouh University, Egypt. | ||||
| 2Lecturer; Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University. Alexandria, Egypt. | ||||
| 3Assistant Professor; Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt. | ||||
| Abstract | ||||
| Iron deficiency is the most common cause of hypo-responsiveness to erythropoiesis-stimulating agents (ESAs) in end-stage renal disease (ESRD) patients, and is a commonly encountered reversible cause of chronic kidney disease (CKD) related anemia. In addition to the typical causes of iron deficiency, patients on hemodialysis experience routine iron loss due to the dialysis treatment (retention of blood in dialyzer and blood lines), frequent blood draws for laboratory testing, surgical procedures, accidental blood loss (vascular access), and gastrointestinal blood loss. Thus, Intravenous (IV) iron is a standard treatment for patients undergoing hemodialysis. Researches display IV iron more efficacious for restoring iron status compared to oral iron supplements. In this respect; it should be transmitted judiciously by hemodialysis nursing staff following restricted safety practices throughout the whole procedure phases: before, during and after IV iron administration due to its reported serious adverse events risk. The study aimed to assess the nurses’ safety practices concerning intravenous iron administration for patients undergoing hemodialysis. Material and method: Data were collected using one tool, “The Hemodialysis Nurses’ Intravenous Iron Administration Safety Practices Observational Checklist”. A convenient sample of all (50) nurses who were available at the time of the study at the selected hemodialysis unit, at Alexandria Main University Hospital, Alexandria, Egypt; was included in the study. Results: the current study revealed that the studied hemodialysis nurses (100%) had unsatisfactory level of practice. Moreover, no statistical significance relation was declared between nurses’ socio- demographic characteristics and their safety practices throughout IV iron administration procedure. Conclusion: The current study hemodialysis nurses’ safety practices level of performance concerning safe administration of intravenous iron; were noticeably unsatisfactory. Recommendations: Updating hemodialysis nurses’ knowledge and practices is mandatory through providing in- service continuing evidence-based practices training programs; emphasizing on the significance of safety IV iron administration practices | ||||
| Keywords | ||||
| Hemodialysis; safety; Practices; Nurse; Intravenous; Iron administration; Chronic kidney disease | ||||
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