Assessment of Knowledge and Practice Regarding Hemodialysis Procedure among Nurses at Benghazi Hospital: Cross-Sectional Study

Abstract

Kidney Services Center-Benghazi in Libya is facing a significant healthcare challenge due to the rising number of kidney failure cases. Nurses play a pivotal role in providing excellent care for these patients. The aim of the study is to evaluate nurses' knowledge and practice of patient management of chronic kidney disease (CKD) at the Kidney Services Center-Benghazi. A cross-sectional descriptive study was carried out among nurses at the Kidney Services Center in Benghazi. A purposive sampling method was employed, involving 85 nurses who worked specifically in the hemodialysis unit, and a response rate of 87.1%. The study was conducted between 5 January and 23 February 2025, utilizing questionnaires to gather data. The reliability analysis utilized Cronbach’s α = 0.647. Data analysis involved descriptive and inferential statistics. The majority of nurses were  consistently assessed for fluid retention, blood pressure, lab values, and complications. 74% educated patients about CKD progression, 66% emphasized medication adherence, and 60% provided information on dietary restrictions and fluid balance. 51% of nurses collaborated with other professionals, and 64% regularly assessed psychological issues. Treatment coordination and psychosocial support were also high, with 75.7% documenting patient care correctly. Dialysis monitoring was also a priority. The study concluded that nurses have good knowledge and clinical practice in managing CKD, including patient education, medication administration, and clinical documentation. However, gaps in interdisciplinary collaboration and psychosocial assessment affect holistic care.