PMID- 26841913
OWN - NLM
STAT- MEDLINE
DCOM- 20170123
LR  - 20181113
IS  - 2223-6279 (Electronic)
IS  - 0379-8577 (Print)
IS  - 0379-8577 (Linking)
VI  - 38
IP  - 1
DP  - 2015 Sep 16
TI  - Renal unit practitioners' knowledge, attitudes and practice regarding the safety 
      of unfractionated heparin for chronic haemodialysis.
LID - 10.4102/curationis.v38i1.1447 [doi]
LID - 1447
AB  - BACKGROUND: Chronic haemodialysis for adult patients with end-stage kidney 
      failure requires a patent extracorporeal circuit, maintained by anticoagulants 
      such as unfractionated heparin (UFH). Incorrect administration of UFH has safety 
      implications for patients. OBJECTIVES: Firstly, to describe renal practitioners' 
      self-reported knowledge, attitudes and practice (KAP) regarding the safe use of 
      UFH and its effects; secondly, to determine an association between KAP and 
      selected independent variables. METHOD: A cross-sectional descriptive survey by 
      self-administered questionnaire and non-probability convenience sampling was 
      conducted in two tertiary hospital dialysis units and five private dialysis units 
      in 2013. RESULTS: The mean age of 74/77 respondents (96.1%), was 41.1 years. Most 
      (41/77, 53.2%) had 0-5 years of renal experience. The odds of enrolled nurses 
      having poorer knowledge of UFH than registered nurses were 18.7 times higher at a 
      95% Confidence Interval (CI) (1.9-187.4) and statistically significant (P = 
      0.013). The odds of delivering poor practice having </= five years of experience 
      and no in-service education were 4.6 times higher at a 95% CI (1.4-15.6), than 
      for respondents who had >/= six years of experience (P = 0.014) and 4.3 times 
      higher (95% CI 1.1-16.5) than for respondents who received in-service education 
      (P = 0.032), the difference reaching statistical significance in both cases. 
      CONCLUSION: Results suggest that the category of the professional influences 
      knowledge and, thus, safe use of UFH, and that there is a direct relationship 
      between years of experience and quality of haemodialysis practice and between 
      having in-service education and quality of practice.
FAU - Ockhuis, Debra
AU  - Ockhuis D
AD  - Faculty of Health Sciences, Department of Health and Rehabilitation Sciences, 
      University of Cape Town. d.ockhuis@uct.ac.za.
FAU - Kyriacos, Una
AU  - Kyriacos U
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20150916
PL  - South Africa
TA  - Curationis
JT  - Curationis
JID - 7901092
RN  - 0 (Anticoagulants)
RN  - 0 (Hemostatics)
MH  - Adult
MH  - Anticoagulants/administration & dosage/*therapeutic use
MH  - *Clinical Competence
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Hemostatics/administration & dosage/*therapeutic use
MH  - Humans
MH  - Kidney Failure, Chronic/drug therapy/nursing/*therapy
MH  - Male
MH  - Middle Aged
MH  - Nursing Process
MH  - Patient Safety
MH  - Renal Dialysis
MH  - South Africa
MH  - Surveys and Questionnaires
PMC - PMC6091600
COIS- The authors declare that they have no financial or personal relationship(s) that 
      may have inappropriately influenced them in writing this article.
EDAT- 2016/02/05 06:00
MHDA- 2017/01/24 06:00
PMCR- 2015/09/16
CRDT- 2016/02/05 06:00
PHST- 2014/08/21 00:00 [received]
PHST- 2015/05/18 00:00 [accepted]
PHST- 2015/06/03 00:00 [revised]
PHST- 2016/02/05 06:00 [entrez]
PHST- 2016/02/05 06:00 [pubmed]
PHST- 2017/01/24 06:00 [medline]
PHST- 2015/09/16 00:00 [pmc-release]
AID - CUR-38-1447 [pii]
AID - 10.4102/curationis.v38i1.1447 [doi]
PST - epublish
SO  - Curationis. 2015 Sep 16;38(1):1447. doi: 10.4102/curationis.v38i1.1447.