الفهرس 
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Abstract
Plasmapheresis could be considered as a relatively safe method of treatment for patients, so nurses should provide continuous observation and proper monitoring of patients to ensure their safety which is an essential part of care as professional trained personnel. As well as, nurses should observe the patients for complications that might be occurred during or post plasmapheresis such as (hypocalcemia, hypomagnesaemia, hypothermia, transfusion complications, fluid and electrolyte imbalance, hypotension and gastrointestinal symptoms like nausea and vomiting.
Considering plasmapheresis procedure is not commonly used, what shall we do especially for patients whose first line of treatment is plasmapheresis? So we can’t ignore its importance in patient’s management, besides the more the nurse become professional and skillful in plasmapheresis procedure application, the more patient can be treated.
The aim of this study was:
To assess nurses’ knowledge and practices toward patients undergoing plasmapheresis
Materials and method
▪ Research Design: A descriptive research design was utilized for conducting the study.
▪ Setting: This study was conducted at the plasmapheresis unit of Main University Hospital which is affiliated to Alexandria University.
▪ Subject: The sample of this study comprised all the nurses working at the plasmapheresis unit of Main University Hospital N=(35nurses) were considered eligible to participate in the study.
Tools of the study:
Two tools were used for the purpose of data collection.
Tool I: Plasmapheresis nurses’ knowledge schedule interview. This tool consisted of three parts as the following: Part I: Bio-sociodemographic data; which consisted of nurse’s bio-sociodemographic data. Part II: a-Nurses’ knowledge regarding plasmapheresis.
Which consisted of general knowledge that is related to plasmapheresis. Part II:b- Nurses’ knowledge regarding plasmapheresis practices, which consisted of knowledge that concerning how to deal with plasmapheresis machine. Tool II: Plasmapheresis nurses’ practices Observational Checklist. This tool consisted of three parts as the following: Part I: Nurses’ practices regarding plasmapheresis machine supplies; which consisted of nursing practices related to the needed supplies for initiating the procedure.
Part II: Nurses’ practices regarding plasmapheresis machine preparations; which consisted of items about general practice that is related to plasmapheresis, machine preparations. Part III: Nurses’ practices regarding plasmapheresis patient preparations; which included items related to the three phases of patient preparation.
Method: • Approval of the Ethical Research Committee, Faculty of Nursing. Alexandria University was obtained. • An official letter was issued from the faculty of nursing, Alexandria University to the study setting to obtain their permission to collect necessary data. • An official permission was obtained from the directors and head of the departments of the selected hospital setting after explanation of the aim of the study. • Tool I, Tool II were developed by the researcher after review of relevant related literature. • The developed tools were translated into Arabic language by the researcher to suit its utilization in Egyptian culture and to assure consistency among study participants, a back-translation was conducted by the researcher and revised by two bilingual translators to assure that the translated statements retained the same meaning. • Tool were tested for content validity by 5 experts in the field of Medical Surgical Nursing. • The reliability of tools was tested using Cronbach ’s alpha. Reliability coefficient was 0.834. • A pilot study was conducted on 3 nurses out of the sample for testing feasibility, and applicability of the developed tools and necessary modifications were introduced accordingly. • Every nurse was interviewed individually once for 30-45 minutes, using tool I to collect data related to knowledge about plasmapheresis. • Every nurse was observed once throughout the procedure time, using tool II to assess her practices related to plasmapheresis procedure. • Assessment of the hemodialysis unit infra-structure and hospital policy was done as a part of nurse’s interview and observational checklist. The main results of this study were:
1. Nearby three quarters of the studied nurses 74.3% were females. In relation to level of education, nearly half of the studied nurses 48.6% were technical nurses.
2. The majority of the studied nurses 91.4% didn’t attend any workshops.
3. There was a significant relation between age of the studied nurses and their knowledge level where P = 0,000.
4. There was no significant relation between the studied nurses’ sociodemographic data and their level of practice.
5. There was no significant relation between nurses’ knowledge and nurses’ practices.
6. More than half of the studied nurses 51.3% had low level of knowledge, however, only 2.86% of the studied nurses had high level of knowledge.
Conclusion:
Based on the findings of the present study, it can be concluded that, the majority of the studied nurses had low level in both knowledge and practice. In addition, there was no significant relation between the studied nurses’ sociodemographic data and their level of practice, while a significant relation is noticed between age of the studied nurses and their knowledge level.
The main recommendations are:
1. In-service training program should be available to all nursing staff about plasmapheresis procedure.
2. Adequate and appropriate adherence with plasmapheresis procedure steps should be ensured for all nurses at all time.
3. Regular staff meeting training workshops must be obligatory and free of charge for all nurses.