An evaluation of nurses’ knowledge and practice in managing peritoneal dialysis complications in Kaduna State healthcare facilities
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Background of the Study
Peritoneal dialysis (PD) is a widely used renal replacement therapy for patients with end-stage kidney disease (ESKD), offering advantages such as home-based treatment, greater flexibility, and reduced dependency on hospital-based hemodialysis (Adamu & Yusuf, 2023). However, PD is associated with complications, including peritonitis, catheter infections, electrolyte imbalances, and ultrafiltration failure, which can significantly impact patient outcomes if not properly managed (Okafor & Mohammed, 2024). The role of nurses in preventing, identifying, and managing these complications is critical to ensuring the success of PD treatment and improving patient survival rates.
Despite the increasing adoption of PD in Kaduna State healthcare facilities, concerns remain regarding the adequacy of nurses' knowledge and practical competencies in managing its complications. Studies have shown that inadequate training, lack of standardized protocols, and insufficient experience in PD management contribute to poor patient outcomes in Nigeria (Oladipo & Nwachukwu, 2023). Furthermore, limited access to continuous professional development programs for nurses has been identified as a barrier to effective PD care (Bello & Ibrahim, 2024).
To optimize PD outcomes, nurses must be well-trained in early complication detection, infection control practices, and patient education on PD care. This study seeks to evaluate the level of knowledge and practice among nurses in managing PD complications in Kaduna State healthcare facilities. The findings will provide insights into gaps in training and practice and offer recommendations for improving PD care through targeted nursing education programs.
Statement of the Problem
Peritoneal dialysis complications remain a significant challenge in Kaduna State healthcare facilities, often leading to treatment failure, increased hospitalization rates, and higher patient mortality. Nurses, as frontline caregivers, play a crucial role in preventing and managing these complications. However, concerns about inadequate knowledge and suboptimal clinical practice in PD management persist, raising questions about the effectiveness of current training programs and institutional protocols (Adebayo & Suleiman, 2024).
Limited research has been conducted to assess nurses’ knowledge and practices related to PD complications in Kaduna State. Without a clear understanding of existing gaps, it is difficult to implement targeted interventions to improve patient outcomes. This study aims to bridge this knowledge gap by evaluating nurses' competencies in PD complication management and proposing strategies for capacity building.
Objectives of the Study
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To assess the level of nurses’ knowledge in managing peritoneal dialysis complications in Kaduna State healthcare facilities.
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To examine the practical skills of nurses in preventing and treating PD-related complications.
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To identify challenges faced by nurses in managing PD complications and suggest strategies for improvement.
Research Questions
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What is the level of nurses' knowledge in managing peritoneal dialysis complications in Kaduna State healthcare facilities?
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How effective are nurses' practical skills in preventing and treating PD complications?
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What are the major challenges nurses face in managing PD complications, and how can they be addressed?
Research Hypotheses
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Nurses in Kaduna State healthcare facilities have inadequate knowledge of peritoneal dialysis complication management.
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Practical nursing skills in managing PD complications are insufficient due to limited training and experience.
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Improved nurse training and continuous professional development programs can enhance the management of PD complications in Kaduna State.
Scope and Limitations of the Study
This study will focus on nurses working in healthcare facilities that offer peritoneal dialysis in Kaduna State. It will assess their knowledge, practical skills, and challenges related to PD complication management. Limitations may include reluctance from some nurses to disclose gaps in their knowledge and the challenge of accessing standardized training data across different hospitals.
Definitions of Terms
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Peritoneal Dialysis (PD): A kidney replacement therapy that uses the peritoneum to remove waste and excess fluid from the body.
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Complications of PD: Adverse conditions such as peritonitis, catheter-related infections, and ultrafiltration failure that affect PD patients.
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Nursing Knowledge: The theoretical understanding that nurses possess regarding PD management.
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Nursing Practice: The actual application of nursing skills in preventing, detecting, and treating PD-related complications.
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