The Impact of Pediatric Nurses' Clinical Performance and Infection Control Practices on Peritoneal Dialysis Outcome

Abstract

Objective: The study aims to evaluate pediatric nurses’ performance and infection control practices on peritoneal dialysis outcomes.

Methodology: This descriptive study utilized the International Society for Peritoneal Dialysis guidelines to evaluate the clinical practice of nurses in peritoneal dialysis. 37 nurses from Al-Najaf Teaching Hospital and the Middle Euphrates Peritoneal Dialysis Center. Assessed nurses' performance using a checklist across three observations (two observations) by a researcher, and a co-observer performed one. It is used to design evaluations from multiple perspectives or across different contexts, ensuring a comprehensive understanding of skills. Also, the final part to evaluate the outcomes of children.

 Result: The clinical performance and infection control procedures of pediatric nurses have a major impact on the results of peritoneal dialysis. Their skillful practices were connected to lower chances of problems such as catheter displacement (OR = 0.933), exit site infections (OR = 0.561), leakage (OR = 0.551), and catheter obstruction (OR = 0.278). Furthermore, these activities lessened the chance of hospitalization (OR = 0.909), fluid/nutrition imbalance (OR = 0.462), and poor appetite (OR = 0.371). Higher odds ratios for respiratory trouble (OR = 1.517), hypotension (OR = 1.333), and peritonitis (OR = 1.786).

Conclusions and recommendations: Nursing performance was linked to an increase in complications such as peritonitis, abdominal pain, respiratory distress, and growth problems. These findings underscore the need for targeted interventions to address persistent complications and highlight the crucial role of nursing care in enhancing patient outcomes.