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The care of the child with chronic renal failure is complex and requires a multidisciplinary team. The success of hemodialysis treatment depends on nursing care provided for vascular access (temporary or permanent). For this reason, nurses should be able to develop their skills and knowledge in order to maintain and prevent of vascular access complications. Aim: the study was carried out to assess nurses’ Knowledge and Performance about the maintenance and prevention of vascular access complications in some pediatric hemodialysis units. Settings: This study was conducted at pediatric hemodialysis units in Ministry of health hospitals and Menoufia university hospitals. Design: A descriptive comparative design was selected. Sample: A convenience sample of 100 staff nurses was obtained from the selected pediatric hemodialysis units in Menoufia governorate. Tools:1).Knowledge assessment questionnaire to assess nurse's knowledge about hemodialysis vascular access 2).Observational check list to assess nurses' performance for the maintenance of vascular access and prevention of its complications. Results: There were statistical significant differences between total nurses' knowledge in Ministry of health hospitals and Menoufia university hospitals about temporary vascular access, permanent vascular access, maintenance and follow-up of vascular access and general knowledge about vascular access. Statistical significant differences were found between total nurse's performance in Ministry of health hospitals and Menoufia university hospitals regarding temporary vascular access, permanent vascular access and the maintenance as well as follow-up of vascular access. Conclusion: The knowledge of studied nurses about pediatric hemodialysis vascular access was inadequate. Moreover, nurses working at pediatric hemodialysis units in university hospital had better knowledge and practices related to the maintenance and follow-up of temporary vascular access and permanent vascular access. Recommendations: In-service training education programs are needed to upgrade nurses' knowledge and practices in the maintenance and prevention of complications of temporary vascular access and permanent vascular access as well as maintenance and follow-up of vascular access.

Nurses’ Knowledge and Performance about Maintenance and prevention of Vascular Access Complications in Pediatric Hemodialysis Units