KAP STUDY ON NURSES’ MANAGEMENT OF CHRONIC KIDNEY DISEASE PATIENTS WITH HEARING IMPAIRMENT IN THE HEMODIALYSIS UNIT OF BUEA REGIONAL HOSPITAL
Keywords:
Chronic Kidney Disease, Hearing Impairment, Hemodialysis, Nursing Management, Knowledge, Attitude, Practice
Abstract
Effective patient management in hemodialysis settings depends largely on clear communication, continuous monitoring, patient education, and psychosocial support provided by nurses. However, several factors can significantly hinder care delivery, compromise patient understanding, and negatively affect treatment adherence and safety. Guided by Peplau’s Interpersonal Relations Theory which emphasizes therapeutic communication and Orem’s Self-Care Deficit Theory which highlights patient participation in care, this study addresses the challenges posed by hearing impairment in achieving effective patient-centered management. This study employs a cross-sectional descriptive survey design to evaluate the management of hearing-impaired CKD patients in the hemodialysis unit of Buea Regional Hospital, specifically to assess nurses’ knowledge regarding hearing impairment in CKD patients, examine their attitudes toward managing such patients and evaluate practical patient management strategies used in care delivery. The study population includes all 30 nurses working in the unit, purposively selected based on their direct involvement in patient care. Data are collected using a semi-structured questionnaire to assess knowledge, attitude, and practice, alongside an observational checklist evaluating key patient management practices, including communication adaptation, patient education, monitoring, medication administration, safety, emotional support, interdisciplinary collaboration, and documentation. Methodological technical requirements for the instruments and data validation were abided to. Quantitative analysis was performed with the support of SPSS using frequency, proportions and multiple-response sets, effectiveness tested against a cutpoint of 80% with the Chi-Square Goodness -Of-Fit test, and the influence of knowledge and attitude on practice appraised using Spearman’s Rho correlation test. Findings unfold that in aggregate, nurses had positive or good attitude toward the management of CKD patients with hearing impairment in the hemodialysis unit with a very strong majority proportion weight of 91.4%, and at the same time, attitude significantly predicted the outcome of care. On the other hand, nurses’ knowledge on the the management of CKD patients with hearing impairment in the hemodialysis unit was moderate (42.3%), thus the need for more in-service training to palliate to this lack, and also having this included in their training programme. This will go a long way to palliate to the difficulties they faced in managing or carrying out procedure with CKD patients with hearing impairment.
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References
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Kanwal, S. N., Ghani, M., Kusar, S., Ali, S., Kussor, Z., Ahmed, H., Sultan, A., Tasneem, M., & Nadim, M. (2023). COMPETENCY ASSESSMENT OF HEMODIALYSIS UNIT NURSES IN EFFICIENT MANAGEMENT OF END STAGE RENAL DISEASE PATIENTS. Journal of Population Therapeutics and Clinical Pharmacology, 30(19), 748–755. https://doi.org/10.53555/jptcp.v30i19.3655
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Leininger, M.M. (1995). Transcultural Nursing: Concepts, Theories, Research & Practice. McGraw‑Hill.
Leininger, M.M. (2002). Culture care theory: A major contribution to advance transcultural nursing knowledge and practices. Journal of Transcultural Nursing, 13(3), pp.189–192.
Liu, C., Chen, Z., Qin, H., Yang, Y., Cui, X., Lei, R., & Li, B. (2025). Health Knowledge Acquisition and Health Communication Ability of Nurses: A Chain Mediating Model of Health Literacy and Health Education Competence. Journal of Advanced Nursing, 81(9), 5903–5913. https://doi.org/10.1111/jan.16728
Meng, L., Tan, P., Ali Khan, B., Liao, J., Lou, L., Chen, S., Teo, B. W., Guo, W., & Ho, P. (2025). Dialysis nurses’ knowledge, attitude, practices, and self-efficacy regarding vascular access care: A multicenter cross-sectional survey in Singapore. The Journal of Vascular Access, 26(2), 559–570. https://doi.org/10.1177/11297298241228816
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Mugenda, O. M. & Mugenda, A. G. (2003). Research methods: Quantitative and qualitative Approaches. C: African Centre for Technology Studies
Nana, C. (2018). Research Methods and Applied Statistics: Beginners and Advanced Learners (3rd Edition). Buea: GOOAHEAD.
National Kidney Foundation (2024). Hemodialysis .
Peplau, H. E. (1952/1991/1997). Interpersonal Relations in Nursing: A Conceptual Frame of Reference for Psychodynamic Nursing. New York: Springer.
Peplau, H. E. (1992). The theory of interpersonal relations in nursing. Nursing Science Quarterly, 5(1), pp.13–18.
Peplau, H.E. (1997). Peplau’s theory of interpersonal relations. Nursing Science Quarterly, 10(4), pp.162–167.
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Published
2026-06-13
How to Cite
Injoh, A., Felicite, M., & Suzanne, A. (2026). KAP STUDY ON NURSES’ MANAGEMENT OF CHRONIC KIDNEY DISEASE PATIENTS WITH HEARING IMPAIRMENT IN THE HEMODIALYSIS UNIT OF BUEA REGIONAL HOSPITAL. GPH-International Journal of Educational Research, 9(5), 30-54. https://doi.org/10.5281/zenodo.20678616
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