Infections account for the second leading cause of mortality among patients with end-stage renal disease. Many of these infections are due to sepsis, primarily arising from the vascular access site. The aims of this study: were to assess nurses' knowledge and practice about infection control during hemodialysis, design of an educational nursing program, implementing & evaluating the effect of this educational nursing program on infection control in hemodialysis. Setting: This study was conducted in hemodialysis unit at Om El-Kosoar, Assiut University Hospital. Subjects: purposful sample of 55 nurses of both sexes, age ranges from 18 to 60 years. Tools: Self-administed questionnaire sheet, observational checklist and educational nursing program. Results: there was a highly significant difference and improvement as regard knowledge level and practice score for nurses about infection control pre dialysis, intra dialysis and post dialysis after implementing the nursing education program. Conclusion: Poor nurses' knowledge and practices pre program, improve nurses knowledge and practices about infection control post program. Recommendation: Continue nursing training sessions about infection control in hemodialysis unit to reduce the incidence of infection.

Quality of sleep is the satisfaction of sleep experience, integrating aspect of sleep initiation, sleep maintenance, sleep quantity, refreshment upon awakening and a well-recognized predictor of physical and mental health. This study aimed to assess quality of sleep in hemodialysis patients. Research design: This study is Descriptive research design. Sample: A convenience samples of (60) adult patients among regular hemodialysis, their age range between (20-60) by Mean ± SD 39.48±11.75from both sexes and are willing to participate in the study. Setting: The study was conducted in Hemodialysis unit at Assiut University Hospital. Tools: Two tools were used: structured interview questionnaire and Sleep Quality Scale. Results: There were severe sleep disorders in hemodialysis patients. Conclusion: sleep affected by many factors that effect on quality of sleep in hemodialysis patients. Recommendations: In addition to medical treatment to eliminate sleep problems and increase their sleep quality, the implementation of sleep hygiene intervention could also be beneficial .Further researcher should focus on identifying new methods and treatments technique to improved sleep quality.

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