Background: The Arterio-Venous Fistula (AVF) is the most common vascular access used in
hemodialysis because AVF provides good blood flow for dialysis lasts longer than other types of
access and is less likely to get infected or cause blood clots than other types of access. Educational
guidelines are important for nurses working in pediatric hemodialysis units to improve children
outcomes and reduce healthcare costs. Aim: This study aimed to evaluate the effect of educational
guidelines on nurses’ performance related to care of AVF puncture for children undergoing
hemodialysis. Research design: A quasi-experimental design was utilized in this study. Setting:
This study was conducted at pediatric hemodialysis unites at Benha and Menufiya University
Hospitals. Subjects: A convenience sampling of 41 nurses working in the previous mentioned
settings and a convenience sampling of 46 children. Tools of data collection: Two tools were used,
I: Structured interviewing questionnaire and II: Observational checklists. Results: Most of the
studied nurses had good level of knowledge and most of them had satisfactory level of practices
after educational guidelines implementation. Conclusion: The educational guidelines was effective
in improving nurses' knowledge and practices level related to care of arteriovenous fistula for
children undergoing hemodialysis.