{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:32:23Z","timestamp":1793363543658,"version":"4.5.0"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although international guidelines recommend that patients be trained in emergency self\u2010disconnection procedures from the dialysis machine, little is known about patients' knowledge and procedural accuracy regarding this practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the knowledge of people receiving haemodialysis and their ability to correctly identify the steps required to disconnect themselves from the dialysis machine in an emergency, safely.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This international multicentre descriptive study was conducted between September 2025 and January 2026 in 10 dialysis centres across six countries: T\u00fcrkiye, Denmark, Greece, Portugal, Poland and Peru. Adult patients receiving maintenance haemodialysis for at least 3 months were eligible to participate. Data were collected using a participant information form and a self\u2010disconnection checklist consisting of two sections evaluating preparation knowledge and procedural steps. Descriptive statistics were used to summarise the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 626 people receiving haemodialysis included in the study, 125 (20.0%) had received training on self\u2010disconnection from the dialysis machine (T\u00fcrkiye, Peru, Greece, and Denmark). Overall, 22.4% of patients reported knowing how to disconnect themselves from the dialysis machine in an emergency. According to the checklist evaluation, 40.3% of patients correctly identified the first stage of the procedure, and 38.3% correctly identified the second stage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A substantial gap exists between perceived knowledge and actual procedural competence regarding emergency self\u2010disconnection among people receiving haemodialysis. These findings highlight the need for structured education, simulation\u2010based training and standardised protocols to improve disaster preparedness and patient safety in dialysis units.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>ClinicalTrials.gov:<\/jats:bold>\n                      NCT07412834.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.70080","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T12:00:52Z","timestamp":1788523252000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An International Multicentre Study of Haemodialysis Patients' Knowledge of Safe Self\u2010Disconnection From the Dialysis Machine in Emergencies"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3988-0474","authenticated-orcid":false,"given":"Nurten","family":"Ozen","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Nursing, Faculty of Nursing Istanbul University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0961-3810","authenticated-orcid":false,"given":"Sava\u015f","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine Istanbul University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3029-0446","authenticated-orcid":false,"given":"Cansu Polat","family":"Dunya","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nursing, Faculty of Nursing Istanbul University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0145-3103","authenticated-orcid":false,"given":"Tomasz","family":"Hryszko","sequence":"additional","affiliation":[{"name":"2nd Department of Nephrology, Hypertension and Internal Medicine with Dialysis Unit Medical University of Bia\u0142ystok Bia\u0142ystok Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8940-8412","authenticated-orcid":false,"given":"Filipa","family":"Fernandes","sequence":"additional","affiliation":[{"name":"S Francisco Dialysis Unit Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3672-9501","authenticated-orcid":false,"given":"Stavroula","family":"Vovlianou","sequence":"additional","affiliation":[{"name":"Training and Education Office of the Nursing Department General Hospital of Kavala Kavala Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9682-6234","authenticated-orcid":false,"given":"Joris I.","family":"Rotmans","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Leiden University Medical Center Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2471-2056","authenticated-orcid":false,"given":"Kristine","family":"Lindhard","sequence":"additional","affiliation":[{"name":"Department of Nephrology Herlev Hospital Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7532-1237","authenticated-orcid":false,"given":"Edwin Castillo","family":"Velarde","sequence":"additional","affiliation":[{"name":"INICIB, Instituto de Investigaci\u00f3n de Ciencias Biom\u00e9dicas Universidad Ricardo Palma Lima Per\u00fa"},{"name":"Hospital Guillermo Almenara Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9009-376X","authenticated-orcid":false,"given":"Ergun","family":"Parmaksiz","sequence":"additional","affiliation":[{"name":"Health Sciences University, Kartal Dr. L\u00fctfi K\u0131rdar City Hospital Hemodialysis Unit Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7306-3808","authenticated-orcid":false,"given":"Damla","family":"Kaya","sequence":"additional","affiliation":[{"name":"Health Sciences University, Kartal Dr. L\u00fctfi K\u0131rdar City Hospital Hemodialysis Unit Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3984-4043","authenticated-orcid":false,"given":"Sibel Yucel","family":"Kocak","sequence":"additional","affiliation":[{"name":"Health Sciences University Bakirkoy Dr. Sadi Konuk Training and Research Hospital Hemodialysis Unit Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8639-5992","authenticated-orcid":false,"given":"Filiz","family":"Turan","sequence":"additional","affiliation":[{"name":"Health Sciences University Bakirkoy Dr. Sadi Konuk Training and Research Hospital Hemodialysis Unit Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6348-5082","authenticated-orcid":false,"given":"Abdulkadir","family":"Celik","sequence":"additional","affiliation":[{"name":"Haseki Training and Research Hospital, Department of Internal Medicine Division of Nephrology \u0130stanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkay","family":"Coban","sequence":"additional","affiliation":[{"name":"Haseki Training and Research Hospital, Department of Internal Medicine Division of Nephrology \u0130stanbul 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