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Nurses' knowledge to identify early acute kidney injury.
Roseli Aparecida Matheus do Nascimento1, Murillo Santucci Cesar Assunção2, João Manoel Silva3
1Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
Revista Da Escola De Enfermagem Da U S P
|August 25, 2016
Summary
Nurses demonstrate significant knowledge gaps in early acute kidney injury (AKI) identification, highlighting the need for targeted educational programs to improve patient outcomes in critical care settings.
Area of Science:
- Nephrology
- Nursing Education
- Critical Care Medicine
Background:
- Acute Kidney Injury (AKI) is a critical condition often underdiagnosed in intensive care settings.
- Early identification of AKI is crucial for timely intervention and improved patient prognosis.
- Existing knowledge gaps among nurses may hinder effective AKI management.
Purpose of the Study:
- To assess the current knowledge level of nurses regarding the early identification of Acute Kidney Injury (AKI).
- To evaluate nurse understanding of AKI prevention, diagnosis, and treatment protocols.
- To identify specific areas where nursing education on AKI needs enhancement.
Main Methods:
- A prospective, multi-center study involving 216 nurses.
- Utilized a 10-question survey focusing on AKI prevention, diagnosis, and management.
- Data collected from nurses in intensive care, emergency, and hospitalization units.
Main Results:
- A significant majority of nurses (57.2%) could not identify AKI clinical manifestations.
- Over 50% lacked knowledge of AKI incidence and mortality rates in ICU patients.
- Many nurses (67.1%) incorrectly believed minor creatinine increases do not impact mortality and showed deficiencies in understanding prevention measures.
Conclusions:
- Nurses possess insufficient knowledge for the early identification of AKI.
- There is a clear need for specialized training and qualification programs for nurses in AKI management.
- Improving nurse education is essential to enhance early AKI detection and patient care.
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