Nurses' knowledge to identify early acute kidney injury

Nurses' knowledge to identify early acute kidney injury

To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units. A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment....

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Bibliographic Details
Published in:Revista da Escola de Enfermagem da U S P Vol. 50; no. 3; pp. 399 - 404
Main Authors: Nascimento, Roseli Aparecida Matheus do, Assunção, Murillo Santucci Cesar, Silva, Junior, João Manoel, Amendola, Cristina Prata, Carvalho, Taysa Martindo de, Lima, Emerson Quintino, Lobo, Suzana Margareth Ajeje
Format: Journal Article
Language:English
Published: Brazil Universidade de São Paulo, Escola de Enfermagem 01-06-2016
SciELO
Subjects:
Acute Kidney Injury - diagnosis
Adult
Atención de Enfermería
Capacitación
Clinical Competence
Conocimiento
Cross-Sectional Studies
Diagnóstico Precoz
Early Diagnosis
Female
Humans
Male
Middle Aged
NURSING
Nursing Diagnosis
Prospective Studies
Renal Aguda
Self Report
Young Adult
Acute Kidney Injury
Renal Aguda
Capacitação
Diagnóstico Precoz
Capacitación
Knowledge
Conocimiento
Nursing Care
Training
Conhecimento
Atención de Enfermería
Lesão Renal Aguda
Cuidados de Enfermagem
Diagnóstico Precoce
Early Diagnosis
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Summary:To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units. A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment. 57.2% of nurses were unable to identify AKI clinical manifestations, 54.6% did not have knowledge of AKI incidence in patients admitted to the ICU, 87.0% of the nurses did not know how to answer as regards the AKI mortality rate in patients admitted to the ICU, 67.1% answered incorrectly that slight increases in serum creatinine do not have an impact on mortality, 66.8% answered incorrectly to the question on AKI prevention measures, 60.4% answered correctly that loop diuretics for preventing AKI is not recommended, 77.6% answered correctly that AKI does not characterize the need for hemodialysis, and 92.5% said they had no knowledge of the Acute Kidney Injury Networkclassification. Nurses do not have enough knowledge to identify early AKI, demonstrating the importance of qualification programs in this field of knowledge. Avaliar o conhecimento do enfermeiro na identificação precoce da Injúria Renal Aguda (IRA) em Unidade de Terapia Intensiva, Unidade de Internação e Emergência. Estudo multicêntrico, prospectivo.Participaram do estudo 216 enfermeiros,por meio de questionário com 10 questões relacionadas à prevenção, ao diagnóstico e ao tratamento da IRA. 57,2% não souberam identificar as manifestações clínicas da IRA, 54,6% não têm conhecimento da incidência de IRA em pacientes internados na UTI, 87,0% dos enfermeiros não souberam responder ao índice de mortalidade de IRA em pacientes internados na UTI, 67,1% responderam incorretamente que aumentos discretos da creatinina sérica não têm impacto na mortalidade, 66,8% responderam incorretamente à questão sobre as medidas de prevenção da IRA, 60,4% acertaram quando responderam que não é recomendada a utilização de diuréticos de alça na prevenção da IRA, 77,6% acertaram ao responder que IRA não caracteriza necessidade de hemodiálise e 92,5% disseram não conhecer a classificação AKIN. Enfermeiros não têm conhecimento suficiente para a identificação precoce da IRA, mostrando a importância de programas de capacitação nesta área do conhecimento.
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ISSN:0080-6234
1980-220X
0080-6234
DOI:10.1590/S0080-623420160000400004