Selected Factors Related to Perceived Practice for Acute Kidney Injury Prevention for Critically Ill Patients among Nurses in Intensive Care Units
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Abstract
Abstract:This study aimed to examine the relationships among knowledge about AKI prevention, attitude towards AKI prevention, working experience in intensive care units (ICU), training experience, and perceived practice for acute kidney injury (AKI)prevention for critically ill patients among ICU nurses. A sample of 141 ICU nurses in a general hospital participated in the study. Data were collected using four questionnaires to collect demographic data, knowledge about AKI prevention, attitude towards AKI prevention, and perceived practice for AKI prevention for critically ill patients. Data were analyzed using descriptive statistics and Spearman's rank correlation coefficient. The results demonstrated that most participants had a moderate level of knowledge regarding AKI prevention, a good level of attitude towards AKI prevention, and a high level of perceived practice for AKI prevention. Knowledge about AKI prevention and positive attitude towards AKI prevention were significantly positively related to the perceived practice for AKI prevention among ICU nurses. On the other hand, working experience at ICUs and training experience were not related to perceived practice regarding AKI prevention. Therefore, ICU nurses should be encouraged to increase their knowledge and promote positive attitudes about AKI prevention to increase the effectiveness of prevention of AKI in critically ill patients.
Keywords: Knowledge, Attitude, Perceived practice, Acute kidney injury, Critically ill patients, ICU nurses
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
Kidney Disease Improving Global Outcome (KDIGO).(2012). KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2(1): 1-138.
Mehta RL, Cerda J, Burdmann EA, Tonelli M, Garcia-GarciaG, Jha V, et al. International society of Nephrology’s 0by25 initiative for acute kidney injury (zero preventable deaths by 2025): a human rights case for nephrology. Lancet.2015;385(9987):2616-43.
Brown JR, Rezaee ME, Marshall EJ, Matheny ME.Hospital mortality in the United States following acute kidney injury. Biomed Res Int. 2016;2016:4278579.doi: 10.1155/2016/4278579.
Mahamitra N. Acute Kidney Injury in intensive care unit patients: epidemiology and outcome, a prospective multicenter study. [dissertation]. Bangkok: Chulalongkorn University; 2014. (in Thai)
Limumnoilap S, Thumnong C. Critical care nursing. 9th ed.KhonKhaen: Klungnana Vitthaya; 2016. (in Thai)
Liborio AB, LeiteTT, Neves FM, Teles F, Bezerra CT. AKI complications in critically ill patients: association with mortality rates and RRT. Clin J Am Soc Nephrol. 2015;10(1):21-8.
Saxena A, Prasad RN, Meshram SV. Factors predicting length of hospital stay in acute kidney injury Patients admitted in a Rural tertiary care hospital. Acta Sci. Med. Sci. 2017;1(2): 19-23.
Silver SA, Long J, Zheng Y, Chertow GM. Cost of acute kidney injury in hospitalized patients. J Hosp Med. 2017;12(2):70-6.
Guideline Updates Team (UK). Acute kidney injury:Prevention, detection and management. National Institute for Health and Care Excellence, London, UK; 2019.
Kim SH, Kim JS. Nurse’s knowledge, attitudes and practice of preventive nursing for aspiration pneumonia in elderly.J Korean Gerontol Nurs. 2012;14(2):99-109.
Adejumo QA, Akinbodewa AA, Alli OE, Pirisola AO,Abolarin OS. Knowledge of acute kidney Injury among nurse in two government hospitals in Ondo city, Southwest Nigeria. Saudi J Kidney Dis Transpl. 2017;28(5):1092-8.
Sibounheuang S, Supamanee T, Thungjaroenkul P.Knowledge, attitude, and practice in nursing process among nurses, Lao People’S Democratic Republic. Nursing Journal.2016;43Suppl:140-50. (in Thai)
Nascimento RAM do, Assuncao MSC, Silva Junior JM,Amendola CP, Carvalho TM de, Lima EQ, et al. Nurses’knowledge to identify early acute kidney injury. Rev Esc Enferm USP. 2016;50(3):399-404.
Kirwan CJ, Wright K, Banda P, Chick A, Mtekateka M,Banda E, et al. A nurse-led intervention Improves detection and management of AKI in Malawi. J Ren Care. 2016;42(4):196-204.
Wanthanatas R. Factors affecting professional nurses’performance based on the nursing process at Nakhonpathom hospital, Nakhonpathom province. Nursing Journal of the Ministry of Public Health. 2016;26(2):103-15. (in Thai)
Srisuwan N, Matchim Y, Nilmanat K. Nurses’s competency in communication with patients at the end of life and their families and related factors. Songklanagarind Journal of Nursing. 2014;34(3):109-24.(in Thai)
Evans R, Rudd P, Hemmila U, Dobbie H, Dreyer G.Deficiencies in education and experience in the management of acute kidney injury among Malawian healthcare workers. Malawi Med J. 2015;27(3):101-3.
Violette D. Knowledge of nurse in the early detection and management of acute kidney injury in a Selected hospital in Rwanda. [dissertation]. Rwanda: University of Rwanda; 2017.
Schwartz NE. Nutritional knowledge, attitude and practice of high school graduated. J Am Diet Assoc. 1975;66(1): 28-30.
Ruansri P, Pothiban L, Nansilp P. Knowledge, attitudes, and practices among health care personnel pertaining to terminal care for older patients with chronic illness. Nursing Journal.2015;42(2):24-35. (in Thai)
Faul F, Erdfelder E, Buchner A, Lang, A-G. Statistical power analyses using G*Power 3.1: tests for correlation and regression analysis. Behav Res Methods. 2009;41(4):1149-60.
Lewington A, Ashley C, Finaly S, Bellamy M, Jones M,Carlson G, et al. Acutekidney injury: A Competency framework;2011[cited 2019 January5]. Available from Web site:https://www.aomrc.org.uk/reports-guidance/acutekidney-injury-1111
Wongphinit U, Apartsakun P. The relationship of knowledge,attitude and practice for breastfeeding promotion among
nursing students, the Thai Red Cross College of Nursing. Thai Red Cross Nursing Journal. 2018;11(1):68-84. (in Thai)
Chukaew S, Sirapo-ngam Y, Prapaipanich W. Knowledge,attitude, and practice perceived by nurse in helping andpromoting caregivers’ health. Ramathibodi Nursin Journal.2012;18(2):249-58. (in Thai)
Phongkwan S. The factors influencing the risk management of professional nurses at Phutthamonthon hospital in Nakhonpathom province. Journal of Health and Nursing Research. 2017;33(1):130-40. (in Thai)
Sapkota A, Sedhain A, Karki U. Knowledge on acute kidney injury among nurses working in a tertiary hospital.J Chitwan Med Coll. 2020;10(34):52-6.
Suebkinorn O, Methakanjanasak N. Effects of clinical nursing practice guideline to prevent acute kidney injury among critically III trauma patients in KhonKaen hospital.Journal of Nursing and Health Care. 2019;37(2):208-17.(in Thai)
Faraji A, Karimi M, Azizi SM, Janatolmakan M, Khatony A. Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: a cross-sectional study. Int J Nurs Sci. 2019;6(4):421-25.
Nantsupawat R, Wichaikhum O, Nantsupawat A. The relationship between nurses’ extended work hours and patient, nurse, and organizational outcomes in general hospital.Nursing. Journal. 2014;41(4):58-69. (in Thai)
Saadeh HH, Darwazeh RN, Khalil AA, Zyoud SH.Knowledge, attitudes and practices of hypertensive patients towards prevention and early detection of chronic kidney disease: a cross sectional study from Palestine. J Clin Hypertens.2018;24(6):1-13.
Suangtho S, Siripitayakunkit A, Panpakdee O. Professional nurses’ knowledge and practice for patient at risk of peripheral
arterial occlusive disease. Thai Journal of Cardio-Thoracic Nursing. 2018;29(2):68-80. (in Thai)