Development of Nursing Practice Guidelines to Prevent Acute Kidney Injury in Critically Ill Pediatric Patients
Keywords:
Development, Acute kidney injury (AKI), Prevention, Nursing Practice Guideline, Critically ill pediatric patientsAbstract
Acute Kidney Injury (AKI) has been recognized as a common condition and can have serious and life-threatening consequences for critically ill pediatric patients. The objective of this research and development study was to develop clinical nursing practice guidelines (CNPG) for acute kidney injury prevention in pediatric patients in the Intensive Care Unit. The IOWA model was adopted for the CNPG development. Quality was measured in terms of content validity index and Index of item objective congruence, which five experts verified. The CNPG was tried out by 15 nurses at the pediatric intermediate intensive care unit of a tertiary care level hospital in the Northeast region of Thailand
There were fourteen studies included and EBPs were synthesized to develop the CNPG which was comprised of two main parts: 1) assessment of risk factors for acute kidney injury prevention in pediatric patients; and 2) nursing intervention and monitoring for acute kidney injury prevention in pediatric patients. The first part had a content validity index of .86 and an index of item objective congruence of .97 while the second part had a content validity index of 1.0 and index of item objective congruence of .99 (AGREE II = 95%). The overall nurse’s opinion of applying the CNPG was at a high level (86.66%).
The developed CNPG illustrated adequate quality in application for acute kidney injury (AKI) prevention in pediatric patients in the Intensive Care Unit. Future research should be carried out to evaluate the effectiveness of the CNPG.
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