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Knowledge and Care Practice of Nurses of Intensive Care Units Regarding Acute Kidney Injury

Bibliographic Data

ID21432905
AuthorsGeórgia Alcântara Alencar Melo (0000-0002-3886-5646, Universidade Federal do Ceará), Renan Alves Silva (0000-0002-6354-2785, Universidade Federal do Espírito Santo), Nelson Miguel Galindo Neto (0000-0002-7003-165X, Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco), Maria Alzete de Lima (0000-0002-0288-1329, Universidade Federal do Rio Grande do Norte), Maria De Fátima Antero Sousa Machado (0000-0002-2541-8441, Fundação Oswaldo Cruz), Joselany Áfio Caetano (0000-0002-0807-056X, Universidade Federal do Ceará)
Year2020
Volume29
Publication date2020-01-01
Open AccessYes
TypeARTICLE
VenueTexto & Contexto - Enfermagem (JOURNAL)
Journal identifiersISSN: 0104-0707 • E-ISSN: 1980-265X
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1980-265x-tce-2019-0122
OpenAlexW3127710378
SciELOS0104-07072020000100395
LanguageEN
References cited18

Objective: to evaluate the knowledge and care practice of nurses in the care of patients with acute kidney injury in an intensive care unit. Method: cross-sectional study with 136 nurses from seven large public hospitals. Knowledge was measured by a questionnaire with 25 objective questions; and care practice, by a checklist with 15 questions. The instrument was created for this research and evaluated by judges regarding reliability, criterion and construct. Correlation tests, bivariate and multivariate analyses were used for data analysis. Results: the percentage of nurses' knowledge about acute kidney injury was 44.96%. The questions with the highest rates of correct answers dealt with nursing care. The percentage of execution of the practice was 47.54%. The most complete care was: applies protocol if the patient becomes hypotensive (89.7%); and checks skin condition, respiratory pattern and peripheral perfusion in complications (88.2%). Regarding professional data, it was observed that having a specialization in intensive care (p=0.034) and attending nephrology in specialization (p=0.030) were determining factors for greater knowledge, while specialization in intensive care (p=0.019) was a determining factor for practice. Conclusion: nurses obtained inadequate knowledge and care practice. It was observed that professionals with specialization in intensive care who attended a discipline or training in the area of nephrology showed better knowledge and care practices, when compared to those who did not. These data contribute to the construction of institutional policies that prioritize permanent education strategies in intensive care units

Acute kidney injury · Bivariate analysis · Checklist · Family medicine · Health care · Intensive care · Intensive care medicine · Intensive care unit · Nursing care · Acute Kidney Injury Research · Cardiac Arrest and Resuscitation · Internal Medicine · Medical Malpractice and Liability Issues · Medicine · Nursing · Psychology · Critical Care Nursing

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