A Developmental Model on Enhancing Competency of Registered Nurses for Caring Patients with Acute Kidney Injury Received Continuous Renal Replacement Therapy in Intensive Care Unit at Central Chest Institute of Thailand
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Abstract
Abstract
This research and development study aimed to develop a model to enhance the professional nurses’ competencies in caring the patients with acute kidney injury undergoing continuous renal replacement therapy (CRRT) in the intensive care unit. The study was divided into 3 phases: (1) study the problem, (2) develop and test the model, and (3) evaluate the model implementation. The sample consisted of 36 nurses working in the intensive care unit and 11 patients with acute kidney injury undergoing CRRT. The research tool was the model to enhance the professional nurses’ competencies in caring the patients with acute kidney injury undergoing CRRT in the intensive care unit. Data collecting tool consisted of a knowledge test, a patient care practice questionnaire, a model evaluation form, and a patient data recording form. The quality of data collecting tools was checked by 5 experts, yielding IOC of 0.8-1.0 and reliability coefficients were 0.78, 0.95, and 0.94, respectively. Data were analyzed using descriptive statistics and the Wilcoxon signed ranks test.
The research findings showed that the model consisted of 2 aspects: (1) knowledge, which included workshops, learning through mentoring systems, studying manuals; and (2) patient care practices, which included on-the-job training, and demonstration using tools or equipment. The model evaluation revealed that knowledge and patient care practices of the patients with acute kidney injury undergoing CRRT, were significantly improved after the model development (p < .001). The return of blood was 100% before the bloodline set was obstructed and no hypotension was found.
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References
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