A Study of the Feasibility of Clinical Nursing Practice Guidelines for Assessment and Prevention of Acute Kidney Injury in Critical Surgical Patients

Abstract

This developmental research design aims to develop clinical nursing practice guidelines (CNPG) for the assessment and prevention of acute kidney injuries (AKI) among critical surgical patients and studying feasibility, satisfaction, and outcomes by implementing the aforementioned practice guidelines. The Soukup model was used as a conceptual framework for developing the practice guidelines which consists of 2 phase: 1) guideline establishment and 2) implementation and study the outcomes. The samples of phase 1 were empirical evidence based on PICO research criteria, amount 21 subjects. The purposive sampling method was used to select samples of phase 2 which were 35 professional nurses working in the Surgical Intensive Care Unit, and 220 surgical critical patients who were treated in the Surgical Intensive Care Unit. Data were collected using a set of questionnaires and analyzed using descriptive statistics.

The results revealed that the CNPG for the assessment and prevention of AKI among critical surgical patients consisted of diagnostic criteria using KDIGO criteria, risk assessment for 3 steps and 10 items of CNPG in preventing AKI The overall feasibility after implementing the CNPG was found to be high (Mean = 3.68, S.D. = 0.57). Nurses had a high level of satisfaction (Mean = 3.83, S.D. = 0.59). The prevalence of acute kidney injury in patients was 23-26 percent, which has a tendency to decrease.