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Review
. 2023 May;28(3):379-387.
doi: 10.1111/nicc.12718. Epub 2021 Sep 28.

Validation of guidelines for the care of patients undergoing continuous renal replacement therapy

Joni Carlos do Nascimento  1 , Mariana Bucci Sanches  2 , Regina Claudia Silva Souza  3
Affiliations
Review

Validation of guidelines for the care of patients undergoing continuous renal replacement therapy

Joni Carlos do Nascimento et al. Nurs Crit Care. 2023 May.

Abstract

Background: Continuous renal replacement therapy is one of the most frequently used treatments for acute kidney injury (AKI) in intensive care units (ICUs). It requires professionals with specialized knowledge, specific facilities, and care guidelines to ensure appropriate clinical practice.

Aim: To validate the care guidelines for patients undergoing continuous renal replacement therapy.

Method: This is a methodological study regarding consensual validation of the directives of care. These directives followed the formulation of the research question, a literature review, elaboration of the directive, and validation of the agreement by a committee consisting of seven expert judges.

Results: The data were analysed based on the content validity index and described in four categories. Among 40 care-related items, 95% showed a degree of agreement above 80% for adequacy and 82.5% showed a degree of agreement above 75% for relevance.

Conclusion: The care-related items identified in the literature showed a high percentage of agreement among the judges and reflected the treatment requirements of these patients.

Relevance to clinical practice: The guideline will be important to assist in the care process regarding patient safety and quality of care.

Keywords: clinical protocols; continuous renal replacement therapy; critical care; nurse.

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References

REFERENCES

    1. Guedes JR, Silva ER, Carvalho ILN, Oliveira MD. Incidence and risk factors associated with acute kidney injury in intensive care unit. Cogitare Enferm. 2017;2(22):e49035. https://doi.org/10.5380/ce.v22i2.49035
    1. Avila MON, Rocha PN, Zanetta DMT, Yu L, EDA B. Water balance, acute kidney injury, and mortality of intensive care unit patients. J Bras Nefrol. 2014. Portuguese;36(3):379-388. https://doi.org/10.5935/0101-2800.20140054
    1. Takundar, S, Palevsky, PM. Continuous Renal Replacement Therapy. Chest, 2019;155(3):626-638. https://doi.org/10.1016/j.chest.2018.09.004
    1. Melo GAA, Silva, RA, Neto, NMG, Lima, MA, Machado, MFAS, Caetano, JA. Knowledge and care practice of nurses of intensive care units regarding acute kidney injury. Texto & Contexto-Enfermagem [online]. 2020, v.29. https://doi.org/10.1590/1980-265X-TCE-2019-0122
    1. Dirkes S, Wonnacott R. Continuous renal replacement therapy and anticoagulation: what are the options? Crit Care Nurse. 2016;36(2):34-41. https://doi.org/10.4037/ccn2016623

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