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

• Published in: Nursing in critical care 2023-05, Vol.28 (3), p.379-387
• Main Authors: Nascimento, Joni Carlos, Sanches, Mariana Bucci, Souza, Regina Claudia Silva
• Format: Article
• Language: English
• Subjects: Acute Kidney Injury - therapy; Clinical medicine; Clinical practice guidelines; clinical protocols; Continuous Renal Replacement Therapy; critical care; Hemodialysis; Humans; Intensive care; Intensive Care Units; nurse; Nursing care; Patient Safety; Quality of care; Renal Replacement Therapy
• ISSN: 1362-1017; 1478-5153
• DOI: 10.1111/nicc.12718

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.