Improvement of nursing quality and outcome in intensive care patients with acute kidney failure

Collaboration between the Intensive Care Unit (ICU) and nephrology nurses is needed to ensure adequate care of critically ill patients with acute renal failure (ARF). To improve this collaboration a questionnaire was circulated to the 122 ICU nurses in the hospital to appraise their knowledge on ARF...

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Bibliographic Details
Published in:Journal of renal care 2006-07, Vol.32 (3), p.181
Main Authors: Sclauzero, P, Casarotto, S, Martingano, M, Morpurgo, F, Rocconi, I, Scala, K, Vescovi, M, Galli, G
Format: Article
Language:ger
Subjects:
Acute Kidney Injury - mortality
Acute Kidney Injury - nursing
Acute Kidney Injury - therapy
Chi-Square Distribution
Critical Care - standards
Humans
Intensive Care Units - manpower
Nursing - standards
Patient Care Team
Quality of Health Care
Renal Dialysis
Specialties, Nursing
Surveys and Questionnaires
Time Factors
Treatment Outcome
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Summary:Collaboration between the Intensive Care Unit (ICU) and nephrology nurses is needed to ensure adequate care of critically ill patients with acute renal failure (ARF). To improve this collaboration a questionnaire was circulated to the 122 ICU nurses in the hospital to appraise their knowledge on ARF. A Refresher Course to update on ARF was then organised. Colleagues' interest in the initiative was elevated: 66% of questionnaires were completed which included 88% of nurses attending the course. The experience showed, through measurable results, that team work is essential to collaborative nursing plans. The initiative allowed improvement in the quality of nurses' communication and was accompanied with a significant reduction in short-term mortality rate of dialyzed ARF patients (45 versus 50%; p = 0.045, chi-square test). Despite the limitations of this short period of observation one year) the results are judged as useful. Collaboration ensures support for colleagues on a daily basis and during critical moments and can encourage appreciation of the nursing profession.
ISSN:1755-6678