Mapping Nursing Interventions of Acute Kidney Injury: Scoping Review
Keywords:Acute Kidney Injury, Nursing Interventions, Intensive Care Units
Introduction Acute kidney injury is considered a complication of an underlying disease. It has an incidence of about 60% in patients admitted to an intensive care unit and the mortality rate varies from 10-80%. The nurse is a key element in the prevention and coordination of care to the renal patient, requiring numerous interventions from the nursing team; Goals The purpose of this scoping review was to provide a map of the evidence of nursing interventions for people with acute kidney injury in an intensive care unit; Methods Scoping review methodology according to the Joanna Briggs Institute. Two independent reviewers performed the process of relevance analysis, data extraction, and synthesis; Results Eighteen studies were included in the review. From the analysis of nursing interventions, three groups emerged: prevention, diagnosis, and treatment to the person with acute kidney injury; Conclusions Prevention is the best nursing intervention strategy. The nurse has a relevant role in the development and implementation of intervention strategies for the person with AKI in the ICU.
Andrade, B. R. P., Barros, F. M., Lúcio, H. F. Â., Campos, J. F., & Silva, R. C. (2019). Training of intensive care nurses to handle continuous hemodialysis: a latent condition for safety. Revista Brasileira de Enfermagem. 72(suppl. 1), 112-120. https://doi.org/10.1590/0034-7167-2018-0013
Boling, B. (2014). Renal issues in older adults in critical care. Critical Care Nursing Clinics of North America. 26(1), 99-104. https://doi.org/10.1016/j.ccell.2013.10.007
Brownback, C. A., Fletcher, P., Pierce, L.N., & Klaus, S. (2014). Early mobility activities during continuous renal replacement therapy. American Journal of Critical Care. 23(4), 348-352. https://doi.org/10.4037/ajcc2014889
Coelho, F. U. A., Watanabe, M., Fonseca, C. D., Padilha, K. G., & Vattimo, M. F. F. (2017). Nursing Activities Score and Acute Kidney Injury. Revista Brasileira de Enfermagem. 70(3), 499-505. https://doi.org/10.1590/0034-7167-2016-0266
Dainton, M. (2019). Acute kidney injury. In N. Thomas (Ed.), Renal nursing: care and management of people with kidney disease (pp. 105-125). Wiley-Blackwell.
Davies, H., Leslie, G. D., & Morgan, D. (2017). A retrospective review of fluid balance control in CRRT. Australian Critical Care. 30(6), 314-319. https://doi.org/10.1016/j.aucc.2016.05.004
Davis, L. L. (2014). Cardiovascular issues in older adults. Critical Care Nursing Clinics of North America. 26(1), 61-89. https://doi.org/10.1016/j.ccell.2013.10.004
Dirkes, S., & Wonnacott, R. (2016). Continuous Renal Replacement Therapy and Anticoagulation: What are the options? Critical Care Nurse. 36(2), 34-42. https://doi.org/10.4037/ccn2016623
Grassi, M. F., Dell’Acqua, M. C. Q., Jensen, R., Fontes, C. M. B., & Guimarães, H. C. Q. C. P. (2017). Diagnosis, results, and nursing interventions for patients with acute renal injury. Acta Paulista de Enfermagem. 30(5), 538-545. https://doi.org/10.1590/1982-0194201700078
Kee, Y.K., Kim, E. J., Park, K. S., Han, S. G., Han, I. M., Yoon, C. Y., Lee, E., Joo, Y. S., Kim, D. Y., Lee, M. J., Park, J. T., Han, S. H., Yoo, T. H., Kim, B. S., Kang, S. W., Choi, K.H., & Oh, H.J. (2015). The effect of specialized continuous renal replacement therapy team in acute kidney injury patients treatment. Yonsei Medical Journal. 56(3), 658-665. https://doi.org/10.3349/ymj.2015.56.3.658
Kidney Disease Improving Global Outcomes (2012). KDIGO clinical practice guidelines for acute kidney injury: Online Appendices A-F. KDIGO. https://kdigo.org/wpcontent/uploads/2016/10/KDIGO-AKI-Suppl-Appendices-A-F_March2012.pdf
Lucena, A. F., Magro, C. Z., Proença, M. C. C., Pires, A. U. B., Moraes, V. M., & Aliti, G. B. (2017). Validação de intervenções e atividades de enfermagem para pacientes em terapia hemodialítica. Revista Gaúcha de Enfermagem. 38(3), 1-9. https://doi.org/10.1590/1983-1447.2017.03.66789
Macedo, E., Malhotra, R., Bouchard, J., Wynn, S. K., & Mehta, R. L. (2011). Oliguria is an early predictor of higher mortality in critically ill patients. Kidney international. 80(7), 760-767. https://doi.org/10.1038/ki.2011.150
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine. 6(7), 1-6. https://doi.org/10.1371/journal.pmed.1000097
National Institute for Health and Care Excellence (2019). Acute kidney injury: prevention, detection and management (NICE Guideline [NG148]). https://www.nice.org.uk/guidance/ng148
Odom, B. (2017). Acute kidney injury. In S. M. Bodin (Ed.), Contemporary nephrology nursing (pp. 637 – 678). American Nephrology Nurses Association.
Peters, M. D. J., Godfrey, C., Mclnerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020a). Scoping Reviews. In E. Aromataris & Z. Munn (Eds.), JBI Manual for Evidence Synthesis. JBI. https://doi.org/10.46658/JBIMES-20-12
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., Mclnerney, P., Godfrey, C. M., & Khalil, H. (2020b). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis. 18(10), 2119-2126. https://doi.org/10.11124/JBIES-20-00167
Pollock, D., Davies, E. L., Peters, M. D. J., Tricco, A. C., Alexander, L., Mclnerney, P., Godfrey, C. M., Khalil, H., & Munn, Z. (2021). Undertaking a scoping review: a practical guide for nursing and midwifery students, clinicians, researchers, and academics. Journal of Advanced Nursing. 77(4), 2102-2113. https://doi.org/10.1111/jan.14743
Przybyl, H., Evans, J., Haley, L., Bisek, J., & Beck, E. (2017). Training and maintaining: developing a successful and dynamic continuous renal replacement therapy program. AACN Advanced Critical Care Nursing. 28(1), 41-50. https://doi.org/10.4037/aacnacc2017122
Rhee, H., Jang, G. S., Han, M., Park, I. S., Yim, I. Y., Song, S. H., Seong, E. Y., Lee, D. W., Lee, S. B., & Kwak, I. S. (2017). The role of the specialized team in the operation of continuous renal replacement therapy: a single-center experience. BMC Nephrology. 18, Article 332. https://doi.org/10.1186/s12882-017-0746-8
Richardson, A., & Whatmore, J. (2014). Nursing essential principles: continuous renal replacement therapy. Nursing in Critical Care. 20(1), 8-15. https://doi.org/10.1111/nicc.12120
Santos, E. S., & Marinho, C. M. S. (2013). Principais causas de insuficiência renal aguda em unidades de terapia intensiva: intervenção de enfermagem. Revista de Enfermagem Referência. III Série (9), 181-189. https://doi.org/10.12707/RIII1272
Santos, A. M. R., Almeida, C. A. P. L., Cardoso, S. B., Rocha, F. C. V., Meneses, S. F. L., Felix, L. N. S., & Sá, G. G. M. (2018). Complications and care for elderly people in intensive care units. Journal of Nursing UFPE. 12(11), 3110-3124. https://doi.org/10.5205/1981-8963-v12i11a236650p3110-3124-2018
Saraiva, M., Richards, M., & Fortnum, D. (2018). The profile of nephrology nursing. EDTNA/ERCA.
Seller-Pérez, G., Herrera-Gutiérrez, M. E., Maynar-Moliner, J., Sánchez-Izquierdo-Riera, J. A., Marinho, A., & Pico, J. L. (2013). Estimating kidney function in the critically ill patients. Critical Care Research and Practice. 2013, Article 721810. https://doi.org/10.1155/2013/721810
Silva, P. E. B. B., & Mattos, M. (2019). Hemodialysis complications in the intensive care unit. Journal of Nursing UFPE. 13 (1), 162-168. https://doi.org/10.5205/1981-8963-v13i01a234781p162-168-2019
Steward, C. (2019). Dialysis disequilibrium syndrome in the neurointensive care unit: a case study. Nephrology Nursing Journal. 46(6), 597-603. http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140817539&lang=pt-pt&site=ehost-live
Wood, S. P. (2012). Contrast-induced nephropathy in critical care. Critical Care Nurse. 32(6), 15-24. https://doi.org/10.4037/ccn2012465
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.