The Effect of Implementing Acute Kidney Injury Care Bundle on Clinical Outcomes of Critically Ill Patients | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 25, Issue 1, March 2023, Page 35-46 PDF (357.74 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2023.300006 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Rawia Gamil Abdelhamid* 1; Azza Hamdi El-Soussi1; Bassem Nashaat Beshay2; Heba Mohamed Mustafa3 | ||||
| 1Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria Universit | ||||
| 2Critical Care Medicine, Faculty of medicine, Alexandria University | ||||
| 3Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Background: Healthcare quality and cost are major driving forces in healthcare delivery system. Evidence- based bundle of care, is a concept usually involves three to five structured interventions based on scientific evidence based, which when carried out consistently improve patient outcomes. AKI is one of the major complications of critical illness and its management, prevention and management can be achieved through AKI care bundle which aims to manage and prevent newly developed AKI in critically ill patients. Objective: To determine the effect of implementing acute kidney injury care bundle on clinical outcomes of critically ill patients. Settings: The study was carried out in the General ICUs namely; Casualty unit (unit I), General ICU (unit II, III) at Alexandria Main University Hospital, Egypt. Subjects: A convenient sample of 70 newly admitted adult patients aged 18-<60 years were included in this study. Patients who had preexisting AKI, chronic kidney disease and/or on renal replacement therapy were excluded from the study. The sample was equally assigned into two equal groups: group I, the control group (35 patients) and group II, the study group (35 patients). Tools: Two tools were used. Tool one: “ICU acquired AKI risk assessment”. Tool two: ''Clinical outcomes assessment tool''. Results: The study showed that neither patients in the study group nor the control group had AKI on 1st day (baseline), however during 2nd to 7th day 0.0%, 14.3%, 8.6%, 0.0%, 0.0% and 0.0% of patients in the study group developed AKI compared to 14.3%, 42.9%, 45.7%, 20.0%, 28.6% and 22.9% of patients in the control group. Conclusion: Implementation of AKI care bundle interventions significantly decreased the occurrence of ICU acquired AKI. Recommendations: Critical care nurses should conduct a baseline assessment to identify high risk patients for development of ICU acquired AKI | ||||
| Keywords | ||||
| Acute kidney injury; Care bundles; Clinical outcomes; Critically ill patients | ||||
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