Title: Knowledge, Attitude and Practice on Acute Kidney Injury Risk Assessment among Surgical Nurses in a Single Centre

Abstract:

Background: Acute Kidney Injury (AKI) has constantly been discussed in the ICU settings, but inadequate findings pertaining to AKI incidence were reported among surgical patients, particularly in Malaysia. Understanding the onset characteristic of AKI and the risk factors associated with its prognosis enables the improvement of the clinical prevention and treating the AKI. Adequate knowledge of AKI among nurses particularly in early recognition is an important opportunity to identify and prevent the development of AKI among at-risk patients. However, many studies revealed inadequate knowledge and understanding of AKI among nurses remain unacceptably low.

Objective: To assess the knowledge, attitude, and practice (KAP) of nursing risk assessment on AKI towards surgical department nurses. Methods: Quantitative, cross-sectional study was conducted in a public teaching hospital, in Kuala Lumpur, Malaysia from 30th June to 8th July 2022. 75 nurses were randomly selected from multiple units in the surgical department. KAP of the multiple surgical unit nurses was measured with 30 selfadministered questionnaires. The instrument was developed for this research and underwent a content validity process.

Results: The majority of the respondents were female nurses with a mean age of 35.7. The mean average years of respondents’ nursing experience was 9.78 years. 33 nurses had their advanced clinical training and 21.3% had experience working in the critical care unit. The overall level of KAP on AKI among surgical nurses was moderate (61.4%) There was a significant difference in KAP on AKI score between ten working units in a surgical department (p=0.031). Nurses who had advanced training were found to have a significant difference in KAP on AKI score (p=0.019). Nurse positions such as head nurse and staff nurse were reported to be significantly in total KAP on AKI score. Even though nurses demonstrated good knowledge and practice in AKI risk assessment, 93.3% of the nurses were unable to define AKI correctly and 70.7% had a lack of knowledge in performing AKI risk assessment. However, only 2.6% of surgical nurses select the correct risk factors of AKI as they were unfamiliar with AKI risk assessment could be able to prevent patient complications.

Conclusion: KAP on AKI among surgical department nurses was at a moderate level. To enhance nurses’ KAP in identifying AKI for surgery patients, there is a need to develop an education program on AKI risk assessment for the nurses to improve their care delivery.

Biography:

Nooreena Yusop is a highly motivated lecturer at PICOMS International University College, Kuala Lumpur Malaysia. Participating in advanced course for Renal, Nephrology and Dialysis. A highly trained and experienced Malaysia Registered Nurse with a demonstrated history of working in both public and private hospital in Malaysia, Saudi Arabia and Singapore, healthcare industry and executing clinical services and managerial posts. Possesses an exceeding skill in Intensive and Critical Care, Cardiothoracic Surgery, and Renal nursing care. Responsible for departmental and hospital-wide quality of service and patient safety, which involved the implementation, adherence, assessment, and analysis of processes that highly impact the quality of hospital operation and service. Strong and outstanding healthcare professional’s services by background, with Master’s Degree in Nursing Science and pursuing Doctorate Philosophy in Nursing.