Nurses’ Competence Regarding Early Detection of Acute Kidney In jury (AKI) : A Descriptive Literature Review
Dharmasena, Dilani; Senavirathna Herathmudiyanselage, Ishani (2025)
2025
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2025091924897
https://urn.fi/URN:NBN:fi:amk-2025091924897
Tiivistelmä
Acute kidney injury (AKI) is a frequent and critical health issue that contributes to higher rates of illness, death, and financial burden on healthcare systems. Prompt recognition and early treatment are essential to halt its advancement. Nurses, being at the forefront of patient care, are key in detecting and managing AKI. Their ability to identify initial symptoms and implement evidence based interventions is crucial for enhancing patient recovery and outcomes. The purpose of this study was to describe the nurses’ competence to detect acute kidney injury (AKI) and the aim of this study was to generate new knowledge about the nurses’ competence regarding the early detection of acute kidney injury (AKI) that can be utilized to improve the level of competence among registered nurses in clinical settings.
To retrieve publications, the PubMed and ProQuest Central databases in addition to manual search were used. Pre established inclusion and exclusion criteria were then used to refine the search. Following that, ten final studies were examined using inductive content analysis to address the two research questions represented in this literature review (1) nurses’ competence to detect acute kidney injury (AKI) early in patients, and (2) challenges nurses face in detecting acute kidney injury (AKI) early.
The findings from data synthesis revealed a variety of strategies that might assist nurses become more proficient in identifying acute kidney injury early on. The results indicated that although most nurses possessed a moderate understanding of AKI, notable deficiencies were observed in interpreting early clinical signs and using risk assessment tools effectively. Higher competence levels were linked to greater clinical experience, advanced education, and previous training related to AKI.
This review of the literature was done for a bachelor's thesis at Metropolia University of Applied Sciences in Helsinki. It revealed that the nurses competence in detecting acute kidney injury is crucial and improving nurses' abilities through focused education and hands on training is critical for the timely identification of AKI. Including AKI specific topics in nursing education and ongoing professional development programs can enhance early intervention efforts and help minimize complications associated with the condition.
The origin of this thesis has been checked by Turnitin, resulting in a similarity percentage showing an acceptable Turnitin percentage.
To retrieve publications, the PubMed and ProQuest Central databases in addition to manual search were used. Pre established inclusion and exclusion criteria were then used to refine the search. Following that, ten final studies were examined using inductive content analysis to address the two research questions represented in this literature review (1) nurses’ competence to detect acute kidney injury (AKI) early in patients, and (2) challenges nurses face in detecting acute kidney injury (AKI) early.
The findings from data synthesis revealed a variety of strategies that might assist nurses become more proficient in identifying acute kidney injury early on. The results indicated that although most nurses possessed a moderate understanding of AKI, notable deficiencies were observed in interpreting early clinical signs and using risk assessment tools effectively. Higher competence levels were linked to greater clinical experience, advanced education, and previous training related to AKI.
This review of the literature was done for a bachelor's thesis at Metropolia University of Applied Sciences in Helsinki. It revealed that the nurses competence in detecting acute kidney injury is crucial and improving nurses' abilities through focused education and hands on training is critical for the timely identification of AKI. Including AKI specific topics in nursing education and ongoing professional development programs can enhance early intervention efforts and help minimize complications associated with the condition.
The origin of this thesis has been checked by Turnitin, resulting in a similarity percentage showing an acceptable Turnitin percentage.