Department of Pharmacy, Johns Hopkins Hospital, Baltimore, Maryland.
School of Nursing.
Hosp Pediatr. 2021 Aug;11(8):871-877. doi: 10.1542/hpeds.2020-005773.
In this study, we assessed the knowledge and experience of pediatric pharmacists and nurses at a US tertiary-care pediatric center regarding the risk factors for, recognition of, and best practices for managing an acute kidney injury (AKI) in children.
The authors developed a survey to assess the attitudes and knowledge of nurses and pharmacists regarding AKI in hospitalized children, which was reviewed by a small multidisciplinary group for content and length. The final 16-item survey consisted of demographic, self-assessment and attitude, and knowledge questions. All pediatric pharmacists and nurses at the study site received a voluntary online survey via e-mail. Data were analyzed by using descriptive statistics.
A survey was sent to 620 nurses and 50 pharmacists; 148 (25%) and 22 (44%), respectively, completed it. Most respondents were <35 years old and had ≤10 years of experience in both their professions and pediatrics. A total of 72% of pediatric nurses felt identification of AKI was within their scope of practice, and ∼60% felt confident in their ability to do so. More than 80% of pediatric pharmacists felt confident in their abilities to adjust medication doses in pediatric patients with AKI, but <60% felt confident in their ability to estimate the glomerular filtration rate in these patients. Nurses and pharmacists were able to correctly identify specific AKI criteria 60% to 70% and 70% to 90% of the time, respectively.
Although pediatric nurses and pharmacists have knowledge of AKI prevention and mitigation, gaps exist, and there is a desire for education in recognition of their key roles in the clinical team.
本研究评估了美国一家三级儿童医疗中心的儿科药剂师和护士对儿童急性肾损伤（AKI）的危险因素、识别和最佳管理实践的了解和经验。
作者开发了一项调查，以评估护士和药剂师对住院儿童 AKI 的态度和知识，该调查由一个小型多学科小组进行了内容和长度的审查。最终的 16 项调查包括人口统计学、自我评估和态度以及知识问题。研究地点的所有儿科药剂师和护士都通过电子邮件收到了一份自愿的在线调查。通过描述性统计对数据进行分析。
向 620 名护士和 50 名药剂师发送了一份调查，分别有 148 名（25%）和 22 名（44%）完成了调查。大多数受访者年龄在 35 岁以下，在他们的专业和儿科领域的经验均≤10 年。72%的儿科护士认为识别 AKI 属于他们的工作范围，约 60%的护士对自己的能力有信心。超过 80%的儿科药剂师对自己调整 AKI 儿科患者药物剂量的能力有信心，但<60%的药剂师对自己估计这些患者肾小球滤过率的能力有信心。护士和药剂师能够正确识别特定 AKI 标准的时间分别为 60%至 70%和 70%至 90%。
尽管儿科护士和药剂师了解 AKI 的预防和缓解措施，但仍存在差距，他们渴望在识别其在临床团队中的关键作用方面接受教育。
