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A nurse-led intervention improves detection and management of AKI in Malawi

Research output: Contribution to journalArticlepeer-review

Christopher J. Kirwan, Kelly Wright, Peter Banda, Aylwin Chick, Mwayi Mtekateka, Enos Banda, Zuze Kawale, Rhys Evans, Hamish Dobbie, Gavin Dreyer

Original languageEnglish
Pages (from-to)196–204
JournalJournal of Renal Care
Issue number4
Early online date5 Nov 2016
E-pub ahead of print5 Nov 2016
PublishedDec 2016

King's Authors


Background: Acute kidney injury is common and has significant impact on mortality and morbidity. There is a global drive to improve the lack of knowledge and understanding surrounding the recognition, diagnosis and management of patients with AKI in resource poor healthcare systems. Objectives: We propose a nurse-led education programme to medical and nursing staff of the Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi, will improve the overall care and understanding of patients with AKI that will still be effective 3 months later. Methods: This was a three phase, prospective interventional pilot study which evaluated base line knowledge and clinical practice amongst healthcare workers, provided a comprehensive combination nurse-led class room and ward based teaching programme and evaluated the change in knowledge and clinical management of patients in the high dependency areas of the hospital immediately, and 3 months, after the teaching intervention. Results: The nurse-led intervention significantly improved the healthcare workers attitudes towards detecting or managing patients with suspected AKI (p

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