OBJECTIVE: To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units.METHOD: A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment.RESULTS: 57.2% of nurses were unable to identify AKI clinical manifestations, 54.6% did not have knowledge of AKI incidence in patients admitted to the ICU, 87.0% of the nurses did not know how to answer as regards the AKI mortality rate in patients admitted to the ICU, 67.1% answered incorrectly that slight increases in serum creatinine do not have an impact on mortality, 66.8% answered incorrectly to the question on AKI prevention measures, 60.4% answered correctly that loop diuretics for preventing AKI is not recommended, 77.6% answered correctly that AKI does not characterize the need for hemodialysis, and 92.5% said they had no knowledge of the Acute Kidney Injury Networkclassification.CONCLUSION: Nurses do not have enough knowledge to identify early AKI, demonstrating the importance of qualification programs in this field of knowledge.OBJETIVO: Avaliar o conhecimento do enfermeiro na identifica??o precoce da Inj?ria Renal Aguda (IRA) em Unidade de Terapia Intensiva, Unidade de Interna??o e Emerg?ncia.M?TODO: Estudo multic?ntrico, prospectivo.Participaram do estudo 216 enfermeiros,por meio de question?rio com 10 quest?es relacionadas ? preven??o, ao diagn?stico e ao tratamento da IRA.RESULTADOS: 57,2% n?o souberam identificar as manifesta??es cl?nicas da IRA, 54,6% n?o t?m conhecimento da incid?ncia de IRA em pacientes internados na UTI, 87,0% dos enfermeiros n?o souberam responder ao ?ndice de mortalidade de IRA em pacientes internados na UTI, 67,1% responderam incorretamente que aumentos discretos da creatinina s?rica n?o t?m impacto na mortalidade, 66,8% responderam incorretamente ? quest?o sobre as medidas de preven??o da IRA, 60,4% acertaram quando responderam que n?o ? recomendada a utiliza??o de diur?ticos de al?a na preven??o da IRA, 77,6% acertaram ao responder que IRA n?o caracteriza necessidade de hemodi?lise e 92,5% disseram n?o conhecer a classifica??o AKIN.CONCLUS?O: Enfermeiros n?o t?m conhecimento suficiente para a identifica??o precoce da IRA, mostrando a import?ncia de programas de capacita??o nesta ?rea do conhecimento.
Acute Kidney Injury Adult