Nursing protocol in chronic kidney disease prevention in older adults in primary care.
Fernanda Ferreira Krepker, Cristina Arreguy-Sena, Luciene Muniz Braga and 3 others
PMID 36449972WHAT IT FOUND
A nursing protocol for older adults at risk of chronic kidney disease in primary care specifies possible diagnoses, interventions, and outcomes.
It was built, but not tested or used in care.
Key findings
01The developed protocol includes 17 possible nursing diagnoses, 35 nursing interventions, and 24 nursing outcomes.
02Among 102 older adults, 72.7% self-reported hypertension; among 88 participants assessed with IVCF-20, 44.3% had high clinical-functional vulnerability.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was by convenience, so the older adults may not represent other populations. The protocol was not implemented, monitored, or reviewed in the service. Pandemic restrictions stopped steps 10 to 12 of the protocol development process. The IVCF-20 was assessed in 88 participants because data collection was interrupted. No patient outcomes were measured after nurses used the protocol. The study reports a proposed protocol, not a tested care pathway.
The easy way to misread this
Do not read this as evidence that the protocol prevents chronic kidney disease or improves older adults' health. The protocol was not implemented, monitored, or reviewed in care because pandemic restrictions stopped those steps, so its effects on patients were not tested.