Date of Award
Final DNP Paper
Doctor of Nursing Practice (DNP) in Adult-Gerontology Acute Care Nurse Practitioner
Dr. Heather Wallace, DNP, CRNP, AGACNP-BC, CCRN
Dr. Stephanie Jones, DNP, RN, NE-BC
Contrast-induced acute kidney injury (CI-AKI) occurs commonly in patients following percutaneous coronary intervention (PCI) and has been linked to increased patient morbidity, higher risk for cardiovascular mortality, and a large burden of annual healthcare costs. The implementation of evidence-based care standards by nursing staff has been shown to reduce incidence of CI-AKI. Current discrepancies in nursing care have been linked to increased incidence of CI-AKI; therefore, the need for enhanced nurse buy-in with evidence-based protocols is paramount. The primary investigator sought to increase knowledge of CI-AKI and nursing compliance with an established evidence-based protocol at a single center hospital. After evaluating nursing knowledge and compliance with the current protocol, education was provided with visual aids, written materials, and group discussions. Finally, nursing staff were re-evaluated on their knowledge base and self-reported compliance with facility protocols. Results showed an overall increase in nursing knowledge and reported compliance with hospital protocols following education. These outcomes provide evidence that in-service education can increase nursing knowledge of CI-AKI and compliance rates with nursing care that will aid in reducing this dangerous PCI complication. The same concept could possibly be applied to reduce other common surgical complications in the future.
Rankin, Hilarie, "Reducing Incidence of Contrast-Induced Acute Kidney Injury Through Nursing Education" (2021). Doctor of Nursing Practice Projects. 18.