An Appraisal of Nurses' Awareness and Management of Chronic Kidney Disease in Borno State Specialist Hospital
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Background of the Study
Chronic Kidney Disease (CKD) is a growing health concern worldwide, especially in sub-Saharan Africa, where it contributes significantly to morbidity and mortality. Nigeria, with its high prevalence of hypertension and diabetes, sees a significant number of CKD cases (Ibrahim & Afolabi, 2024). Effective management of CKD is essential to prevent progression to end-stage renal failure, which often requires dialysis or kidney transplantation. Nurses play an integral role in CKD management, providing patient education, monitoring treatment adherence, and assisting in managing symptoms such as edema, fatigue, and electrolyte imbalances (Aliyu et al., 2023).
Borno State Specialist Hospital (BSSH) in Nigeria, located in a region with limited healthcare resources, faces the challenge of managing patients with CKD effectively. The awareness and knowledge of CKD management among nurses at BSSH are critical to improving the quality of care and patient outcomes. Nurses' role in CKD care includes educating patients on dietary modifications, medication adherence, and lifestyle changes that slow disease progression. However, there is a gap in understanding how well nurses at BSSH are prepared to manage CKD based on their level of awareness and training.
This study aims to evaluate nurses’ awareness of CKD and their management strategies at Borno State Specialist Hospital, with the goal of identifying gaps in knowledge and practices, and suggesting improvements in care delivery.
Statement of the Problem
The incidence of chronic kidney disease is rising in Nigeria, and its effective management is crucial in preventing further health complications. Nurses, as primary caregivers, are responsible for educating patients, administering medications, and assisting in symptom management. However, there is limited research on nurses' awareness of CKD management in Nigerian hospitals, particularly in Borno State. Without proper awareness and understanding of CKD guidelines, nurses may not provide optimal care, leading to worsened patient outcomes. There is a pressing need to investigate how nurses' awareness of CKD affects their management strategies at BSSH.
Objectives of the Study
- To evaluate the level of nurses' awareness of chronic kidney disease and its management at Borno State Specialist Hospital.
- To assess the management strategies used by nurses in handling chronic kidney disease patients.
- To identify challenges faced by nurses in managing CKD and recommend strategies for improving care at BSSH.
Research Questions
- What is the level of awareness among nurses regarding chronic kidney disease and its management at BSSH?
- How do nurses at Borno State Specialist Hospital manage patients with chronic kidney disease?
- What challenges do nurses face in the management of CKD, and how can these challenges be overcome?
Research Hypotheses
- Nurses with higher awareness of CKD management will demonstrate better patient care and outcomes.
- There is a significant relationship between nurses’ knowledge of CKD management and patient adherence to prescribed treatments.
- Barriers such as lack of resources and inadequate training significantly affect the management of CKD by nurses at BSSH.
Scope and Limitations of the Study
This study will focus on nurses working in the nephrology and general medical wards of Borno State Specialist Hospital. Limitations include possible biases in self-reported data, variability in patient adherence, and challenges in accessing comprehensive patient records.
Definitions of Terms
- Chronic Kidney Disease (CKD): A long-term condition characterized by a gradual decline in kidney function, which can lead to kidney failure.
- Nurses' Awareness: The understanding of CKD pathophysiology, treatment protocols, and prevention strategies among nursing staff
- Management of CKD: The ongoing care practices including medication administration, patient education, and symptom monitoring aimed at slowing disease progression.
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