Journal article
Acute Kidney Replacement Therapy (KRT) in Pediatric Patients: A National Survey Assessing Nursing Structure and Standards in KRT Education
Nephrology nursing journal : journal of the American Nephrology Nurses' Association, Vol.52(6), pp.589-594
11/2025
DOI: 10.37526/1526-744X.2025.52.6.589
PMID: 41553782
Abstract
Kidney replacement therapy (KRT) is an essential treatment for children with acute kidney injury, fluid overload, and toxin removal. Successful provision of KRT is important; however, no standard nursing education currently exists. The top 50 pediatric nephrology programs from the 2023 U.S. News and World Report and eight Canadian centers were surveyed regarding their KRT programs. Most programs perform KRT in three or more intensive care units (n= 31, 58.5%), use two or more machines (n= 44, 83%), and use two or more anticoagulation strategies (n= 34, 86.8%). There are multiple programmatic models utilized to set up, manage, and troubleshoot KRT. In 96% of institutions, education and competencies are standardized, yet methods vary. The survey reveals significant practice variation across institutions; however, KRT nursing education should be standardized to increase safety and improve outcomes.
Details
- Title: Subtitle
- Acute Kidney Replacement Therapy (KRT) in Pediatric Patients: A National Survey Assessing Nursing Structure and Standards in KRT Education
- Creators
- Kara Short - Children's of AlabamaAlyssa A Riley - The Ohio State UniversityKyle A Merrill - University of IowaWeiwen Vivian Shih - Associate Professor, University of Colorado, Aurora, COBrendan Crawford - Arkansas Children's HospitalDavid T Selewski - Medical University of South CarolinaKeri Drake - The University of Texas Southwestern Medical CenterShina Menon - Stanford UniversityDavid Askenazi - University of Alabama at BirminghamKatie Plomaritas - member of ANNA
- Resource Type
- Journal article
- Publication Details
- Nephrology nursing journal : journal of the American Nephrology Nurses' Association, Vol.52(6), pp.589-594
- DOI
- 10.37526/1526-744X.2025.52.6.589
- PMID
- 41553782
- NLM abbreviation
- Nephrol Nurs J
- ISSN
- 1526-744X
- eISSN
- 2163-5390
- Publisher
- JANNETTI PUBLICATIONS, INC
- Grant note
- CTSA from the National Center for Advancing Translational Science [NCATS] , a component of the National Institutes of Health [NIH] ): UL1 TR003163
There was no funding used for the development of this manuscript. The authors would like to acknowledge the UT Southwestern Medical Center Clinical for the use of REDCap (supported by CTSA Grant Number UL1 TR003163 from the National Center for Advancing Translational Science [NCATS] , a component of the National Institutes of Health [NIH] ) . The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
- Language
- English
- Date published
- 11/2025
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics
- Record Identifier
- 9985123943202771
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