ArticleJournal of multidisciplinary healthcare2025
Knowledge, Attitudes, and Practices Regarding the Prevention and Management of Acute Kidney Injury Among ICU Physicians: Association with Burnout.
Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Acute kidney injury (AKI) poses significant challenges to patient outcomes in intensive care units (ICUs). This study aims to examine the knowledge, attitudes, and practices (KAP) of ICU physicians regarding AKI prevention and management, as well as to explore the potential association between burnout levels and KAP performance. Methods : We conducted a cross-sectional study among physicians working at 18 ICUs in Taizhou, Zhejiang Province, from 26 September 2023 to 18 March 2024. Data were collected using a self-administered KAP questionnaire (knowledge: 18 items [score range: 18-36]; attitude: 8 items [score range: 8-40]; practice: 13 items [score range: 13-65]) and the Maslach Burnout Inventory-General Scale (MBI-GS). Results: The study enrolled 220 ICU physicians with valid questionnaires. The mean scores were: knowledge 29.92±3.42, attitude 30.94±5.49, practice 46.28±5.65, and burnout 2.13±0.63. Physicians certified by the Chinese Critical Care Certified Course (5C) demonstrated significantly higher KAP levels (K: 30.46±3.20, p=0.008; A: 31.37±5.40, p<0.001; P: 46.76±5.35, p=0.013) despite higher burnout levels (2.18±0.63, p=0.002). Those with resignation intentions had significantly lower KAP scores (K: 27.78±3.81, P=0.001; A: 28.48±4.97, P=0.023; P: 43.83±5.35, p=0.027) and higher burnout (2.51±0.44, p=0.003). Correlation analyses revealed that knowledge was significantly associated with both attitude (r=0.614, p<0.001) and practice (r=0.538, p<0.001). Total Burnout was negatively correlated with attitude (r = -0.223, p < 0.001) and practice (r = -0.238, p < 0.001). Multivariable logistic regression further confirmed that attitude was the strongest modifiable independent predictor of practice behaviors (OR = 1.413, p < 0.001). Conclusion: ICU physicians demonstrate adequate knowledge, positive attitude and proactive practices toward AKI prevention and management, despite experiencing moderate burnout levels. Attitude is the strongest modifiable predictor of practice, underscoring the importance of fostering positive attitudes to enhance AKI management among ICU physicians. Targeted interventions aimed at enhancing knowledge, fostering positive attitudes, and addressing burnout are needed for effective AKI management in ICU settings.
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