ArticleBMC nursing2026
Critical care nurses' experiences of managing patients receiving continuous kidney replacement therapy in intensive care units: a qualitative study in Saudi Arabia.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundAcute kidney injury requiring kidney replacement therapy is a common and life-threatening complication among critically ill patients. Continuous kidney replacement therapy (CKRT) is frequently used in haemodynamically unstable ICU patients and places substantial technical, cognitive, emotional, and relational demands on critical care nurses. Although nurses are central to CKRT delivery, limited qualitative evidence explores their lived experiences of providing technology-embedded kidney support in Middle Eastern ICU contexts.
methodsA qualitative study using reflexive thematic analysis was conducted in adult ICUs affiliated with university healthcare settings in Al-Ahsa, Eastern Province, Saudi Arabia. Twenty critical care nurses with direct experience of caring for patients receiving CKRT or other kidney replacement therapies were recruited using purposive sampling. Semi-structured interviews were conducted face-to-face or through secure encrypted video conferencing, in Arabic, English, or bilingually according to participant preference. Interviews were audio-recorded, transcribed verbatim, translated where required, and analysed using Braun and Clarke's six-phase reflexive thematic analysis approach.
resultsFour interrelated themes were developed: (1) Caught between the machine and the person; (2) On the edge: the emotional weight of kidney failure in critical care; (3) A delicate balance: uncertainty, advocacy, and interprofessional dynamics; and (4) Growing through the challenge: competence-building and resilience. Nurses described CKRT as a form of technology-embedded relational care requiring simultaneous machine vigilance, humanistic presence, moral judgement, family support, and interprofessional advocacy.
conclusionsManaging patients receiving CKRT in ICUs requires more than technical competence. It involves emotionally intense, morally complex, and relationally significant nursing work. Structured CKRT education, simulation-based training, advocacy preparation, routine debriefing, psychological support, and staffing models that reflect CKRT workload are needed to sustain safe and person-centred critical kidney care. CLINICAL
trial registrationNot applicable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.