Knowledge, Attitude, and Practice of Clinicians Regarding Continuous Renal Replacement Therapy for Critical Care Patients in Southern Palestine.

Abstract

Continuous renal replacement therapy (CRRT) is crucial for managing acute kidney injury in critical care settings, particularly when traditional dialysis is unsuitable. In resource-limited regions like Palestine, intensive care unit (ICU) clinicians' knowledge, attitudes, and practices (KAP) significantly impact patient outcomes. This study assessed the KAP of ICU clinicians in southern Palestine to identify gaps and propose improvements. A cross-sectional study in 6 hospitals across Hebron and Bethlehem involved 250 ICU clinicians. Data were collected using a structured questionnaire and analyzed using SPSS. All 250 questionnaires were completed (100% response rate). Participants' ages ranged from 23 to 59 years (mean = 31.56, standard deviation [SD] = 6.48); 64.4% were male, and 70% held bachelor's degrees. Knowledge was moderate (mean score = 0.50, SD = 0.14); 52.4% had adequate knowledge, while 30% showed gaps. Attitudes were positive overall, but 30% viewed peritoneal dialysis negatively. Practice scores averaged 3.26, with ICU nurses outperforming others. Age (B = 0.217, P = .004) and clinical role (B = -0.211, P < .001) significantly predicted practice. ICU clinicians exhibit moderate knowledge and positive attitudes toward CRRT, but gaps persist in practice. Targeted training is recommended to enhance patient outcomes in ICUs across Palestine.