Implementing KDIGO Guidelines into Primary Care Practice

Chronic kidney disease (CKD) affects millions globally, often remaining undiagnosed until reaching advanced stages. Early detection, especially in high-risk populations such as those with diabetes, hypertension, or a family history of CKD, is critical for improving outcomes (National Kidney Foundation, 2020). Diabetes is the leading cause of CKD, followed by hypertension, and screening for microalbuminuria is an effective, low-cost method for early detection. This Doctor of Nursing Practice (DNP) project sought to improve healthcare providers' knowledge, attitude, and practices (KAP) regarding CKD screening and management by implementing newly released Kidney Disease: Improving Global Outcomes (KDIGO, 2024) clinical practice guidelines in the primary care setting. The project was conducted at the HANDS Clinic where eight providers who had direct patient care participated. It utilized educational tools, including an audio-video presentation, a mobile app, and infographic posters, to support protocol adoption and promote evidence-based screening. Providers completed pre- and post-intervention questionnaires during a six-week period to assess changes in KAP. Results showed significant improvements in providers' understanding of CKD risk factors and screening criteria and increased confidence in managing at-risk patients. These findings suggest that structured screening protocols, supported by educational resources, can positively impact provider-driven preventive care, leading to earlier CKD detection and improved patient outcomes. This project serves as a model for primary and community health clinics to enhance health promotion and disease prevention for individuals at risk of CKD (Bello et al., 2019). The project supported Healthy People 2030 goals by increasing diabetic kidney screening, raising awareness of CKD, and reducing disease burden. It also aligned with Triple Aim initiatives by improving care quality, reducing costs, and promoting better health outcomes in the diabetic population.