Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
PLoS One. 2022 Jul 1;17(7):e0270711. doi: 10.1371/journal.pone.0270711. eCollection 2022.
Early assessment and management of patients with sepsis can significantly reduce its high mortality rates and improve patient outcomes and quality of life.
The purposes of this review are to: (1) explore nurses' knowledge, attitude, practice, and perceived barriers and facilitators related to early recognition and management of sepsis, (2) explore different interventions directed at nurses to improve sepsis management.
A systematic review method according to the PRISMA guidelines was used. An electronic search was conducted in March 2021 on several databases using combinations of keywords. Two researchers independently selected and screened the articles according to the eligibility criteria.
Nurses reported an adequate of knowledge in certain areas of sepsis assessment and management in critically ill adult patients. Also, nurses' attitudes toward sepsis assessment and management were positive in general, but they reported some misconceptions regarding antibiotic use for patients with sepsis, and that sepsis was inevitable for critically ill adult patients. Furthermore, nurses reported they either were not well-prepared or confident enough to effectively recognize and promptly manage sepsis. Also, there are different kinds of nurses' perceived barriers and facilitators related to sepsis assessment and management: nurse, patient, physician, and system-related. There are different interventions directed at nurses to help in improving nurses' knowledge, attitudes, and practice of sepsis assessment and management. These interventions include education sessions, simulation, decision support or screening tools for sepsis, and evidence-based treatment protocols/guidelines.
Our findings could help hospital managers in developing continuous education and staff development training programs on assessing and managing sepsis in critical care patients.
Nurses have poor to good knowledge, practices, and attitudes toward sepsis as well as report many barriers related to sepsis management in adult critically ill patients. Despite all education interventions, no study has collectively targeted critical care nurses' knowledge, attitudes, and practice of sepsis management.
早期评估和治疗脓毒症患者可显著降低其高死亡率，改善患者预后和生活质量。
本综述的目的是：（1）探讨护士对脓毒症早期识别和管理相关的知识、态度、实践以及感知障碍和促进因素，（2）探讨针对护士改善脓毒症管理的不同干预措施。
根据 PRISMA 指南，采用系统综述方法。2021 年 3 月，我们在多个数据库中使用关键词组合进行了电子检索。两名研究人员根据纳入标准独立选择和筛选文章。
护士报告在评估和管理危重症成人患者脓毒症方面，他们在某些领域具有足够的知识。此外，护士对脓毒症评估和管理的态度总体上是积极的，但他们报告了一些关于脓毒症患者使用抗生素的误解，并且认为危重症成人患者的脓毒症是不可避免的。此外，护士报告说他们要么准备不足，要么对有效识别和及时处理脓毒症缺乏信心。此外，护士还报告了与脓毒症评估和管理相关的不同类型的感知障碍和促进因素：护士、患者、医生和系统相关。有不同类型的针对护士的干预措施可用于帮助提高护士对脓毒症评估和管理的知识、态度和实践。这些干预措施包括教育课程、模拟、脓毒症的决策支持或筛选工具，以及基于证据的治疗方案/指南。
我们的研究结果可能有助于医院管理者制定针对危重症患者脓毒症评估和管理的持续教育和员工发展培训计划。
护士对脓毒症的知识、实践和态度参差不齐，并且报告了许多与成年危重症患者脓毒症管理相关的障碍。尽管有所有的教育干预措施，但没有研究针对重症监护护士的脓毒症管理知识、态度和实践进行集体针对性研究。
