Roye-Green Karen J, Vickers Ivan, Priestley Sharon, Walker Jerome, Willis Rohan
Department of Microbiology, Faculty of Medical Sciences, University of the West Indies, Mona, Kingston, Jamaica.
Department of Sociology, Psychology and Social Work, Faculty of Social Sciences, University of the West Indies,Mona, Kingston, Jamaica.
BMC Med Educ. 2025 Apr 17;25(1):565. doi: 10.1186/s12909-025-07122-w.
Sepsis is a medical emergency requiring timely management and available global evidence suggests that healthcare workers and students are poorly prepared to effectively diagnose and treat such patients. This study evaluates the inter-relationship of healthcare students' attitudes towards, knowledge of and practice of sepsis management as they progress through training in Jamaica.
A prospective cross-sectional survey using an anonymous self-administered questionnaire with convenience sampling was performed among healthcare students at all levels of training. All available medical and nursing students from the major public medical and nursing schools in the Kingston Metropolitan Area were included in the study. The questionnaire was composed of 25 items covering aspects of the knowledge, attitudes, and practice of sepsis management.
The study population consisted of 292 respondents; 210 medical and 82 nursing students. The need for fluid resuscitation before ICU admission (72.6%) was the practice question that was correctly identified by the majority of students. Most of the remaining items were correctly identified by approximately half of the students including signs of sepsis such as altered mental state (56.1%), low systolic blood pressure (53.7%) and tachypnea (50.6%). In contrast, very few students could identify the signs that indicated the presence of septic shock such as high serum lactate and the need for vasopressors and only 7% of students knew the correct annual sepsis mortality rate. Nursing students had higher overall mean correct knowledge and correct practice scores compared to medical students and lower incorrect practice scores, although there was no difference in incorrect knowledge scores between the 2 respondent groups. A subgroup analysis of students in their final stage of training revealed a more comparable performance of the 2 student groups, highlighting the improved performance by both nursing and medical students who received either formal sepsis training or were in the late stage of training. Jamaican healthcare students agree that more training on sepsis is needed (98.3%) and that sepsis care bundles should be implemented during their training courses (94.2%).
This study revealed differences in the healthcare students' attitudes, knowledge of and practice of sepsis in Jamaica. There is the need for training on sepsis and implementation of sepsis care bundles.
脓毒症是一种需要及时治疗的医疗急症，全球现有证据表明，医护人员和学生在有效诊断和治疗此类患者方面准备不足。本研究评估了牙买加医护专业学生在培训过程中对脓毒症管理的态度、知识和实践之间的相互关系。
采用匿名自填式问卷进行前瞻性横断面调查，对各级培训的医护专业学生进行便利抽样。来自金斯敦都会区主要公立医学院和护理学院的所有在校医学和护理学生均纳入研究。问卷由25个项目组成，涵盖脓毒症管理的知识、态度和实践等方面。
研究对象包括292名受访者，其中210名医学专业学生和82名护理专业学生。大多数学生正确识别出的实践问题是重症监护病房（ICU）入院前需要进行液体复苏（72.6%）。其余大多数项目约有一半的学生能正确识别，包括脓毒症的体征，如精神状态改变（56.1%）、收缩压降低（53.7%）和呼吸急促（50.6%）。相比之下，很少有学生能识别出脓毒性休克的体征，如高血清乳酸水平以及使用血管活性药物的必要性，只有7%的学生知道脓毒症的正确年死亡率。护理专业学生的总体平均正确知识得分和正确实践得分高于医学专业学生，错误实践得分低于医学专业学生，尽管两组受访者的错误知识得分没有差异。对处于培训最后阶段的学生进行亚组分析发现，两组学生的表现更具可比性，这突出了接受过正式脓毒症培训或处于培训后期的护理和医学专业学生的表现有所改善。牙买加医护专业学生一致认为需要更多关于脓毒症的培训（98.3%），并且应该在他们的培训课程中实施脓毒症护理集束（94.2%）。
本研究揭示了牙买加医护专业学生在脓毒症态度、知识和实践方面的差异。有必要开展脓毒症培训并实施脓毒症护理集束。
