Bartulewicz Nicole, Serafin Lena, Czarkowska-Pączek Bożena
Department of Clinical Nursing, Health Sciences Faculty, Medical University of Warsaw, Erazma Ciołka Street 27, 01-445 Warsaw, Poland.
Nurs Rep. 2025 May 30;15(6):195. doi: 10.3390/nursrep15060195.
: Nurses play a fundamental role in identifying the early symptoms of sepsis and thereby contribute to early diagnosis and prevention, which decreases complications and mortality rates and lowers the cost of care. This study aimed to evaluate nurses' knowledge of sepsis and to analyze its relationship with attitude, self-assessment, and sociodemographic variables. : A correlational, cross-sectional study was conducted. A total of 293 nurses in Poland using a validated tool, the Nurses' Attitudes and Knowledge about Sepsis Scale (NAKSeS), which assesses both knowledge and attitudes toward sepsis. The instrument included two knowledge subscales (Factor 1: knowledge of pathogenesis, treatment, and prevention; Factor 2: knowledge of nursing actions), an attitude subscale, and a self-assessment item. Sociodemographic data included age, seniority, voluntary postgraduate education, current workplace, and place of residence. : Nurses demonstrated moderate levels of general knowledge, Factor 1, Factor 2, attitude toward sepsis, and self-assessed knowledge. Higher scores across all domains were observed among nurses who had completed postgraduate education, cited professional experience or books as key sources of knowledge, and worked in high-acuity settings such as intensive care units, emergency departments, or pediatric wards. Nurses working in larger cities scored significantly higher in general knowledge and Factor 1 compared to those in smaller towns or rural areas. Additionally, greater age and longer work experience were positively associated with more favorable attitudes and higher self-assessed knowledge, although negatively correlated with some knowledge scores. : Nurses' knowledge and attitudes toward sepsis were influenced by the source of education and clinical exposure, with significantly better outcomes observed among those with postgraduate training and experience in high-acuity settings. These findings underscore the need to strengthen sepsis education across all levels of nursing curricula and promote accessible, continuous professional development supported by validated assessment tools.
护士在识别脓毒症的早期症状方面发挥着重要作用,从而有助于早期诊断和预防,这可降低并发症和死亡率,并降低护理成本。本研究旨在评估护士对脓毒症的认知,并分析其与态度、自我评估和社会人口统计学变量之间的关系。
开展了一项相关性横断面研究。在波兰,共有293名护士使用经过验证的工具——护士对脓毒症的态度和知识量表(NAKSeS),该量表评估对脓毒症的知识和态度。该工具包括两个知识子量表(因素1:发病机制、治疗和预防知识;因素2:护理行动知识)、一个态度子量表和一个自我评估项目。社会人口统计学数据包括年龄、资历、自愿接受的研究生教育、当前工作场所和居住地点。
护士在一般知识、因素1、因素2、对脓毒症的态度和自我评估知识方面表现出中等水平。在完成研究生教育、将专业经验或书籍作为主要知识来源且在重症监护病房、急诊科或儿科病房等高 acuity 环境中工作的护士中,所有领域的得分都更高。与在较小城镇或农村地区工作的护士相比,在大城市工作的护士在一般知识和因素1方面的得分显著更高。此外,年龄越大和工作经验越长与更积极的态度和更高的自我评估知识呈正相关,尽管与某些知识得分呈负相关。
护士对脓毒症的知识和态度受教育来源和临床接触的影响,在接受过研究生培训且有高 acuity 环境工作经验的护士中观察到明显更好的结果。这些发现强调了在各级护理课程中加强脓毒症教育的必要性,并促进在经过验证的评估工具支持下的可及、持续专业发展。