Effect of Nursing Knowledge Education Program on Early Detection and Management of Patients with Sepsis
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Abstract
A quasi-experimental research was conducted with one group pretest-posttest research design. The aim of this study was to determine the effects of a nursing knowledge education program on early detection and management of patients with sepsis. Bloom’s taxonomy framework and literature reviews related to sepsis were used as a conceptual framework. Sixty-five registered nurses who were working in medicine wards at Saint Louis hospital were purposively recruited into the study. Eighteen medical records of patients who met 2 of 4 SIRS criteria and suspected infection received continuing care from December 2017 to January 2018 were reviewed. Tools used for data collection consist of 5 questionnaires: 1. Personal Information Record, 2. Questionnaire about the knowledge on assessment of patients with early sepsis, 3. Questionnaire about management of patients with early sepsis, 4. nursing practice record form, and 5. patient’s case record form. Data were analyzed using descriptive statistics, paired t-test statistics, and Wilcoxon signed-rank test.
Most of registered nurses were female and 98.5% were in the age ranged from 23 to 45 years. Before entering the program, the registered nurses had a knowledge mean score of 22.98 (SD=2.52) and a management mean score of 41.62 (SD=2.96). After finishing the program, the knowledge average score and management mean score significantly increased to 30.78 (SD=2.53) and 47.15 (SD=1.73), respectively (p<0.05). In term of nursing practice after completion of the program, all nurses had timely notified a physician when patients had SOS Score > 4 points. Seventy-five percent and 100% of patients with sepsis could be transferred to the ICU within 6 hours at 4-week and 8-week after program completion.
An educational program for early detection and management of patients with sepsis helps a registered nurse to improve the knowledge for early detection and appropriate management of sepsis. Since knowledges regarding sepsis are constantly changing, periodic training should be encouraged to continually develop care that delivers safety outcomes to patients
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References
Ministry of public health. Public health statistics [internet]. 2019 [cited 2019 Sep 4]. Available from: https://healthkpi.moph.go.th/kpi/kpi-list/view/?id=964 (in Thai)
Champunot R, Tansuphaswasdikul S, Kamsawang N, Tuandoung P, Thimsri D. Application of Search Out Severity (SOS) score for identification of deteriorating patients in general wards. Buddhachinaraj medical journal 2016; 33(3): 313 - 25. (in Thai)
Jeffery AD. Knowledge and recognition of systemic inflammatory response syndrome and sepsis among pediatric nurses. Kentucky: Northern Kentucky University; 2011.
Thuamklad O, Janepanish P, Siripitiyakunkit A. Knowledge for detection and management in the early stage of septic shock patients and related factors among registered nurses in a university affiliated hospital. Rama Nurs J 2014; 20(2): 207-20. (in Thai)
Bloom BS. Taxonomy of education objective: The classification of educational goals: Handbook I: Cognitive domain. New York: David Mckay; 1994.
Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach, Opal SM, et al. Surviving Sepsis Campaign: International guideline for management of severe sepsis and septic shock 2012. Crit Care Med 2013; 41(2): 580-37.
Gabriella N, Anna E, Naomi T, Chiara J, Pietro M. Physicians’ and nurses’ knowledge and attitudes in management of sepsis: An Italian study. Journal of Health and Social Sciences 2018; 3(1): 13-26.
Kaukonen K, Michael B, David P, Jamic D and Rinaldo B. Systemic Inflammatory Response syndrome Criteria in Defining Severe Sepsis. N Eng J Med 2015; 372(17): 1629 - 38.
Ozdemir et al. The Develment of Nurses’ Individualized Care Perceptions and Practices: Benner’s Novice to Expect Model Perspective. International Journal of Caring Sciences 2019; 12(2): 1279-85.
Stamataki P, Papazafiropoulou A, Kalaitzi S, Sarafis P, Kagialari M, Adamou E et al. Knowledge regarding assessment of sepsis among Greek nurses. Journal of Infection Prevention M 2013; 15(2): 58-63.
Beth M, Bridges E. Managing Sepsis and Septic shock: current Guidelines and definition. AJN 2014; 118(2): 34 - 9.
