https://doi.org/10.4081/hls.2024.12796
Self-reported practices of sepsis and septic shock among health care providers working at intensive care units at tertiary hospitals in Jordan
Submitted: 10 July 2024
Accepted: 29 July 2024
Published: 30 August 2024
Accepted: 29 July 2024
Abstract Views: 113
PDF: 86
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Self-reported practices of sepsis and Septic Shock (SS) among healthcare providers were rarely discussed in the literature. The aim of the study was to describe the level of adherence among nurses and physicians to the self-reported practices of sepsis and SS treatment in six Intensive Care Units (ICU) of two tertiary hospitals in Jordan. A cross-sectional descriptive design was used. A questionnaire was administered to 119 nurses and physicians. Descriptive statistics were used to describe sample characteristics and practices of sepsis treatment. The results showed that most nurses and physicians reported they “often” or “always” adhere to these practices. However, there was insufficient adherence to using a prone position in patients with sepsis-induced acute respiratory distress syndrome. Moreover, there was insufficient practice of testing serum lactate levels within one hour of diagnosing patients. Nurses’ and physicians’ self-reported adherence to sepsis and SS treatment is satisfactory, but further improvement is required.
Centers for Disease Control and Prevention (CDC). About Sepsis. Available from: https://www.cdc.gov/sepsis/about/index.html
Lopansri BK, Miller III RR, Burke JP, et al. Physician agreement on the diagnosis of sepsis in the intensive care unit: estimation of concordance and analysis of underlying factors in a multicenter cohort. J Intensive Care 2019;7:1-17.
DOI: https://doi.org/10.1186/s40560-019-0368-2
Kleinpell R, Blot S, Boulanger C, et al. International critical care nursing considerations and quality indicators for the 2017 surviving sepsis campaign guidelines. Intensive Care Med 2019;45:1663-6.
DOI: https://doi.org/10.1007/s00134-019-05780-1
Burney M, Underwood J, McEvoy S, et al. Early detection and treatment of severe sepsis in the emergency department: identifying barriers to implementation of a protocol-based approach. J Emerg Nurs 2012;38:512-7.
DOI: https://doi.org/10.1016/j.jen.2011.08.011
Rudd KE, Johnson SC, Agesa KM, et al. Global, regional, and national sepsis incidence and mortality, 1990–2017: analysis for the Global Burden of Disease Study. Lancet 2020;395:200-11.
DOI: https://doi.org/10.1016/S0140-6736(19)32989-7
Kleinpell R. Promoting early identification of sepsis in hospitalized patients with nurse-led protocols. Crit Care 2017;21:1-3.
DOI: https://doi.org/10.1186/s13054-016-1590-0
Tuttle E, Wang X, Modrykamien A. Sepsis mortality and ICU length of stay after the implementation of an intensive care team in the emergency department. Intern Emerg Med 2023;18:1789-96.
DOI: https://doi.org/10.1007/s11739-023-03265-0
Paul R, Niedner M, Riggs R, et al. Bundled Care to Reduce Sepsis Mortality: The Improving Pediatric Sepsis Outcomes (IPSO) Collaborative. Pediatrics 2023;152:e2022059938.
DOI: https://doi.org/10.1542/peds.2022-059938
Heppner HJ, Singler K, Kwetkat A, et al. Do clinical guidelines improve management of sepsis in critically ill elderly patients? A before-and after study of the implementation of a sepsis protocol. Wien Klin Wochenschr 2012;124:692-8.
DOI: https://doi.org/10.1007/s00508-012-0229-7
Shorr A, Micek S, Jackson Jr W, Kollef M. Economic implications of an evidence-based sepsis protocol: can we improve outcomes and lower costs? Critical Care Med 2007;35:1257-62.
DOI: https://doi.org/10.1097/01.CCM.0000261886.65063.CC
Suarez D, Ferrer R, Artigas A, et al. Cost-effectiveness of the Surviving Sepsis Campaign protocol for severe sepsis: a prospective nation-wide study in Spain. Intensive Care Med 2011;37:444-52.
DOI: https://doi.org/10.1007/s00134-010-2102-3
Rehmani RS, Memon JI, Al-Gammal A. Implementing a collaborative sepsis protocol on the time to antibiotics in an emergency department of a Saudi hospital: quasi randomized study. Critic Care Research Practice 2014;2014:410430.
DOI: https://doi.org/10.1155/2014/410430
Bruce HR, Maiden J, Fedullo PF, Kim SC. Impact of nurse-initiated ED sepsis protocol on compliance with sepsis bundles, time to initial antibiotic administration, and in-hospital mortality. J Emerg Nurs 2015;41:130-7.
DOI: https://doi.org/10.1016/j.jen.2014.12.007
Giuliano KK, Lecardo M, Staul L. Impact of protocol watch on compliance with the surviving sepsis campaign. Am J Crit Care 2011;20:313-21.
DOI: https://doi.org/10.4037/ajcc2011421
Wang H, Shapiro N, Angus D, Yealy D. National estimates of severe sepsis in United States emergency departments. Critrc Care Med 2007;35:1928-36.
DOI: https://doi.org/10.1097/01.CCM.0000277043.85378.C1
Rhodes A, Evans LE, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive Care Med 2017;43:304-77.
DOI: https://doi.org/10.1007/s00134-017-4683-6
Levy M, Evans L, Rhodes A. The surviving sepsis campaign bundle: 2018 update. Intensive Care Med 2018;44:925-8.
DOI: https://doi.org/10.1007/s00134-018-5085-0
Uvizl R, Adamus M, Cerny V, et al. Patient survival, predictive factors and disease course of severe sepsis in Czech intensive care units: A multicentre, retrospective, observational study. Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia 2016;160:287-97.
DOI: https://doi.org/10.5507/bp.2015.052
Bloos F, Thomas-Rüddel D, Rüddel H, et al. Impact of compliance with infection management guidelines on outcome in patients with severe sepsis: a prospective observational multi-center study. Critical Care 2014;18:1-10.
DOI: https://doi.org/10.1186/cc13755
Li H, Yu X, Zhou R, et al. Knowledge of and compliance with surviving sepsis campaign guidelines among anesthesiologists: a nationwide survey in China. J Healthc Eng 2021;2021:1877166.
DOI: https://doi.org/10.1155/2021/1877166
Harley A, Johnston A, Denny K, et al. Emergency nurses’ knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study. Int Emerg Nurs 2019;43:106-12.
DOI: https://doi.org/10.1016/j.ienj.2019.01.005
Al Omar S, Alshraideh JA, Khassawneh B, Muhaisen SM. The prevalence of sepsis and septic shock in a middle-income country: experience of two tertiary hospitals in Jordan. J Critic Intensive Care 2021;12:75-80.
DOI: https://doi.org/10.37678/dcybd.2021.2795
Abu-Humaidan AH, Ahmad FM, Al-Binni MA, et al. Characteristics of adult sepsis patients in the intensive care units in a tertiary hospital in Jordan: an observational study. Crit Care Res Pract 2021:2741271.
DOI: https://doi.org/10.1155/2021/2741271
Rababa M, Bani-Hamad D, Hayajneh AA, Al Mugheed KJ. Nurses' knowledge, attitudes, practice, and decision-making skills related to sepsis assessment and management. Electronic J General Med 2022;19:em420 25. Drahnak D, Hravnak M, Ren D, et al. Scripting nurse communication to improve sepsis care. Medsurg Nursing 2016;25:233-9.
DOI: https://doi.org/10.29333/ejgm/12556
Gao F, Melody T, Daniels D, et al. The impact of compliance with 6-hour and 24-hour sepsis bundles on hospital mortality in patients with severe sepsis: a prospective observational study. Critical Care Med 2005;9:764-70.
Khwannimit B, Bhurayanontachai R. The epidemiology of, and risk factors for, mortality from severe sepsis and septic shock in a tertiary-care university hospital setting. Epidemiol Infect 2009;137:1333-41.
DOI: https://doi.org/10.1017/S0950268809002027
Suntornlohanakul O, Khwannimit B. A comparison of residents’ knowledge regarding the surviving sepsis campaign 2012 guideline. Indian Soc Critical Care Med 2017;21:69-74.
DOI: https://doi.org/10.4103/ijccm.IJCCM_282_16
Tufan ZK, Eser FC, Vudali E, et al. The knowledge of the physicians about sepsis bundles is suboptimal: A multicenter survey. J Clin Diagn Res 2015;9:13-6.
DOI: https://doi.org/10.7860/JCDR/2015/12954.6220
IBM Corp G. Statistical Package for the Social Sciences (SPSS). 2015. Available from: https://www.ibm.com/products/spss-statistics
Stamataki P, Papazafiropoulou A, Kalaitzi S, et al. Knowledge regarding assessment of sepsis among Greek nurses. J Infect Prev 2014;15:58-63.
DOI: https://doi.org/10.1177/1757177413513816
Pestana D, Espinosa E, Sangueesa-Molina JR, et al. Compliance with a sepsis bundle and its effect on intensive care unit mortality in surgical septic shock patients. J Trauma Acute Care Surg 2010;69:1282-7.
DOI: https://doi.org/10.1097/TA.0b013e3181c4539f
Durthaler JM, Ernst FR, Johnston JA. Managing severe sepsis: a national survey of current practices. Am J Health Syst Pharm 2009;66:45-53.
DOI: https://doi.org/10.2146/ajhp080067
Mathenge E. Knowledge, attitudes and practices of sepsis management at Moi Teaching and Referral Hospital, Kenya. 2015. Available from: https://dukespace.lib.duke.edu/items/3c1f9853-0758-41ef-917a-b6a4b6a973ed
Roberts RJ, Alhammad AM, Crossley L, et al. A survey of critical care nurses’ practices and perceptions surrounding early intravenous antibiotic initiation during septic shock. Intensive Crit Care Nursing 2017;41:90-7.
DOI: https://doi.org/10.1016/j.iccn.2017.02.002
How to Cite
Al Omar, S., Alshraideh , J. A., Oweidat, I., & Alhamory, S. (2024). Self-reported practices of sepsis and septic shock among health care providers working at intensive care units at tertiary hospitals in Jordan. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.12796
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.