Identifying barriers and attitudes towards sepsis screening Version 1
Research type
Research Study
Full title
Identifying barriers and attitudes towards sepsis screening and the delivery of the sepsis six bundle among ward based nurses
IRAS ID
256971
Contact name
LORELEI JONES
Contact email
Sponsor organisation
Bangor University
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
0 years, 11 months, 26 days
Research summary
Research question: Identifying barriers and attitudes towards sepsis screening and the delivery of the sepsis six bundle among ward-based nurses.
Sepsis is a severe systemic inflammatory response to an infection, which can be life threatening, and can lead to severe sepsis with organ dysfunction when it is not recognised and treated early. Screening for Sepsis allows early detection to patients with potential sepsis, and nurses are in a prime position to carry out sepsis screening as part of their daily routine (McCaffery et al, 2016). All Wales healthcare organisations have reached a consensus on the use of Sepsis 6 within an hour of the patient identified as having sepsis (Daniels et al, 2011). In Wales, all patient with NEWS (National Early Warning Score) of 3 or more should be screened for sepsis (Hancock, 2015).
Identifying sepsis early and providing immediate intervention, i.e. sepsis 6 within 1 hour of screening positive for sepsis, which can be initiated by nurses, will help to prevent patients developing septic shock. However, Szakmany et al (2016) found that only 26% of septic positive patient had been screened for sepsis, and only 12% had the sepsis 6 bundle completed in a multicentre prospective observational study of the prevalence of patients with Sepsis or severe sepsis on the general wards and Emergency departments (ED) in Wales. This study was carried out over a 24hour period which included all patients with NEWS (National Early Warning Score) ≥3 were screened for Sepsis using the SIRS criteria.
Identifying potential barriers and attitudes as to why ward nurses are not screening patient for sepsis and initiating the sepsis 6 bundle will provide an opportunity to overcome potential barriers and change attitudes to improve sepsis screening, bundle compliance and identify education and training needs.REC name
N/A
REC reference
N/A