Barriers to implementing the Sepsis Six guidelines in an acute hospital setting

British Journal of Nursing : BJN
Sarah-Jane Breen, Sharon Rees

Abstract

To identify the barriers to implementation of the Sepsis Six pathway. Research has suggested that compliance with the Sepsis Six pathway remains low. A convenience sample of doctors and nurses from one emergency department, two medical wards and two surgical wards were asked to complete a survey questionnaire. Data from 108 respondents were available for analysis. Doctors and nurses agreed that lack of sepsis recognition during observation rounds and failure to associate sepsis with deranged temperature and blood results acted as barriers to the identification of sepsis. Doctors and nurses agreed that nursing delays and knowledge deficits were the top barriers leading to delay in sepsis treatment. Knowledge deficits, lack of resources and practical issues were barriers identified in this survey. This will inform the educational and process needs of both doctors and nurses in order to improve sepsis care.

References

Apr 20, 2004·Critical Care Medicine·R Phillip DellingerUNKNOWN Surviving Sepsis Campaign Management Guidelines Committee
Nov 3, 2010·Emergency Medicine Journal : EMJ·Ron DanielsClare Galvin
Nov 15, 2011·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Mara BurneyDavid Chong
Mar 1, 2013·International Journal of Emergency Medicine·Dirkjan KakebeekeBas de Groot
Feb 24, 2016·JAMA : the Journal of the American Medical Association·Mervyn SingerDerek C Angus

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Citations

Dec 30, 2020·Journal of Continuing Education in Nursing·Sarah E Coiner, Nancy P Wingo
Dec 29, 2020·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Lauren GrippKerry A Milner
Aug 12, 2021·British Journal of Nursing : BJN·Eirian Edwards, Lorelei Jones

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Software Mentioned

Statistical Package for Social Sciences ( SPSS )

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