Table 1 Critical care nurses’ knowledge of sepsis management and associated factors
Author(s) | Country | Aim | Design | Tools | Sample and sample size | Main results on knowledge | Main results on factors of knowledge |
|---|---|---|---|---|---|---|---|
Öztürk Birge et al. [2] | Turkey | Determine ICU nurses’ awareness of early sepsis identification. | Cross-sectional | Sequential Organ Failure Assessment (SOFA) | ICU nurses, N = 544 | Significant gaps in recognizing lactate levels, leucopenia, hypothermia. | • Clinical experience • Recent Sepsis Exposure • training |
Chua et al. [1] | Singapore | Assess nurses’ knowledge in recognizing and managing sepsis. | Cross-sectional | Online survey | Registered nurses, N = 709 | Moderate knowledge (mean score 10.56/15), 52% could define sepsis. | • Higher job grades • advanced education • working in acute care settings |
Nucera et al. [3] | Italy | Assess the knowledge and attitudes of nurses towards sepsis management. | Quasi-experimental | Questionnaire based on 2016 SSC guidelines | Nurses and physicians, N = 132 nurses | 81% had good knowledge of risk procedures, 42.3% had adequate early sepsis knowledge. | • Recent training |
Rababa et al. [5] | Jordan | Examine critical care nurses’ knowledge, attitudes, practices, and decision-making skills in sepsis. | Descriptive | Sepsis vignette, NDMI, KAP survey | Critical care nurses, N = 70 | Poor KAP scores, knowledge mean score 4.7 ± 2.0. | • Higher education • clinical experience • analytical decision-making mode |
Goulart et al. [4] | Brazil | Evaluate nurses’ knowledge about Sepsis-3 definitions. | Cross-sectional | Validated questionnaire | Nurses, N = 30 | 30% correctly identified Sepsis-3 definition. | • Older & more experienced nurses |
Zanaty et al. [6] | Egypt | Assess ICU nurses’ knowledge about sepsis bundle in critically ill patients. | Descriptive exploratory | Structured interview questionnaire | ICU nurses, N = 50 | 68% had unsatisfactory knowledge, mean score 43.82/63. | • Higher education. |
Salameh & Aboamash, [23] | Palestine | Investigate the knowledge related to sepsis and sepsis management among emergency nurses. | Cross-sectional | Self-administered questionnaire | Emergency nurses, N = 243 | 47.7% had poor sepsis knowledge. | • Emergency room experience • sepsis training. |
Storozuk et al. [20] | Canada | Assess the knowledge of sepsis among emergency department nurses. | Descriptive cross-sectional | Survey including questions on SIRS, sepsis definitions | Emergency nurses, N = 312 | Mean knowledge score of 51.8%, gaps in SIRS recognition. | • Mandatory recertification • sepsis training |
Stamataki et al. [19] | Greece | Assess nurses’ knowledge regarding sepsis in 14 tertiary hospitals. | Cross-sectional survey | Self-completed questionnaire | Registered nurses, N = 835 | Majority recognized temperature changes, gaps in recognizing tachycardia and tachypnea. | • Higher education |
Van den Hengel et al. [24] | Netherlands | Examine factors influencing ED nurses’ knowledge of SIRS and sepsis. | Prospective multi-center study | Validated questionnaire | Emergency nurses, N = 216 | Mean knowledge score 15.9/29, higher knowledge in ICU hospitals. | • Sepsis education in the last year • working in large ICU hospitals. |
Regina et al. [25] | Switzerland | Assess sepsis awareness and knowledge among healthcare professionals. | Cross-sectional survey | Survey | Healthcare professionals (nurses, physicians, paramedics), N = 1116 | 13% correctly identified Sepsis-3 definition. | • Recent training on sepsis. |
Alaro et al. [15] | Ethiopia | Assess knowledge and associated factors towards sepsis management in ED nurses. | Cross-sectional | Self-administered structured questionnaire | ED nurses, N = 127 | 57% had poor knowledge regarding sepsis management. | • Formal training • higher educational level, more experience. |
Roye-Green et al. [14] | Jamaica | Evaluate healthcare workers’ knowledge, attitudes, and practices regarding sepsis. | Cross-sectional | Anonymous self-administered questionnaire | Healthcare workers, N = 616 | 69.3% could correctly define sepsis. | • Postgraduate training, specialty in Emergency or Internal Medicine |
de Souza et al. [7] | Brazil | Assess nurses’ knowledge of septic shock. | Descriptive | Validated questionnaire | Nurses, N = 41 | More than 80% could identify infection, fever, heart rate. | • better knowledge of hyperglycemia and oxygen saturation. |