Table 2 Nurses’ confidence in sepsis recognition and management and its determinants

Chua et al. [1]

Singapore

Assess nurses’ confidence in recognizing and managing sepsis and explore influencing factors

Cross-sectional

Online survey

709 nurses

Moderate confidence (mean score 18.46/25), weak correlation with knowledge

• Experience

• work environment (acute care settings)

Edwards & Jones [8]

Wales

Examine the effects of sepsis training on nurses’ confidence in sepsis screening and management

Cross-sectional

Anonymous questionnaire

98 nurses

Sepsis training significantly improved confidence (25.74 vs. 23.58, p = 0.009)

• Sepsis training as a key intervention influencing confidence

Delaney et al. [9]

United States

Evaluate the impact of a sepsis educational program on nurse competence and confidence

Quasi-experimental

Knowledge assessments, Nurse Competence Scale (NCS)

82 critical care and ED nurses

Significant improvement in confidence post-program (65.89 to 87.34, p < 0.0001)

• Sepsis Educational program

Enongene, [13]

Finland

Describe the challenges nurses face in detecting and responding to sepsis

Literature review

Critical Appraisal Skill Program (CASP)

10 primary research articles

Confidence improved with experience, but newer nurses had lower confidence

• Experience

• supportive institutional environments

Jessen et al. [26]

Denmark

Investigate fluid resuscitation practices and confidence in managing sepsis patients

Cross-sectional

Survey

138 physicians, 382 nurses

59% of nurses had confidence in fluid management for septic shock

• Sepsis guidelines

Schorr et al. [10]

United States

Implement a performance improvement program to enhance nurses’ confidence in sepsis management

Multicenter performance improvement program

Plan-Do-Study-Act (PDSA) model

Nurses across 60 hospitals

100% of nurses reported improved confidence in managing severe sepsis

• Nurse-led interventions

• continuous feedback, and training