Early Recognition of Pediatric Sepsis Simulation Checklist - An Exploratory Study
Desiree A Diaz1, Mindi Anderson1, Susan B Quelly1
1University of Central Florida, Orlando, FL, United States of America.
Journal of Pediatric Nursing
|November 2, 2019
Summary
A modified 16-item checklist aids nursing students in recognizing pediatric sepsis early. The checklist identifies two key factors: assessment and deterioration, crucial for timely intervention in pediatric sepsis detection.
Area of Science:
- Pediatric critical care medicine
- Nursing education
- Sepsis detection
Background:
- Early detection of pediatric sepsis is critical for improving patient outcomes.
- Nursing students require effective tools to recognize sepsis indicators.
- Clinical simulation offers a safe environment for skill development.
Purpose of the Study:
- To modify and explore a 21-item checklist for early pediatric sepsis detection.
- To enhance nursing students' recognition of key sepsis factors via simulation.
- To validate a tool for assessing sepsis knowledge in pre-licensure nursing students.
Main Methods:
- A 16-item Early Detection of Pediatric Sepsis Assessment Checklist was adapted.
- 131 undergraduate nursing students participated in high-fidelity manikin simulations.
- Categorical Principle Component Analysis was employed to determine factor structure.
Main Results:
- Two factors, 'assessment' and 'deterioration,' emerged, explaining 68% of the variance.
- The 'assessment' factor (9 items) measured vital signs and medication administration.
- The 'deterioration' factor (7 items) focused on recognizing changes from baseline.
Conclusions:
- The 16-item checklist effectively identifies core skills for early pediatric sepsis detection.
- The factors 'assessment' and 'deterioration' are central to recognizing sepsis in pediatric patients.
- This checklist can assess student knowledge and potentially evaluate new graduate readiness in simulation.
