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Nurses' Knowledge on Sepsis Related to Mechanical Ventilation: An Intervention Study.
Emmanuel Zamokwakhe Hlungwane1, Wilma Ten Ham-Baloyi2, Portia Jordan3
1BSN, RN, Master Student, Department of Nursing Science, Nelson Mandela University, Port Elizabeth, South Africa.
The Journal of Nursing Research : JNR
|May 7, 2021
Summary
An educational intervention improved nurses' knowledge of sepsis guidelines for mechanically ventilated patients. However, monitoring visits did not enhance these improvements, indicating a need for further research into effective sepsis education strategies.
Area of Science:
- Critical Care Medicine
- Nursing Education
- Infectious Diseases
Background:
- Sepsis is a significant global health concern, particularly in South African public critical care units.
- Nurses in intensive care units (ICUs) require up-to-date knowledge of Surviving Sepsis Campaign (SSC) guidelines for managing sepsis in mechanically ventilated patients.
- Maintaining asepsis is crucial for critically ill patients, highlighting the importance of adequate nurse knowledge regarding sepsis management.
Purpose of the Study:
- To evaluate the impact of an educational intervention on nurses' knowledge and practices concerning sepsis in mechanically ventilated adult patients.
- To assess the effectiveness of different components of an educational intervention, including monitoring visits.
Main Methods:
- A quasi-experimental, pretest-posttest, two-group design was employed in five public ICUs in the Eastern Cape, South Africa.
- Data were collected using self-administered questionnaires measuring nurses' knowledge and practices related to sepsis and mechanical ventilation.
- Participants were divided into three groups: full intervention (presentation, materials, monitoring), intervention without monitoring, and a control group.
Main Results:
- Both the intervention group without monitoring and the control group showed significant increases in sepsis knowledge scores post-intervention.
- Recommended practice scores also increased significantly in the intervention group without monitoring and the control group.
- The full intervention group, including monitoring visits, demonstrated a non-significant decline in both knowledge and practice scores.
Conclusions:
- The availability of Surviving Sepsis Campaign (SSC) guidelines positively influenced nurses' knowledge of sepsis management in mechanically ventilated patients.
- Monitoring visits, as part of the educational intervention, did not yield additional benefits in improving nurses' knowledge or practices.
- Further research is needed to identify optimal educational strategies for enhancing sepsis knowledge and practices in critical care settings.
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