Challenges in Detecting Sepsis and Responding to Patients with Sepsis in Critical Care Nursing : a descriptive literature review
Enongene, Ejeumah Rodrique (2022)
2022
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202303022993
https://urn.fi/URN:NBN:fi:amk-202303022993
Tiivistelmä
Sepsis is a global health problem and a major cause of death worldwide. Severe sepsis can cause organ failure and death without timely detection and prompt treatment commenced in one hour, a challenge for nurses. The purpose of this study was to describe the challenges in detecting sepsis and responding to patients with sepsis in critical care nursing. The aim was to produce new knowledge that will help critical care nurses to improve care of sepsis patients and nursing practices in critical care. The study questions were: what are the challenges in detecting sepsis in critical care nursing and what are the challenges in responding to patients with sepsis in critical care nursing?
This descriptive literature review used data gathered from Cinahl and Medline databases and a total of ten primary research articles about sepsis in Emergency Departments (ED) and Intensive Care Units (ICU) in the United Kingdom, America, Australia, Malaysia and Europe were chosen for inductive content analysis, after carefully assessing the quality of each article with the Critical Appraisal Skill Program (CASP) criteria.
The major challenges identified from study results were lack of experience and knowledge in sepsis, knowledge deficit in monitoring and interpreting vitals, lack of nursing staff and other resources, excessive workload and less time for assessing patients, poor teamwork and leadership among staff, communication errors at handover and poor interdisciplinary communication during patient care, as the challenges in detecting sepsis and responding to patients with sepsis in critical care nursing.
This study found that critical care nurses face many challenges in detecting sepsis and responding to patients with sepsis. These findings are important challenges that provide key insights regarding care of septic patients, improvement of nursing practices to better care for these patients and empowering students who aspire to be future critical care nurses.
This descriptive literature review used data gathered from Cinahl and Medline databases and a total of ten primary research articles about sepsis in Emergency Departments (ED) and Intensive Care Units (ICU) in the United Kingdom, America, Australia, Malaysia and Europe were chosen for inductive content analysis, after carefully assessing the quality of each article with the Critical Appraisal Skill Program (CASP) criteria.
The major challenges identified from study results were lack of experience and knowledge in sepsis, knowledge deficit in monitoring and interpreting vitals, lack of nursing staff and other resources, excessive workload and less time for assessing patients, poor teamwork and leadership among staff, communication errors at handover and poor interdisciplinary communication during patient care, as the challenges in detecting sepsis and responding to patients with sepsis in critical care nursing.
This study found that critical care nurses face many challenges in detecting sepsis and responding to patients with sepsis. These findings are important challenges that provide key insights regarding care of septic patients, improvement of nursing practices to better care for these patients and empowering students who aspire to be future critical care nurses.