Evaluating sepsis training for medical students and nonphysicians in Malawi

Marshall-Brown, P.; Namboya, Felix; Pollach, Gregor

doi:10.1016/j.jclinane.2016.05.013

Cited by 11 publications

(10 citation statements)

References 14 publications

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“…Studies on sepsis teaching in undergraduate healthcare curricula are limited. However, few published studies have highlighted weakness in sepsis teaching for medical and nursing students and the findings of survey corroborate with previous reports in the literature 14,15 Similar findings have also been echoed in a study involving…”

Section: Discussionsupporting

confidence: 89%

“…At present, there are limited studies regarding teaching of medical and dental students to recognise sepsis and there is evidence that healthcare students and qualified professionals in primary care setting may lack the knowledge and confidence to recognise and manage sepsis. 13,14 The aim of this study was to evaluate sepsis on undergraduate programmes in medicine, dentistry and dental therapy at a university in England.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of sepsis teaching for medical and dental students at a British University

Ali

Venkatasami

Zahra

et al. 2021

Eur J Dental Education

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Introduction:The aim of this study was to evaluate sepsis on undergraduate programmes in medicine (BMBS), dentistry (BDS) and dental therapy (BScDTH) at a university in England. Materials and Methods:The study was carried out at the Faculty of Health, University of Plymouth. Questionnaires consisting of a series of closed and open-ended items were designed for students and faculty by a group of academics. Following a pilot, participants were invited to complete the questionnaires online. Data collection and analyses were completed over a period of 3 months.Results: A total of 71 students responded, including 43 were on the BDS programme, 21 on BMBS and 7 on BScDTH. The vast majority were aged between 18-24 years old (n = 61), with 9 reporting being between 25-44 years old. Of the 14 staff who responded, 13 were aged between 35 and 54 years old, with one respondent reporting being aged 25-34. The participants reported their perceptions regarding the teaching and clinical exposure of students to sepsis patients; availability of resources for students and patients to raise sepsis awareness. Students across all programmes reported limited clinical exposure to management of sepsis and lack of confidence in recognising early signs of sepsis in patients. The agreement profile between programmes only differed significantly for recognition of sepsis risk item (χ(6, n = 71) = 26.187, p < 0.001), with BDS students disagreeing with the item to a larger extent than BMBS and BScDTH students. Students and staff reported similar perceptions regarding information available to students and patients. Responses to open-ended items provided several suggestions for improvements in the teaching of students and raising public awareness on sepsis. Conclusion:This study identified several areas related to sepsis teaching which require improvements across all programmes. The key issues highlighted by the students included limited clinical exposure to sepsis patients and lack of confidence in recognising early signs of sepsis.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Evaluation of sepsis teaching for medical and dental students at a British University

Ali

Venkatasami

Zahra

et al. 2021

Eur J Dental Education

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“…Our study shows that training and certain professional qualifications are associated with higher levels of knowledge on maternal sepsis (knowledge was lower among nurses and midwives as compared to physicians and residents). Prior evidence supports the finding that training has the ability to influence provider awareness of sepsis identification and management, with some research also showing an effect on sepsis mortality [27, 28, 37]. Other studies have shown evidence that awareness campaigns can change provider knowledge [7, 8, 32, 38].…”

Section: Discussionmentioning

confidence: 78%

“…We developed a 32-question survey to gather information on healthcare provider awareness on maternal sepsis, based on the literature and findings from the qualitative analysis [2, 23, 27–29]. The surveys were distributed primarily through an online platform, SurveyMonkey or Qualtrics, allowing us to reach a large audience.…”

Section: Methodsmentioning

confidence: 99%

Factors influencing awareness of healthcare providers on maternal sepsis: a mixed-methods approach

et al. 2019

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Background An awareness campaign set to accompany the Global Maternal Sepsis Study (GLOSS) was launched in 2017. In order to better develop and evaluate the campaign, we sought to understand the factors that influence awareness of maternal sepsis by exploring healthcare providers’ knowledge, perception of enabling environments, and perception of severity of maternal sepsis. Methods We used a mixed-methods approach that included 13 semi-structured interviews to GLOSS regional and country coordinators and 1555 surveys of providers working in GLOSS participating facilities. Directed content analysis and grounded theory were used for qualitative analysis, based on a framework including four overarching themes around maternal health conditions, determinants of maternal health, barriers and facilitators to sepsis identification and management, plus 24 additional sub-topics that emerged during the interviews. Descriptive statistics for frequencies and percentages were used for the quantitative analysis; significance was tested using Pearson χ 2 . Logistic regressions were performed to adjust for selected variables. Results Analysis of interviews described limited availability of resources, poor quality of care, insufficient training and lack of protocols as some of the barriers to maternal sepsis identification and management. Analysis from the quantitative survey showed that while 92% of respondents had heard of maternal sepsis only 15% were able to correctly define it and 43% to correctly identify initial management. Provider confidence, perceived availability of resources and of a supportive environment were low (33%, 38%, and 48% respectively). Overall, the predictor that most explained awareness was training. Respondents from the survey and interviewees identified sepsis among the main conditions affecting women at their facilities. Conclusions Awareness on maternal sepsis, while acknowledged as important, remains low. Healthcare providers need resources and support to feel confident about the correct identification and management of sepsis, as a prerequisite for the improvement of awareness of maternal sepsis. Similarly, providers need to know about maternal sepsis and its severity to understand the importance of reducing sepsis-related mortality and morbidity. Awareness raising campaigns can help bring neglected maternal health conditions, such as sepsis, to the forefront of global and local agendas. Electronic supplementary material The online version of this article (10.1186/s12889-019-6920-0) contains supplementary material, which is available to authorized users.

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“…It is a considerable challenge to describe institutional practice and, where necessary, to alter institutional behaviour in order to deliver the best treatment to the right patients at the right time [ 68 ]. There are encouraging precedents in the literature, where quality improvement projects in Africa have demonstrated improvements in knowledge and behaviours of healthcare professionals in relation to sepsis management [ 69 - 71 ].…”

Section: Essaymentioning

confidence: 99%

Improving sepsis care in Africa: an opportunity for change?

Keeley¹,

Nsutebu²

2021

Pan Afr Med J

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Sepsis is common and represents a major public health burden with significant associated morbidity and mortality. However, despite substantial advances in sepsis recognition and management in well-resourced health systems, there remains a distinct lack of research into sepsis in Africa. The lack of evidence affects all levels of healthcare delivery from individual patient management to strategic planning at health-system level. This is particular pertinent as African countries experience some of the highest global burden of sepsis. The 2017 World Health Assembly resolution on sepsis and the creation of the Africa Sepsis Alliance provided an opportunity for change. However, progress so far has been frustratingly slow. The recurrent Ebola virus disease outbreaks and the COVID-19 pandemic on the African continent further reinforce the need for urgent healthcare system strengthening. We recommend that African countries develop national action plans for sepsis which should address the needs of all critically ill patients.

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Evaluating sepsis training for medical students and nonphysicians in Malawi

Cited by 11 publications

References 14 publications

Evaluation of sepsis teaching for medical and dental students at a British University

Evaluation of sepsis teaching for medical and dental students at a British University

Factors influencing awareness of healthcare providers on maternal sepsis: a mixed-methods approach

Improving sepsis care in Africa: an opportunity for change?

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