Impact of sepsis education for healthcare professionals and students on learning and patient outcomes: a systematic review

Choy, Chloe Leyi; Liaw, Sok Ying; Goh, Ee Ling; See, Kay Choong; Chua, Wei Ling

doi:10.1016/j.jhin.2022.01.004

Cited by 17 publications

(13 citation statements)

References 73 publications

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“…These findings could supplement existing sepsis education programmes which are effective in improving knowledge around sepsis and patient outcomes [38].…”

Section: Implications For Policy and Practicementioning

confidence: 74%

Preventable deaths involving sepsis in England and Wales, 2013–2022: a systematic case series of coroners’ reports

Jindal,

Launer,

France

et al. 2023

Infection

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“…These findings could supplement existing sepsis education programmes which are effective in improving knowledge around sepsis and patient outcomes [38].…”

Section: Implications For Policy and Practicementioning

confidence: 74%

Preventable deaths involving sepsis in England and Wales, 2013–2022: a systematic case series of coroners’ reports

Jindal,

Launer,

France

et al. 2023

Infection

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“…We postulate that the methods of education and training delivery may have played an integral part in the learner's learning. This is supported by a recent systematic review of 32 international studies demonstrating sepsis education and training that incorporated active learning strategies were shown to enhance learners' knowledge retention and transfer of learning to clinical practice than didactic teaching (Choy et al, 2022). Nurses should therefore be provided with experiential learning opportunities such as simulation training or rotations to critical care areas with higher sepsis caseload.…”

Section: Discussionmentioning

confidence: 89%

Nurses' knowledge and confidence in recognizing and managing patients with sepsis: A multi‐site cross‐sectional study

Chua

Teh

Basri

et al. 2022

Journal of Advanced Nursing

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Aims (1) To examine registered nurses' knowledge and confidence in recognizing and managing to patients with sepsis and (2) identify nurse and workplace factors that influence their knowledge on sepsis. Design A multi‐site, cross‐sectional survey. Methods An online survey was developed and content validated. Data was collected from registered nurses working in the inpatient wards and emergency departments of three hospitals of a single healthcare cluster in Singapore during August 2021. Statistical analyses of closed‐ended responses and content analysis of open‐ended responses were undertaken. Results A total of 709 nurses completed the survey. Nurses possessed moderate levels of knowledge about sepsis (mean score = 10.56/15; SD = 2.01) and confidence in recognizing and responding to patients with sepsis (mean score = 18.46/25; SD = 2.79). However, only 369 (52.0%) could correctly define sepsis. Nurses' job grade, nursing education level and clinical work area were significant predictors of nurses' sepsis knowledge. Specifically, nurses with higher job grade, higher nursing education level or those working in acute care areas (i.e. emergency department, high dependency units or intensive care units) were more likely to obtain higher total sepsis knowledge scores. A weak positive correlation was observed between sepsis knowledge test scores and self‐confidence (r = .184). Open comments revealed that participants desired for more sepsis education and training opportunities and the implementation of sepsis screening tool and sepsis care protocol. Conclusion A stronger foundation in sepsis education and training programs and the implementation of sepsis screening tools and care bundles are needed to enhance nurses' knowledge and confidence in recognizing and managing patients with sepsis. Impact The findings of this study are beneficial to administrators, educators and researchers in designing interventions to support nurses in their role in recognizing and responding to sepsis.

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“…Inspired by the successful ED fast tracks for patients with acute neurological or cardiac symptoms, the goal of a sepsis unit is to expedite adequate management of septic patients. Currently, the available literature on the recognition and management of septic patients in the ED indicates that various interventions may lead to improved adherence to sepsis guidelines and to better outcome (22). These include (automated) triage and alert systems, bundles, sepsis teams, and clinical pathways.…”

Section: Discussionmentioning

confidence: 99%

Sepsis Unit in the Emergency Department: Impact on Management and Outcome of Septic Patients

Lafon,

Baisse,

Karam

et al. 2023

Shock

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Study hypothesis: Implementation of a new pathway dedicated to septic patients within the emergency department (ED) would improve early management, organ dysfunction, and outcome. Methods: During phase 1, all consecutive adult patients with infection and qualifying quick Sequential Organ Failure Assessment (qSOFA) score upon ED admission were managed according to standards of care. A multifaceted intervention was then performed (implementation phase): educational program, creation of a sepsis alert upon ED admission incorporated in the professional software, together with severity scores and Surviving Sepsis Campaign (SSC) bundle reminders, and dedication of two rooms to the management of septic patients (sepsis unit). During phase 2, patients were managed according to this new organization. Results: Of the 89,040 patients admitted to the ED over the two phases, 2,643 patients (3.2%) had sepsis including 277 with a qualifying qSOFA score on admission (phase 1, 141 patients; phase 2, 136 patients). Recommendations of SSC 3-h bundle significantly improved between the two periods regarding lactate measurement (87% vs. 96%, P = 0.006), initiation of fluid resuscitation (36% vs. 65%, P < 0.001), blood cultures sampling (83% vs. 93%, P = 0.014), and administration of antibiotics (18% vs. 46%, P < 0.001). The Sequential Organ Failure Assessment score between H0 and H12 varied significantly more during phase 2 (1.9 ± 1.9 vs. 0.8 ± 2.6, P < 0.001). Mortality significantly decreased during the second phase, on day 3 (28% vs. 15%, P = 0.008) and on day 28 (40% vs. 28%, P = 0.013). Conclusion: Systematic detection, education, and per protocol organization with a sepsis unit dedicated to the early management of septic patients appear to improve compliance with SSC bundles, organ dysfunction, and short-term mortality. These results warrant to be confirmed by prospective studies.

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Impact of sepsis education for healthcare professionals and students on learning and patient outcomes: a systematic review

Cited by 17 publications

References 73 publications

Preventable deaths involving sepsis in England and Wales, 2013–2022: a systematic case series of coroners’ reports

Preventable deaths involving sepsis in England and Wales, 2013–2022: a systematic case series of coroners’ reports

Nurses' knowledge and confidence in recognizing and managing patients with sepsis: A multi‐site cross‐sectional study

Sepsis Unit in the Emergency Department: Impact on Management and Outcome of Septic Patients

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