Improving sepsis screening and care in a developing nation health setting: A description of implementation

Abstract

Evidence on sepsis screening and care in developing nations is insufficient to inform implementation practices in hospital wards. The aim of this multi-method study was to describe and evaluate the implementation of a three-step intervention (sepsis screening, alert activation, care) in five wards in Argentina in 2017. The implementation involved three stages: (1) context assessment, (2) development/participation in implementation strategies, and (3) evaluation of intervention adherence. Results were variable. The context assessment (Stage 1) demonstrated the value of education, proactivity towards care and team structures. Strategies developed (Stage 2) included sepsis screening and response guide, education, team rounding, posters, champions, audit/feedback and knowledge brokering. In Stage 3, staff screened 92% patients (506/547) for sepsis at ≥60% of set times; only 33% (21/64) patients had a sepsis alert activated when needed. A similar proportion of patients who had alerts activated (n = 16, 76%) or not (n = 32, 74%) received at least one element of care. The use of implementation strategies resulted in adherence to some aspects of the intervention. Future research is needed to improve sepsis screening and alert activation and care in this setting.

Construction and validation of a scenario for recognizing sepsis by nursing students: a methodological study

“…The validation results were positive, and the experts’ suggestions added greater quality to the scenario, which strengthened realism and expanded the specific information related to the theme. Evidence on sepsis screening and care in developing countries is insufficient to inform implementation practices in healthcare settings ( 21 ) . So, expanding knowledge and professional qualification through active and immersive methodologies, such as simulation, represents an alternative for the systematization of clinical practices, mainly in emergency and intensive care units..…”

Construção e validação de cenário para reconhecimento de sepse por estudantes de Enfermagem: estudo metodológico

“…Os resultados da validação foram positivos, e as sugestões dos especialistas agregaram maior qualidade ao cenário, o que fortaleceu o realismo e ampliou as informações específicas relacionadas à temática. Evidências sobre triagem e cuidados de sepse em países em desenvolvimento são insuficientes para informar sobre as práticas de implementação em ambientes de saúde (21) . Então, ampliar conhecimentos e qualificação profissional por meio de metodologias ativas e imersivas, como a simulação, representa uma alternativa para a sistematização de práticas clínicas, principalmente em unidades de emergência e terapia intensiva.…”