Emergency nurses’ knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study

A Harley; A N B Johnston; K J Denny; G Keijzers; J Crilly; Deborah Massey

doi:10.1016/j.ienj.2019.01.005

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Emergency nurses’ knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study

Journal article

Peer reviewed

Emergency nurses’ knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study

A Harley, A N B Johnston, K J Denny, G Keijzers, J Crilly and Deborah Massey

International Emergency Nursing, Vol.43, pp.106-112

2019

DOI: https://doi.org/10.1016/j.ienj.2019.01.005

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Abstract

emergency department

sepsis

nurse

identification

recognition

response

management

qSOFA

SIRS

Aim: Sepsis is a significant and time-sensitive clinical concern for patients who present to Emergency Departments (EDs). Existing guidelines do not define nurses' roles in managing sepsis. This study explored ED nurses' experiences and perceptions around recognising and responding to patients with sepsis, and their awareness of sepsis screening and prognostic tools. The knowledge and insights gained from this study may be used to inform local and international ED policies, and enrich nursing educational packages that may be used to improve quality of patient care and patient outcomes. Methods: Qualitative design incorporating semi-structured interviews with 14 ED nurses was undertaken. Thematic and consensus-based content analyses were used to explore transcripts. Findings: Six key themes were identified; (1) contribution of the organisation, (2) appreciation of knowledge, (3) appreciation of clinical urgency, (4) appreciation of importance of staff supervision, (5) awareness of the importance of staff experience, and (6) awareness of the need to seek advice. Conclusion: ED nurses' identified deficits in their capacity to recognise and respond to patients with sepsis, despite their vital role within the multidisciplinary team that cares for patients with sepsis. The knowledge and insights gained from this study can be used to inform ED policies, to enrich context-specific educational packages that aim to improve quality of patient care and outcomes and identify areas for further research. Development and implementation of a nurse-inclusive sepsis pathway may address many deficits identified in this study.

Details

Title: Emergency nurses’ knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study
Authors: A Harley (Author) - Gold Coast Health
A N B Johnston (Author) - Gold Coast Health
K J Denny (Author) - Gold Coast Health
G Keijzers (Author) - Gold Coast Health
J Crilly (Author) - Gold Coast Health
Deborah Massey (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & Paramedicine
Publication details: International Emergency Nursing, Vol.43, pp.106-112
Publisher: Elsevier Ltd.
Date published: 2019
DOI: 10.1016/j.ienj.2019.01.005
ISSN: 1755-599X
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99450771902621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Nursing

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