Are nurses updated on the proper management of patients with sepsis?
Layala de Souza Goularta b, Marcos Antônio Ferreira Júniora b, Elaine Cristina Fernandes Baez Sartia b, Álvaro Francisco Lopes de Sousac d, Adriano Menis Ferreiraa b, Oleci Pereira Frotaa b
- aUniversidade Federal de Mato Grosso do Sul, Brasil
- bUniversidade Federal de Mato Grosso do Sul. Campo Grande, MS, Brasil
- cUniversidade Nova de Lisboa, Portugal
- dUniversidade Nova de Lisboa. Lisboa, Portugal
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Abstract
Abstract Objective: To evaluate nurses' knowledge about the definitions of Sepsis-3 and updates to the Surviving Sepsis Campaign. Methods: This descriptive study was carried out from July to August 2018, with 30 nurses from four wards of a large university hospital. For data collection, we created, structured, and validated a questionnaire composed of socio-demographic/occupational data and knowledge test. Results: Only 16.6% of the professionals received in-service training on the subject. There was no implementation of sepsis protocols in the institution, although 96.6% of the participants considered their implementation necessary. Professionals aged ≥35 years old had a higher level of knowledge about the new definition of sepsis (p=0.042). The knowledge about volume resuscitation (p=0.001) and use of vasopressors (p=0.025) was greater in those with ≥10.5 years of experience in the profession. Nurses from the clinical units presented a higher level of knowledge about the organic dysfunctions caused by sepsis (p=0.025). Conclusion and implications for the practice: Nurses do not have satisfactory knowledge for the proper identification, treatment, and clinical management of sepsis. There is a need for greater professional, institutional, and political incentives to implement a permanent education and the sepsis protocol.

