Knowledge of health workers relating to sepsis awareness and management in Lambaréné, Gabon

Adégbitè, Bayodé Roméo; Edoa, Jean Ronald; Rylance, Jamie; Jacob, Shevin T.; Kawale, Paul; Adegnika, Ayôla Akim; Grobusch, Martin P.

doi:10.1016/j.actatropica.2021.105914

Cited by 11 publications

(12 citation statements)

References 22 publications

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“…Our findings confirm observations from other LIC settings that include challenges of limited bed space; shortages of staff; poor WASH and infection prevention and control practices PLOS GLOBAL PUBLIC HEALTH [1,18,19]; insufficient diagnostic capacity; inadequate treatment, including intravenous fluids and supplemental oxygen, and shortage of monitoring equipment, such as pulse oximeters [1,7,20]. Knowledge and skills gaps regarding diagnostic criteria and management of sepsis are perpetuated by lack of context-specific guidelines [7,8,20,21].…”

Section: Discussionsupporting

confidence: 76%

Facilitating high quality acute care in resource-constrained environments: Perspectives of patients recovering from sepsis, their caregivers and healthcare workers in Uganda and Malawi

Limbani

Kabajaasi²,

Basemera³

et al. 2022

PLOS Glob Public Health

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Sepsis is a major global health problem, especially in sub-Saharan Africa. Improving patient care requires that healthcare providers understand patients’ priorities and provide quality care within the confines of the context they work. We report the perspectives of patients, caregivers and healthcare workers regarding care quality for patients admitted for sepsis to public hospitals in Uganda and Malawi. This qualitative descriptive study in two hospitals included face-to face semi-structured interviews with purposively selected patients recovering from sepsis, their caregivers and healthcare workers. In both Malawi and Uganda, sepsis care often occurred in resource-constrained environments which undermined healthcare workers’ capacity to deliver safe, consistent and accessible care. Constraints included limited space, strained; water, sanitation and hygiene (WASH) amenities and practices, inadequate human and material resources and inadequate provision for basic needs including nutrition. Heavy workloads for healthcare workers strained relationships, led to poor communication and reduced engagement with patients and caregivers. These consequences were exacerbated by understaffing which affected handover and continuity of care. All groups (healthcare workers, patients and caregivers) reported delays in care due to long queues and lack of compliance with procedures for triage, treatment, stabilization and monitoring due to a lack of expertise, supervision and context-specific sepsis management guidelines. Quality sepsis care relies on effective severity-based triaging, rapid treatment of emergencies and individualised testing to confirm diagnosis and monitoring. Hospitals in resource-constrained systems contend with limitations in key resources, including for space, staff, expertise, equipment and medicines, in turn contributing to gaps in areas such as WASH and effective care delivery, as well as communication and other relational aspects of care. These limitations are the predominant challenges to achieving high quality care.

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Section: Discussionsupporting

confidence: 76%

Facilitating high quality acute care in resource-constrained environments: Perspectives of patients recovering from sepsis, their caregivers and healthcare workers in Uganda and Malawi

Limbani

Kabajaasi²,

Basemera³

et al. 2022

PLOS Glob Public Health

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“…Furthermore, early recognition, diagnosis, and appropriate clinical management of infections and sepsis can, respectively, prevent sepsis and improve sepsis outcomes ( 4 – 6 ). Although sepsis is a preventable cause of death worldwide, it is not widely recognized by patients and the general public ( 7 , 8 ), and knowledge gaps persist among healthcare professionals (HCPs) ( 9 – 11 ).…”

mentioning

confidence: 99%

Patient, Public, and Healthcare Professional’s Sepsis Awareness, Knowledge, and Information Seeking Behaviors: A Scoping Review

Fiest

Krewulak

Brundin-Mather

et al. 2022

Critical Care Medicine

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OBJECTIVES: Sepsis awareness and understanding are important aspects of prevention, recognition, and clinical management of sepsis. We conducted a scoping review to identify and map the literature related to sepsis awareness, general knowledge, and information-seeking behaviors with a goal to inform future sepsis research and knowledge translation campaigns. DESIGN: Scoping review. SETTING: Using Arksey and O’Malley’s methodological framework, we conducted a systematic search on May 3, 2021, across four databases (MEDLINE, EMBASE, CINAHL, and Education Research Complete). Title/abstract and full-text screening was done in duplicate. One researcher extracted the data for each included article, and a second researcher checked data accuracy. The protocol was registered on Open Science Framework (https://doi.org/10.17605/OSF.IO/YX7AU). SUBJECTS: Articles related to sepsis awareness, knowledge, and information seeking behaviors among patients, public, and healthcare professionals. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Of 5,927 unique studies, 80 reported on patient (n = 13/80;16.3%), public (n = 15/80;18.8%), or healthcare professional (nurses, physicians, emergency medical technicians) (n = 48/80; 60%) awareness and knowledge of sepsis. Healthcare professional awareness and knowledge of sepsis is high compared with patients/public. The proportion of patients/public who had heard of the term sepsis ranged from 2% (Japan) to 88.6% (Germany). The proportions of patients/public who correctly identified the definition of sepsis ranged from 4.2% (Singapore) to 92% (Sweden). The results from the included studies appear to suggest that patient/public awareness of sepsis gradually improved over time. We found that the definition of sepsis was inconsistent in the literature and that few studies reported on patient, public, or healthcare professional knowledge of sepsis risk factors. Most patient/public get their sepsis information from the internet, whereas healthcare professionals get it from their role in healthcare through job training or educational training. CONCLUSIONS: Patient, public, and healthcare professional awareness and knowledge of sepsis vary globally. Future research may benefit from a consistent definition as well as country-specific data to support targeted public awareness campaigns.

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“…Knowledge of signs, symptoms, and appropriate care in septic patients is essential for successfully managing sepsis [33]. Based on the study results, more than half of the respondents (64%) were able to correctly answer questions regarding clinical criteria for sepsis based on qSOFA.…”

Section: Discussionmentioning

confidence: 99%

The Knowledge of Nursing Internship Program Students about Early Detection of Sepsis

Stefani

Trisyani

Setyawati

2021

Open Access Maced J Med Sci

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Background: Sepsis is a life-threatening condition due to the failure of the body’s regulation of infection. Knowledge deficit is one of the barriers to early detection and initiation of sepsis care. Nursing internship program students as future nurses need to have sufficient knowledge about early detection of sepsis to support their behavior. Thus, the purpose of this study was to describe the knowledge of nursing internship program students regarding the early detection of sepsis and the demographic factor related to the knowledge. Methods: The study design was a quantitative study. Through the proportionate stratified non-random sampling technique, the researcher involved 143 nursing internship program students of Universitas Padjadjaran. Data collection used a questionnaire based on the Sepsis-3 guidelines to measure nursing internship program students’ knowledge about early detection of sepsis. The data was carried out in July-August 2021. Results: The average knowledge score of the respondents was 70.4 (SD=11.9). More than half of the respondents (56.6%) got a score below the average. Almost all respondents do not know the current definition of sepsis and still use the SIRS definition as clinical criteria for sepsis. However, respondents could identify clinical criteria for sepsis based on qSOFA and analyse sepsis indicators based on case scenarios. Meanwhile, based on its characteristics, the information is a factor that significantly affects the knowledge score (p < 0.05). Conclusion: In conclusion, there is still a gap in the knowledge of the nursing internship program students regarding the update of the Sepsis-3 guidelines. Besides, information is identified as the factor that influences knowledge. Therefore, it suggested that the institution provide further effective educational methods to update students’ knowledge about the early detection of sepsis.

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Knowledge of health workers relating to sepsis awareness and management in Lambaréné, Gabon

Cited by 11 publications

References 22 publications

Facilitating high quality acute care in resource-constrained environments: Perspectives of patients recovering from sepsis, their caregivers and healthcare workers in Uganda and Malawi

Facilitating high quality acute care in resource-constrained environments: Perspectives of patients recovering from sepsis, their caregivers and healthcare workers in Uganda and Malawi

Patient, Public, and Healthcare Professional’s Sepsis Awareness, Knowledge, and Information Seeking Behaviors: A Scoping Review

The Knowledge of Nursing Internship Program Students about Early Detection of Sepsis

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