Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian study

Introduction: Sepsis is one of the most deadly and costly conditions at hospitals. Our study aimed to study levels of knowledge and attitudes in management of sepsis among nurses and physicians employed at Fatebenefratelli hospital, Milano, North-Italy, with particular regard to the analysis of the...

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Main Authors: Gabriella Nucera, Anna Esposito, Naomi Tagliani, Chiara Jane Baticos, Pietro Marino
Format: Article
Language:English
Published: Edizioni FS 2018-03-01
Series:Journal of Health and Social Sciences
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Online Access:http://journalhss.com/wp-content/uploads/jhss31_13-26.pdf
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author Gabriella Nucera
Anna Esposito
Naomi Tagliani
Chiara Jane Baticos
Pietro Marino
author_facet Gabriella Nucera
Anna Esposito
Naomi Tagliani
Chiara Jane Baticos
Pietro Marino
author_sort Gabriella Nucera
collection DOAJ
description Introduction: Sepsis is one of the most deadly and costly conditions at hospitals. Our study aimed to study levels of knowledge and attitudes in management of sepsis among nurses and physicians employed at Fatebenefratelli hospital, Milano, North-Italy, with particular regard to the analysis of the effects of educational training. Methods: A cross-sectional, quasi-experimental study was conducted between June 1 and October 30, 2017. Physicians and nurses from Intensive Care Unit (ICU) and non-ICU hospital wards were recruited. The study participants were invited to attend some educational workshops and, after 6 months, to fill out a questionnaire based on the 2016 Surviving Sepsis Campaign guidelines. Descriptive statistics were expressed with frequency and percentage (%). Chi-square and Student’s t-test were performed to compare the differences in awareness and knowledge between groups. P-values < 0.05 were considered statistically significant. Results: Nurses and physicians reported both ‘good’ levels (> 75%) of knowledge of procedures that increase risk of sepsis, ‘fairly‘ (50-75%) levels of knowledge, attitudes and behaviour towards blood culture techniques, and ‘poor’ (< 50%) levels of knowledge concerning early identification, methods and scores for diagnosis and management of sepsis. However, with regard to this latter point, T Student test for sample independent confirmed a significant difference in the average percentages of correct answers between recently (~ 6 months) trained (74 ± 3.4%) nurses (n = 33) and physicians (n = 19) and not recently (> 1 years) or never trained (34.8 ± 7.4%) nurses (n = 99) and physicians (n = 30) (t(10) = 11.72, P = < 0.001). Discussion and Conclusion: Our findings showed that levels of knowledge concerning methods and scores for early identification of sepsis can be significantly improved by educational training. A good knowledge of sepsis guidelines is essential to correct management of this condition.
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spelling doaj-art-0cd7b528ecf54b99a10aac0e6c9a51d02025-01-18T18:20:29ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862018-03-0131132610.19204/2018/phys2Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian studyGabriella Nucera0Anna Esposito1Naomi Tagliani2Chiara Jane Baticos3Pietro Marino4Department of Emergency, ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Faculty of Nursing Science, University of Milan, Milan, Italy ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy. Faculty of Nursing Science, University of Milan, Milan, Italy ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy. Faculty of Nursing Science, University of Milan, Milan, Italy Faculty of Nursing Science, University of Milan, Italy Department of Emergency, ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy Introduction: Sepsis is one of the most deadly and costly conditions at hospitals. Our study aimed to study levels of knowledge and attitudes in management of sepsis among nurses and physicians employed at Fatebenefratelli hospital, Milano, North-Italy, with particular regard to the analysis of the effects of educational training. Methods: A cross-sectional, quasi-experimental study was conducted between June 1 and October 30, 2017. Physicians and nurses from Intensive Care Unit (ICU) and non-ICU hospital wards were recruited. The study participants were invited to attend some educational workshops and, after 6 months, to fill out a questionnaire based on the 2016 Surviving Sepsis Campaign guidelines. Descriptive statistics were expressed with frequency and percentage (%). Chi-square and Student’s t-test were performed to compare the differences in awareness and knowledge between groups. P-values < 0.05 were considered statistically significant. Results: Nurses and physicians reported both ‘good’ levels (> 75%) of knowledge of procedures that increase risk of sepsis, ‘fairly‘ (50-75%) levels of knowledge, attitudes and behaviour towards blood culture techniques, and ‘poor’ (< 50%) levels of knowledge concerning early identification, methods and scores for diagnosis and management of sepsis. However, with regard to this latter point, T Student test for sample independent confirmed a significant difference in the average percentages of correct answers between recently (~ 6 months) trained (74 ± 3.4%) nurses (n = 33) and physicians (n = 19) and not recently (> 1 years) or never trained (34.8 ± 7.4%) nurses (n = 99) and physicians (n = 30) (t(10) = 11.72, P = < 0.001). Discussion and Conclusion: Our findings showed that levels of knowledge concerning methods and scores for early identification of sepsis can be significantly improved by educational training. A good knowledge of sepsis guidelines is essential to correct management of this condition.http://journalhss.com/wp-content/uploads/jhss31_13-26.pdfEducationknowledge and attitudesSurviving Sepsis CampaignSOFAsepsisqSOFA
spellingShingle Gabriella Nucera
Anna Esposito
Naomi Tagliani
Chiara Jane Baticos
Pietro Marino
Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian study
Journal of Health and Social Sciences
Education
knowledge and attitudes
Surviving Sepsis Campaign
SOFA
sepsis
qSOFA
title Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian study
title_full Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian study
title_fullStr Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian study
title_full_unstemmed Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian study
title_short Physicians’ and nurses‘ knowledge and attitudes in management of sepsis: An Italian study
title_sort physicians and nurses knowledge and attitudes in management of sepsis an italian study
topic Education
knowledge and attitudes
Surviving Sepsis Campaign
SOFA
sepsis
qSOFA
url http://journalhss.com/wp-content/uploads/jhss31_13-26.pdf
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