Development of Nurses Competency for Monitoring Sepsis among Patients in Surgical Intensive Care Unit

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Kanokpan Ngammuk
Konlawij Trongtrakul
Areeya Jirathananuwat


Sepsis is one of the major cause of mortality for critically ill patients. Therefore, nursing competencies are imperative to keep patients’ safety and decrease loss of organs, including to further survival.

Objective: To compare nursing competencies before and after based on nursing practice guideline for sepsis patients.

Methods: This study was a one group quasi-experimental research on 20 registered nurses who worked at surgical intensive care unit in November 1, 2018 to January 31, 2019. The guideline was conducted through research utilization consisted of three steps. Initially, to determine an appropriate nursing practice guideline and patient sepsis assessment by using qSOFA and SOFA score. Secondly, to implement three period of interventions resulting to an organs failure assessment based various scenarios. Lastly, to evaluate the scores difference before and after development of nursing practice guideline. Data were analyzed by frequencies, percentages, means, and standard deviations. Comparative analysis of means scores using Repeated Measure ANOVA was also applied to the study.

Results: The average age of 20 registered nurses were 28.1 years. Most of them were females and single with average 6.0 years of work experience. The score after using nursing practice guideline for critical sepsis patients revealed significantly higher scores as compared before the guideline were developed at p-value less than 0.001.

Conclusion: Nursing practice guideline and patient sepsis assessment could influence the increment of competencies among registered nurses in simulation situation. However, these guidelines should be used in practical work, evaluated and monitored continuously including application to another intensive care unit. Consequently, the guideline for critical sepsis will stay in similar direction.


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