Using the Six bundle sepsis protocol for Caring Patients with Severe sepsis or Septic shock, Emergency Department, Kumphawapi Hospital

Abstract

The developmental study aimed to using the Six bundle sepsis protocol for caring patients with severe sepsis or septic shock at Emergency Department, Kumphawapi Hospital, Udonthani. The sample collected by purposive sampling guideline user consisted of 3 groups were I) 6 persons who were developmental team, II) 16 persons who were guideline user team and III) 73 patients who were diagnosed severe sepsis or septic shock, Emergency Department, Kumphawapi Hospital. The study was conducted during February 1 to April 30, 2018. The conceptual framework was based on The Australian National Health and Medical Research Council (NHMRC, 1999) guidelines. The instruments consisted of 1) a demographic data questionnaire, 2) six items guidelines for caring patients with severe sepsis or septic shock by Six bundle sepsis protocol possibility questionnaire for developmental team, 3) six items guidelines for caring patients with severe sepsis or septic shock satisfaction questionnaire for 6 persons in developmental team, 4) 20 multiple choices for caring patients with severe sepsis or septic shock knowledge test, 5) 6 items about caring patients with severe sepsis or septic shock by Six bundle sepsis protocol satisfaction questionnaire, and 6) Data record form a caring patients with severe sepsis or septic shock by Six bundle sepsis protocol recorded data. The questionnaires were approved by 3 experts in terms of content validity. The content validity index of all instruments were 1 and Kuder-Richardson 20 of knowledge test was 0.81. Data were presented in frequency, percentage, mean and analyzed by using paired t-test and t-test.

The study showed that possibility to use the protocal was right, by items possibility about patient assessment, patient rights and ethics, patient caring, educating, and continuing care at high level (100.00%, 83.30%, 83.30%, 83.30%, 66.70 respectively). Guideline user (team II) found that protocal satisfaction was high level (75.00%). Patients with severe sepsis or septic shock had satisfaction for carring follow protocal at moderate level (58.90%). Knowledge of team 3 pre and post use protocal was increase from ( = 11.25, S.D. = 2.17) to ( =17.68, S.D.=1.57), this was significantly different (p=0.000). And average time for caring activity by Six bundle sepsis protocol were lower from pre ( = 99.00, S.D.=1.27) and post ( =71.00, S.D.=1.02) development, with statistically significant (p=0.000).