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An Assessment of Nurses' Knowledge of Sepsis Management in University of Port Harcourt Teaching Hospital

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  • NGN 5000

Background of the Study

Sepsis is a life-threatening medical condition that arises when the body’s response to infection leads to widespread inflammation, organ dysfunction, and potentially death. It remains a significant global health challenge, contributing to high morbidity and mortality rates, particularly in low-resource settings (WHO, 2023). The early recognition and prompt management of sepsis are crucial in improving patient outcomes, and nurses play a vital role in this process (Okeke & Nwankwo, 2024).

Sepsis management involves rapid identification, fluid resuscitation, administration of broad-spectrum antibiotics, and continuous patient monitoring. The Surviving Sepsis Campaign provides evidence-based guidelines for managing sepsis, emphasizing the importance of early intervention (Kalu et al., 2024). However, studies suggest that many nurses lack adequate knowledge of sepsis recognition and management, leading to delays in intervention and increased mortality rates (Adeyemi & Osho, 2023).

In Nigeria, including at University of Port Harcourt Teaching Hospital (UPTH), there is a need to assess whether nurses possess sufficient knowledge of sepsis management to ensure optimal patient outcomes. This study will evaluate the level of knowledge among nurses at UPTH, identifying gaps in training and practice.

Statement of the Problem

Sepsis remains a leading cause of hospital-related deaths worldwide, with many cases progressing to severe sepsis or septic shock due to delayed recognition and treatment. Nurses, as the first point of contact in many healthcare settings, are crucial in detecting early signs of sepsis and initiating appropriate management. However, inadequate knowledge of sepsis identification and treatment protocols can lead to poor patient outcomes (Eze & Adebayo, 2023).

At UPTH, there is limited data on the knowledge level of nurses regarding sepsis management. Without proper training and adherence to sepsis guidelines, nurses may fail to recognize early symptoms, delaying lifesaving interventions. This study aims to assess nurses’ knowledge of sepsis management, highlighting areas that require improvement to enhance patient care.

Objectives of the Study

  1. To assess the level of knowledge of nurses at UPTH regarding sepsis management.
  2. To evaluate nurses' adherence to standard sepsis management protocols in clinical practice.
  3. To identify challenges faced by nurses in implementing effective sepsis management.

Research Questions

  1. What is the level of knowledge of sepsis management among nurses at UPTH?
  2. To what extent do nurses adhere to standard sepsis management protocols?
  3. What challenges do nurses face in implementing sepsis management strategies?

Research Hypotheses

  1. Nurses at UPTH have adequate knowledge of sepsis management.
  2. Nurses at UPTH strictly adhere to standard sepsis management protocols.
  3. Various factors, including training and resource availability, impact nurses' ability to manage sepsis effectively.

Scope and Limitations of the Study

This study will focus on registered nurses at UPTH, particularly those working in emergency, intensive care, and medical wards. Data collection will include surveys, knowledge assessments, and clinical observations. Limitations may include variations in nurses' clinical experience and differences in institutional sepsis protocols.

Definitions of Terms

  • Sepsis: A life-threatening condition caused by the body’s extreme response to an infection, leading to organ dysfunction and failure.
  • Sepsis Management: The protocols and interventions used to diagnose and treat sepsis, including fluid resuscitation, antibiotic administration, and hemodynamic support.
  • Nurses' Knowledge: The level of understanding nurses have regarding the recognition, diagnosis, and management of sepsis.




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