Barriers to implementing the Sepsis Six guidelines in an acute hospital setting

Journal article


Breen, SJ and Rees, SM (2018). Barriers to implementing the Sepsis Six guidelines in an acute hospital setting. British Journal of Nursing. 27 (9), pp. 473-478. https://doi.org/10.12968/bjon.2018.27.9.473
AuthorsBreen, SJ and Rees, SM
Abstract

© 2018 MA Healthcare Ltd. Aim: to identify the barriers to implementation of the Sepsis Six pathway. Background: research has suggested that compliance with the Sepsis Six pathway remains low. Methods: a convenience sample of doctors and nurses from one emergency department, two medical wards and two surgical wards were asked to complete a survey questionnaire. Results: data from 108 respondents were available for analysis. Doctors and nurses agreed that lack of sepsis recognition during observation rounds and failure to associate sepsis with deranged temperature and blood results acted as barriers to the identification of sepsis. Doctors and nurses agreed that nursing delays and knowledge deficits were the top barriers leading to delay in sepsis treatment. Conclusion: knowledge deficits, lack of resources and practical issues were barriers identified in this survey. This will inform the educational and process needs of both doctors and nurses in order to improve sepsis care.

Keywords1110 Nursing; Barriers; Compliance; Doctors; Guidelines; Nurses; Sepsis; Sepsis Six
Year2018
JournalBritish Journal of Nursing
Journal citation27 (9), pp. 473-478
PublisherMark Allen Group
ISSN0966-0461
Digital Object Identifier (DOI)https://doi.org/10.12968/bjon.2018.27.9.473
Publication dates
Print11 May 2018
Publication process dates
Deposited20 Jun 2018
Accepted01 Apr 2018
Accepted author manuscript
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/86qy9

Download files


Accepted author manuscript
BJN sepsis paper final submission.docx
License: CC BY 4.0
File access level: Open

  • 505
    total views
  • 1760
    total downloads
  • 1
    views this month
  • 22
    downloads this month

Export as

Related outputs

Sulfasalazine
Rees, Sharon (2024). Sulfasalazine. Journal of Prescribing Practice. 6 (7), pp. 270-271. https://doi.org/10.12968/jprp.2024.6.7.270
Levodopa
Rees, Sharon (2024). Levodopa. Journal of Prescribing Practice. 6 (5), pp. 182-183. https://doi.org/10.12968/jprp.2024.6.5.182
Metronidazole
Rees, S. (2024). Metronidazole. Journal of Prescribing Practice. 6 (4), pp. 138-139. https://doi.org/10.12968/jprp.2024.6.4.138
An evaluation of service expansion to include patients with heart failure with preserved ejection fraction
Peplow, J. and Rees, S. (2024). An evaluation of service expansion to include patients with heart failure with preserved ejection fraction. British Journal of Cardiac Nursing. https://doi.org/10.12968/bjca.2023.0082
Oxybutynin
Rees, S. (2024). Oxybutynin. Journal of Prescribing Practice. 6 (2), pp. 50-51. https://doi.org/10.12968/jprp.2024.6.2.50
Vortioxetine
Rees, S. (2024). Vortioxetine. Journal of Prescribing Practice. 6 (1), pp. 6-7. https://doi.org/10.12968/jprp.2024.6.1.6
Drug Breakdown: Colchicine
Rees, Sharon (2023). Drug Breakdown: Colchicine. Journal of Prescribing Practice. 5 (12), pp. 490-491. https://doi.org/10.12968/jprp.2023.5.12.490
Domperidone
Rees, S. (2023). Domperidone. Journal of Prescribing Practice. 5 (11), pp. 446-447. https://doi.org/10.12968/jprp.2023.5.11.446
Drug Breakdown: Fentanyl
Rees, S. (2023). Drug Breakdown: Fentanyl. Journal of Prescribing Practice. 5 (10), pp. 404-404. https://doi.org/10.12968/jprp.2023.5.10.404
Drug breakdown: Bempedoic Acid
Rees, Sharon (2023). Drug breakdown: Bempedoic Acid. Journal of Prescribing Practice. 5 (9), pp. 360-361. https://doi.org/10.12968/jprp.2023.5.9.360
Drug Breakdown: Isotretinoin
Rees, S. (2023). Drug Breakdown: Isotretinoin. Journal of Prescribing Practice. 5 (8), pp. 316-317. https://doi.org/10.12968/jprp.2023.5.8.316
Drug Breakdown: Methylphenidate
Rees, S. (2023). Drug Breakdown: Methylphenidate. Journal of Prescribing Practice. 5 (7), pp. 272-273. https://doi.org/10.12968/jprp.2023.5.7.272
Drug Breakdown: Fosfomycin
Rees, S. (2023). Drug Breakdown: Fosfomycin. Journal of Prescribing Practice. 5 (6), pp. 228-229. https://doi.org/10.12968/jprp.2023.5.6.228
Drug Breakdown: Minoxidil
Rees, Sharon (2023). Drug Breakdown: Minoxidil. Journal of Prescribing Practice. 5 (5), pp. 184-185. https://doi.org/10.12968/jprp.2023.5.5.184
Book Review: Principles and Practice of Nurse Prescribing: Gould and Bain
Rees, S. (2023). Book Review: Principles and Practice of Nurse Prescribing: Gould and Bain. Journal of Prescribing Practice. 5 (4), pp. 172-172. https://doi.org/10.12968/jprp.2023.5.4.172
Drug Breakdown: Infliximab
Rees, S. (2023). Drug Breakdown: Infliximab. Journal of Prescribing Practice. 5 (4), pp. 140-140. https://doi.org/10.12968/jprp.2023.5.4.140
Drug Breakdown: Carbimazole
Rees, Sharon (2023). Drug Breakdown: Carbimazole. Journal of Prescribing Practice. 5 (3), pp. 96-97. https://doi.org/10.12968/jprp.2023.5.3.96
Drug Breakdown: Sitagliptin
Rees, Sharon (2023). Drug Breakdown: Sitagliptin. Journal of Prescribing Practice. 5 (2), pp. 52-53. https://doi.org/10.12968/jprp.2023.5.2.52
Drug Breakdown: Celecoxib
Rees, S. (2023). Drug Breakdown: Celecoxib. Journal of Prescribing Practice. 5 (1), pp. 8-8. https://doi.org/10.12968/jprp.2023.5.1.8
Drug Breakdown: Losartan
Rees, S. (2022). Drug Breakdown: Losartan. Journal of Prescribing Practice. 4 (12), pp. 518-518. https://doi.org/10.12968/jprp.2022.4.12.518
Daptomycin
Rees, Sharon (2022). Daptomycin. Journal of Prescribing Practice. 4 (11), pp. 474-474. https://doi.org/10.12968/jprp.2022.4.11.474
Drug Breakdown: sildenafil (Viagra)
Rees, S. (2022). Drug Breakdown: sildenafil (Viagra). Journal of Prescribing Practice. 4 (10), pp. 422-423. https://doi.org/10.12968/jprp.2022.4.10.422
PENTHROX
Rees, S. (2022). PENTHROX. Journal of Prescribing Practice. 4 (9), pp. 378-378. https://doi.org/10.12968/jprp.2022.4.9.378
Drug Breakdown: Omalizumab
Rees, S. (2022). Drug Breakdown: Omalizumab. Journal of Prescribing Practice. 4 (8), pp. 334-335. https://doi.org/10.12968/jprp.2022.4.8.334
Zopiclone
Rees, S. (2022). Zopiclone. Journal of Prescribing Practice. 4 (7), pp. 290-291. https://doi.org/10.12968/jprp.2022.4.7.290
INDAPAMIDE
Rees, S. (2022). INDAPAMIDE. Journal of Prescribing Practice. 4 (5), pp. 184-185. https://doi.org/10.12968/jprp.2022.4.5.184
What is the value of supplementary prescribing in the 2020s? A dietitian's perspective
Ruddock, N. and Rees, S. (2022). What is the value of supplementary prescribing in the 2020s? A dietitian's perspective. Journal of Prescribing Practice. 4 (5), pp. 194-199. https://doi.org/10.12968/jprp.2022.4.5.194
CAFFEINE
Rees, Sharon (2022). CAFFEINE. Journal of Prescribing Practice. 4 (4), pp. 140-141. https://doi.org/10.12968/jprp.2022.4.4.140
A warfarin-antibiotic drug-drug interaction
Feeney, S., Rees, S. and Modha, R.K. (2022). A warfarin-antibiotic drug-drug interaction. Journal of Prescribing Practice. 4 (4), pp. 156-159. https://doi.org/10.12968/jprp.2022.4.4.156
Quetiapine
Rees, S. (2022). Quetiapine. Journal of Prescribing Practice. 4 (3), pp. 96-96. https://doi.org/10.12968/jprp.2022.4.3.96
ALLOPURINOL
Rees, Sharon (2022). ALLOPURINOL. Journal of Prescribing Practice. 4 (2), pp. 51-51. https://doi.org/10.12968/jprp.2022.4.2.51
NYSTATIN
Rees, S. (2022). NYSTATIN. Journal of Prescribing Practice. 4 (1), pp. 8-8. https://doi.org/10.12968/jprp.2022.4.1.8
CLOPIDOGREL
Rees, Sharon (2021). CLOPIDOGREL. Journal of Prescribing Practice. 3 (12), pp. 474-475. https://doi.org/10.12968/jprp.2021.3.12.474
Sertraline
Rees, S. (2021). Sertraline. Journal of Prescribing Practice. 3 (11), pp. 436-436. https://doi.org/10.12968/jprp.2021.3.11.436
ALENDRONIC ACID
Rees, S. (2021). ALENDRONIC ACID. Journal of Prescribing Practice. 3 (10), pp. 386-386. https://doi.org/10.12968/jprp.2021.3.10.386
DEXAMETHASONE
Rees, S. (2021). DEXAMETHASONE. Journal of Prescribing Practice. 3 (9), pp. 342-342. https://doi.org/10.12968/jprp.2021.3.9.342
Memantine
Rees, S. (2021). Memantine. Journal of Prescribing Practice. 3 (8), pp. 298-298. https://doi.org/10.12968/jprp.2021.3.8.298
Ciprofloxacin
Rees, S. (2021). Ciprofloxacin. Journal of Prescribing Practice. 3 (7), pp. 254-255. https://doi.org/10.12968/jprp.2021.3.7.254
RIVAROXABAN
Rees, S. (2021). RIVAROXABAN. Journal of Prescribing Practice. 3 (6), pp. 210-212. https://doi.org/10.12968/jprp.2021.3.6.210
DAPAGLIFLOZIN
Rees, S. (2021). DAPAGLIFLOZIN. Journal of Prescribing Practice. 3 (5), pp. 166-166. https://doi.org/10.12968/jprp.2021.3.5.166
AZT / ABACAVIR
Rees, S. (2021). AZT / ABACAVIR. Journal of Prescribing Practice. 3 (4), pp. 132-132. https://doi.org/10.12968/jprp.2021.3.4.132
TAMOXIFEN
Rees, S. (2021). TAMOXIFEN. Journal of Prescribing Practice. 3 (3), pp. 96-96. https://doi.org/10.12968/jprp.2021.3.3.96
THEOPHYLLINE
Rees, S. (2021). THEOPHYLLINE. Journal of Prescribing Practice. 3 (2), pp. 52-52. https://doi.org/10.12968/jprp.2021.3.2.52
Drug Breakdown: CARBAMAZEPINE
Rees, Sharon (2021). Drug Breakdown: CARBAMAZEPINE. Journal of Prescribing Practice. 3 (1), pp. 8-9. https://doi.org/10.12968/jprp.2021.3.1.8
FLUCONAZOLE
Rees, S. (2020). FLUCONAZOLE. Journal of Prescribing Practice. 2 (12), pp. 657-657. https://doi.org/10.12968/jprp.2020.2.12.657
DABIGATRAN
Rees, S. (2020). DABIGATRAN. Journal of Prescribing Practice. 2 (11), pp. 564-565. https://doi.org/10.12968/jprp.2020.2.11.564
Drug Breakdown Nitrofurantoin
Rees, S. (2020). Drug Breakdown Nitrofurantoin. Journal of Prescribing Practice. 2 (10). https://doi.org/10.12968/jprp.2020.2.10.526
7 Days of Haloperidol
Rees, S. (2020). 7 Days of Haloperidol. Journal of Prescribing Practice. 2 (9). https://doi.org/10.12968/jprp.2020.2.9.476
Furosemide
Rees, S. (2020). Furosemide. Journal of Prescribing Practice. 2 (4), p. 165. https://doi.org/10.12968/jprp.2020.2.4.165
7 days of mercaptopurine
Rees, S. (2020). 7 days of mercaptopurine. Journal of Prescribing Practice. 2 (1). https://doi.org/10.12968/jprp.2020.2.1.6
7 days of doxycycline
Rees, S. (2020). 7 days of doxycycline. Journal of Prescribing Practice. 2 (5), p. 216. https://doi.org/10.12968/jprp.2020.2.5.216
7 days of hydroxychloroquine
Rees, S. (2020). 7 days of hydroxychloroquine . Journal of Prescribing Practice. 2 (6), p. 268. https://doi.org/10.12968/jprp.2020.2.6.268
CYCLIZINE
Rees, Sharon (2020). CYCLIZINE. Journal of Prescribing Practice. 2 (8), pp. 424-424. https://doi.org/10.12968/jprp.2020.2.8.424
Glyceryl Trinitrate
Rees, S. (2020). Glyceryl Trinitrate. Journal of Prescribing Practice. 2 (7), pp. 372-373. https://doi.org/10.12968/jprp.2020.2.7.372
Sprionolactone
Rees, S. (2019). Sprionolactone. Journal of Prescribing Practice. 1 (12), p. 579. https://doi.org/10.12968/jprp.2019.1.12.579
Higher degrees in nursing: traditional research PhD or professional doctorate?
Rees, S., Ousey, K., Koo, K., Ahmad, N. and Bowling, F. (2019). Higher degrees in nursing: traditional research PhD or professional doctorate? British Journal of Nursing. 28 (14), pp. 940-945. https://doi.org/10.12968/bjon.2019.28.14.940
Drug therapies to manage nausea and vomiting
Rees, SM (2018). Drug therapies to manage nausea and vomiting. Nurse Prescribing. 16 (1), pp. 37-44. https://doi.org/10.12968/npre.2018.16.1.37
Local Antibiotic Delivery Systems: Current and Future Applications for Diabetic Foot Infections.
Markakis, K, Faris, AR, Sharaf, H, Faris, B, Rees, SM and Bowling, FL (2018). Local Antibiotic Delivery Systems: Current and Future Applications for Diabetic Foot Infections. International Journal of Lower Extremity Wounds. 17 (1), pp. 14-21. https://doi.org/10.1177/1534734618757532
Gabapentin and pregabalin in the pain setting: all you need to know
Rees, SM (2018). Gabapentin and pregabalin in the pain setting: all you need to know. Nurse Prescribing. 16 (7). https://doi.org/10.12968/npre.2018.16.7.332
A practical guide to prescribing statins in primary care
Rees, SM (2018). A practical guide to prescribing statins in primary care. Practice Nursing. 29 (8). https://doi.org/10.12968/pnur.2018.29.8.377
Buprenorphine—an atypical opioid: All you need to know
Rees, SM (2017). Buprenorphine—an atypical opioid: All you need to know. Nurse Prescribing. 15 (8), pp. 402-408. https://doi.org/10.12968/npre.2017.15.8.402
The Perceptions of homeless people regarding their healthcare needs and experiences f receiving healthcare.
Rae, B. and Rees, S. (2015). The Perceptions of homeless people regarding their healthcare needs and experiences f receiving healthcare. Journal of Advanced Nursing. 71 (9), pp. 2096-107. https://doi.org/10.1111/jan.12675