Article 1 (2020 Almeida APSR, Belchior PK, Lima MG, Souza LP. Conhecimento do profissional de enfermeiro a respeito da sepse. Braz J Surg Clin Res[Internet]. 2013 [ cited 2018 Sep 25]4(4):5-10 Available from: https://www.mastereditora.com.br/periodico/20131102_1144092.pdf
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- All nurses showed an adequate knowledge of the concept of sepsis, however, 33.3% demonstrated lack of scientific knowledge about signs of infection, systemic inflammatory response syndrome, severe sepsis, septic shock, and forms of treatment;
- Only 11.1% of nurses recognized hypothermia as a sign of sepsis;
- The nurses indicated the need to support continuing education and create/implement sepsis bundles, improving quality of care and reducing mortality rates. |
Article 2 (55 Kleinpell R, Aiken L, Schorr C. Implications of the new international Sepsis Guidelines for nursing care. AJCC. [Internet] 2013 [cited 2018 Sep 25];22(3):212-22. Available from: http://ajcc.aacnjournals.org/content/22/3/212.full
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- The new guidelines indicate that lack of early recognition of sepsis is a major obstacle to initiation of treatment;
- It is important to manage patient/family expectations, establish realistic treatment and promote communication;
- Integration of the new recommendations into nursing practice ensures specialized quality care, preventing advanced stages of sepsis. |
Article 3 (2121 Schorr C. Nurses can help improve outcomes in severe sepsis. Am Nurse Today [Internet]. 2016 [ cited 2018 Sep 29] 11(3). Available from: https://www.myamericannurse.com/nurses-can-help-improve-outcomes-severe-sepsis/
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- The early identification of sepsis by nurses contributes to better outcomes for the patient;
- Nurses have the important role of coordinating communication between the multidisciplinary team and the patient/family. Lack of communication can delay diagnosis and treatment;
- Training/education of nurses is essential for the provision of better care;
- Better ratios allow a correct assessment of the person and an early identification of sepsis. |
Article 4 (1616 Drahnak DM, Hravnak M, Ren D, Haines AJ, Tuite P. Scripting nurse communication to improve sepsis care. Med Surg Nurs[Internet] 2016 [cited 2018 Oct 1];25(4):239.Available from: https://www.researchgate.net/publication/321712411_Scripting_nurse_communication_to_improve_sepsis_care
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- In the post-test period, nurses rated themselves as significantly more experienced about sepsis than at baseline;
- In the post-test, there was a decrease in the number of patients who did not receive the correct screening (40.6% to 8.9%);
- Having trained nurses able to implement sepsis protocols based on current evidence results in lower variability in screening and reduces diagnostic errors. |
Article 5 (1414 Torsvik M, Gustad LT, Mehl A, Bangstad IL, Vinje LJ, Damas JK, Solligard E. Early identification of sepsis in hospital inpatients by ward nurses increaes 30-day survival. Crit Care [Internet]. 2016 [cited 2018 Sep 29]20(1):1-10. Available from: https://ccforum.biomedcentral.com/articles/10.1186/s13054-016-1423-1
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- During the hospital stay, more patients in the pre-intervention group had deterioration of their general condition compared to the post-intervention group;
- At 7 days after analytical confirmation of infection, 4.6% of patients in the pre-intervention group had died compared to 3.4% in the post-intervention group;
- At 30 days after analytical confirmation of infection, 12.5% of the patients in the pre-intervention group had died compared to 7.1% in the post-intervention group;
- A more accurate assessment in the post-intervention group reduced the need for advanced treatment, decreasing admissions to intensive care units. |
Article 6 (1515 O’Shaughnessy J, Grzelak M, Dontsova A, Braun-Alfano I. Early Sepsis Identification. Medsurg Nurs [Internet]. 2017 [cited 2018 Sep 30]26(4):248-52. Available from: https://search.proquest.com/docview/1929674571?accountid=41313
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- The number of identified sepsis cases increased from 6.7% to 84.2% in Hospital 1, and from 22.6% to 45.2% in Hospital 2;
- Time of notification decreased by 42 minutes in Hospital 1, while in Hospital 2 the mean was 138 minutes. |
Article 7 (1717 Miranda LFB, Capistrano RL, Souza SA. Atuação do enfermeiro emergencista no controle de sepse. Rev Electrôn Atualiza Saúde [Internet] 2018[cited 2018 Oct 2]7(7):76-83. Available from:http://atualizarevista.com.br/wp-content/uploads/2018/02/atua%C3%A7%C3%A3o-do-enfermeiro-emergencista-no-controle-de-sepse-v7-n7.pdf
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- The nurse is an important professional in the control of sepsis, through the implementation of preventive measures and monitoring of clinical parameters: signs of hypoperfusion, decreased level of consciousness, altered body temperature, decreased urinary output, blood pressure and oxygen levels;
- The nurse should be aware of the precautions that must be taken when performing invasive procedures in order to prevent the risk of infection caused by microorganisms in the hospital environment. |
Article 8 (1818 Silva APRM, Souza HV. Sepse: Importância da identificação precoce pela enfermagem. Revista Pró-Univer SUS [Internet]. 2018 [cited 2018 Oct 2]09(1):97-100: Available from: http://editora.universidadedevassouras.edu.br/index.php/RPU/article/viewFile/1266/948
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- An important factor for determining sepsis: sources of contamination, that is, the conditions of the hospital environment, quality of materials, asepsis, implementation of standards and routines, and use of personal protective equipment;
- Knowing the characteristics of the disease helps in early diagnosis, providing more accurate and safe interventions that contribute to the prevention of complications. |
Article 9 (1919 Sousa MST, Ferreira FS, Silva NRM, Soares NS, Silva LM, Morais AP. Assistência de enfermagem a pacientes com sepse na unidade de terapia intensiva: uma revisão de literatura. REAS/JECH [Internet]. 2018 [cited 2018 Oct 2]13:1458: Available from: http://dx.doi.org/10.25248/REAS289_2018
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- Pain relief and management of other unpleasant symptoms are the main care practices for the patient with sepsis;
- It is important that nurses recognize the signs and symptoms of sepsis so that they can intervene in quickly and appropriately manners;
- As prevention, it is important to know the mechanisms of infection transmission and the importance of hand washing, proper aseptic technique and use of personal protective equipment. |
