Knowledge and skill on sepsis management bundle in prevention of multi-organ dysfunction syndrome among ICU Nurses: A review
Keywords:
Knowledge and Skill, Sepsis Management Bundle, Multi-Organ, Dysfunction Syndrome, ICU, NursesAbstract
Introduction: Sepsis is a life-threatening medical emergency that results from the body's extreme response to infection and often progresses to multi-organ dysfunction syndrome (MODS) if not managed promptly. The Surviving Sepsis Campaign (SSC) has introduced evidence-based sepsis management bundles to guide early recognition and timely intervention. ICU nurses are at the forefront of patient monitoring and care delivery, and their knowledge and skills in applying the sepsis bundle are crucial to improving patient outcomes. However, variations in knowledge and skill levels may contribute to delays in sepsis recognition and treatment, increasing the risk of MODS and mortality. Methodology: This review synthesizes data from peer-reviewed studies conducted between 2015 and 2024. Databases such as PubMed, Scopus, and CINAHL were searched using keywords like "sepsis bundle," "ICU nurses," "MODS prevention," and "nurse competency." The selected studies focused on assessing ICU nurses' knowledge and implementation of sepsis bundles and their impact on the incidence of MODS. Articles that evaluated educational interventions and outcomes related to sepsis management were also included. Results: The review revealed that a significant proportion of ICU nurses possess inadequate knowledge of the complete sepsis bundle, particularly regarding lactate monitoring, fluid resuscitation, and timely antibiotic administration.
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