Barriers of Implementing Early Goal-Directed Therapy Among Critically Ill Patients with Sepsis

Mohamed, Haitham Mokhtar; Salama, Naaim Mohamed; Mohamed, Nadia Taha; Beshay, Bassem Nashaat

doi:10.21608/asalexu.2023.318365

Barriers of Implementing Early Goal-Directed Therapy Among Critically Ill Patients with Sepsis

Document Type : Research articles

Authors

¹ Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.

² Demonstrator at Faculty of Nursing Alexandria University

³ Critical Care Medicine, Faculty of Medicine, Alexandria University.

10.21608/asalexu.2023.318365

Abstract

Although early goal-directed therapy (EGDT) has been found to improve mortality in critically ill patients with severe sepsis/septic shock, its implementation in the emergency department (ED) can be challenging. objectives. to identify barriers of implementing early goal-directed therapy among critically ill patients with sepsis. setting. This study was conducted in the emergency department units of Alexandria Main University Hospital (AMUH), namely the reception unit and resuscitation unit. Semoha University Hospital (SUH) namely the reception unit. Subjects: All nurses of both gender (60) who are assigned to the direct care of the newly admitted patients with sepsis at the previously mentioned units were included in the study. Tool. One tool was utilized for data collection in this study. "Barriers of implementing early goal-directed therapy among critically ill patients with sepsis questionnaire. Result.: The study showed that there was a significant relationship between pt related barriers and the implementation of early goal-directed therapy p= (0.041^*), also, there was a significant relationship between ECNs barriers and the implementation of early goal-directed therapy, p= (0.034^*), there was a significant relationship between organizational barriers and the implementation of early goal-directed therapy, p=(0.049^*). Conclusion: The most common barriers according to emergency care nurses related barriers regarding patients were the presence of relatives at the time of admission, barriers related to nurses as a Shortage of staff, barriers related to the organization including lack of collaboration and communication between different departments, furthermore, other health team barriers such as delay in diagnosis. Recommendations. Incorporate EGDT protocol into the undergraduate curriculum, teach emergency care nurses about sepsis and sepsis management using early goal-directed therapy.

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