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318365

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

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Last updated: 05 Jan 2025

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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.

DOI

10.21608/asalexu.2023.318365

Keywords

barriers, Early Goal-Directed Therapy, Critically Ill Patients, Sepsis

Authors

First Name

Haitham

Last Name

Mohamed

MiddleName

Mokhtar

Affiliation

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

Email

-

City

-

Orcid

-

First Name

Naaim

Last Name

Salama

MiddleName

Mohamed

Affiliation

Demonstrator at Faculty of Nursing Alexandria University

Email

-

City

-

Orcid

-

First Name

Nadia

Last Name

Mohamed

MiddleName

Taha

Affiliation

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

Email

nadia.mohamed@alexu.edu.eg

City

-

Orcid

-

First Name

Bassem

Last Name

Beshay

MiddleName

Nashaat

Affiliation

Critical Care Medicine, Faculty of Medicine, Alexandria University.

Email

-

City

-

Orcid

-

Volume

25

Article Issue

3

Related Issue

43600

Issue Date

2023-09-01

Receive Date

2023-09-22

Publish Date

2023-09-01

Page Start

181

Page End

191

Print ISSN

1687-3858

Article File

ASALEXU_Volume 25_Issue 3_Pages 181-191.pdf

PDF . 275.5kB

Link

https://asalexu.journals.ekb.eg/article_318365.html

Detail API

https://asalexu.journals.ekb.eg/service?article_code=318365

Order

318,365

Type

Research articles

Type Code

2,129

Publication Type

Journal

Publication Title

Alexandria Scientific Nursing Journal

Publication Link

https://asalexu.journals.ekb.eg/

MainTitle

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

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Type

Article

Created At

28 Dec 2024