Barriers of Implementing Early Goal-Directed Therapy Among Critically Ill Patients with Sepsis
Mohamed, H., Salama, N., Mohamed, N., Beshay, B. (2023). Barriers of Implementing Early Goal-Directed Therapy Among Critically Ill Patients with Sepsis. EKB Journal Management System, 25(3), 181-191. doi: 10.21608/asalexu.2023.318365
Haitham Mokhtar Mohamed; Naaim Mohamed Salama; Nadia Taha Mohamed; Bassem Nashaat Beshay. "Barriers of Implementing Early Goal-Directed Therapy Among Critically Ill Patients with Sepsis". EKB Journal Management System, 25, 3, 2023, 181-191. doi: 10.21608/asalexu.2023.318365
Mohamed, H., Salama, N., Mohamed, N., Beshay, B. (2023). 'Barriers of Implementing Early Goal-Directed Therapy Among Critically Ill Patients with Sepsis', EKB Journal Management System, 25(3), pp. 181-191. doi: 10.21608/asalexu.2023.318365
Mohamed, H., Salama, N., Mohamed, N., Beshay, B. Barriers of Implementing Early Goal-Directed Therapy Among Critically Ill Patients with Sepsis. EKB Journal Management System, 2023; 25(3): 181-191. doi: 10.21608/asalexu.2023.318365

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

Alexandria Scientific Nursing Journal
Volume 25, Issue 3, September 2023, Page 181-191  XML PDF (269.08 K)
Document Type: Research articles
DOI: 10.21608/asalexu.2023.318365
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Authors
Haitham Mokhtar Mohamed1; Naaim Mohamed Salama2; Nadia Taha Mohamed1; Bassem Nashaat Beshay3
1Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.
2Demonstrator at Faculty of Nursing Alexandria University
3Critical Care Medicine, Faculty of Medicine, Alexandria University.
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.
Keywords
Barriers; Early Goal-Directed Therapy; Critically Ill Patients; Sepsis
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