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Effectiveness of Comprehensive Intervention on Sepsis-Related Organ Failure Assessment (SOFA) Upon the Knowledge and Practice Among Nurses

Ilakiya C.G., Jaslina Gnanarani, Latha Venkatesan

Abstract


Background: Sepsis is the body's overpowering and potentially fatal response to infection, which can result in tissue damage, organ failure, and death. To put it another way, it is the body's overactive and toxic response to infection. The immune system typically works to fight pathogens to prevent infection (bacteria, viruses, fungi, or parasites). As an infection arises, the immune system will attempt to combat it with the aid of medication such as antibiotics, antivirals, antifungals, and antiparasitics. However, the immune system can sometimes stop fighting "invaders" and turn on itself. Objective: To assess the impact of comprehensive intervention on Sepsis Related Organ Failure Assessment (SOFA) on nurses' knowledge and practice. Methodology: With a control group, a quasi-experimental pre- and post-test design was adopted. Results: The majority of nurses in both the control and experimental groups (98% and 100%, respectively) had insufficient knowledge. In the post-test, all control group nurses had inadequate knowledge (100%) whereas all experimental group nurses gained adequate knowledge (100%) following the implementation of a comprehensive training programme. Pretest knowledge scores did not substantially differ between the experimental group (M=7.02 & SD=1.13) and the control group (M=6.62 & SD=1.18) (p>0.05). The experimental group scored higher (M=21.72 & SD=1.07) after the comprehensive intervention on SOFA than the control group (M=7.26 & SD= 2.38), (p<0.001). This demonstrates the efficacy of the overall intervention on SOFA ("t" value of 39.18) at (p<0.001). On the other hand, the majority of nurses in both the control and experimental groups had insufficient SOFA practice (100%) in the pretest. In the post-test, all of the nurses in the control group had inadequate practice (100%), whereas after the comprehensive SOFA training programme, 42% of nurses in the experimental group had moderately adequate practice and 58% had adequate practice. The post-test practice scores of nurses for comprehensive intervention on SOFA (M=31.48, SD=5.19) improved significantly when compared to the pretest scores (M=7.24, SD=3.79), with a 't' value of 26.69 at p<0.001. Conclusion: The current study demonstrated that the comprehensive intervention on SOFA can be used by nurses to improve the quality of sepsis care

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References


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DOI: https://doi.org/10.37628/ijncc.v9i1.2333

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