Version 1
: Received: 6 September 2023 / Approved: 6 September 2023 / Online: 6 September 2023 (11:21:46 CEST)
How to cite:
Nath, S.; Alissa, R.; Hudak, M. A Scoping Survey of Knowledge, Attitude and Perception of Nurses towards Nurse-Led Neonatal Sepsis Risk Assessment in Newborns—A Single Center Study. Preprints2023, 2023090415. https://doi.org/10.20944/preprints202309.0415.v1
Nath, S.; Alissa, R.; Hudak, M. A Scoping Survey of Knowledge, Attitude and Perception of Nurses towards Nurse-Led Neonatal Sepsis Risk Assessment in Newborns—A Single Center Study. Preprints 2023, 2023090415. https://doi.org/10.20944/preprints202309.0415.v1
Nath, S.; Alissa, R.; Hudak, M. A Scoping Survey of Knowledge, Attitude and Perception of Nurses towards Nurse-Led Neonatal Sepsis Risk Assessment in Newborns—A Single Center Study. Preprints2023, 2023090415. https://doi.org/10.20944/preprints202309.0415.v1
APA Style
Nath, S., Alissa, R., & Hudak, M. (2023). A Scoping Survey of Knowledge, Attitude and Perception of Nurses towards Nurse-Led Neonatal Sepsis Risk Assessment in Newborns—A Single Center Study. Preprints. https://doi.org/10.20944/preprints202309.0415.v1
Chicago/Turabian Style
Nath, S., Rana Alissa and Mark Hudak. 2023 "A Scoping Survey of Knowledge, Attitude and Perception of Nurses towards Nurse-Led Neonatal Sepsis Risk Assessment in Newborns—A Single Center Study" Preprints. https://doi.org/10.20944/preprints202309.0415.v1
Abstract
Successful implementation of antibiotic stewardship programs (ASP) requires a well-structured approach involving all stakeholders. Despite embracing key responsibilities, nurses’ role remains poorly defined, preventing consistent engagement. We conducted a scoping survey to assess knowledge, attitude and perception of nurses towards nurse-led initial sepsis risk evaluation using the sepsis risk calculator (SRC) of newborns admitted to the mother-baby unit. Single-center, cross-sectional study. Study link was sent to all full-time nurses in mother-baby unit. Survey centered around knowledge of unit’s ASP and attitude and perception towards nurse-led initial sepsis risk evaluation. 89% response rate. 100% agreed that SRC reduced antibiotic use and 66% felt nurse-led sepsis risk evaluation will enhance nurse involvement, but this was offset by extra burden of work (66%) and low confidence in differentiating stable from clinically unstable infants (46%). Other facilitating factors included greater nurse/patient ratio (100%), targeted education (89%) and incorporation of the SRC into EMR (78%). Only 11% were willing to serve as champions for it. There was no significant correlation to age or experience however, greater number of fresh grads were interested in championing this effort. Our study identifies a need for strong foundation of knowledge and greater nurse/patient ratio as two main factors for improving nurse-led use of the SRC. Multi-site studies scoping barriers to nursing involvement for successful implementation of ASPs are necessary.
Keywords
newborn; antibiotic stewardship; sepsis risk calculator; early onset sepsis; infant; KAP study; mother baby nurse; mother baby unit
Subject
Medicine and Pharmacology, Pediatrics, Perinatology and Child Health
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
