Sepsis Team PICOT Question and Research Critique.docx -...

This preview shows page 1 - 4 out of 11 pages.

Running head: SEPSIS TEAM PICOT QUESTIONSepsis Team PICOT Question and Research CritiqueRenee C. EdgilGrand Canyon University: NRS-433VJune 14, 2020 1
SEPSIS TEAM PICOT QUESTION AND RESEARCH CRITIQUESepsis Team PICOT Question and Research CritiqueSepsis is a life-threatening, systemic, infection that causes organ dysfunction (Kumar, 2020). Sepsis is a leading cause of mortality and in 2017 the World Health Organization declaredsepsis a global health priority. In 2016, the Surviving Sepsis Campaign created one, three, and 6-hour bundles of care. The early administration of a broad-spectrum antibiotic is considered a crucial step in decreasing mortality. In busy, overcrowded, emergency departments, completing these elements within an hour of arrival can be difficult for a single nurse providing patient care. The purpose of this paper is to critique four articles being used to support the need for research based on the following PICOT question: in adult patients presenting to the emergency department with clinical indications of sepsis, how does the implementation of a sepsis team, compare to not having a sepsis team, affect administration of antibiotics within one hour over a three-month period.Article CritiqueFour articles were evaluated to support continuing research around sepsis, specifically theimplementation of sepsis teams. Two qualitative and two quantitative studies were read and assessed.Qualitative ArticlesIn Harley et al.’s article Emergency Nurses’ Knowledge and Understanding of Their Rolein Recognizing and Responding to Patients with Sepsis: A Qualitative Study (2019), the authors wanted to discover what nurses’ understood about identifying and responding to patients with sepsis. The authors questioned how the nurses’ perceptions effected compliance with sepsis bundles. The authors believed the information obtained would be beneficial in improving quality of care and patient outcomes2
SEPSIS TEAM PICOT QUESTION AND RESEARCH CRITIQUEIn Barriers and Supportive Conditions to Improve Quality of Care for Critically Ill Patients: A Team Approach to Quality Improvement, Matthaeus-Kraemer et al., wanted to discover barriers and supportive conditions that made effective teams to improve quality of care (2020). They asked: What barriers and supportive conditions create effective teams specifically related to sepsis and septic shock (Matthaeus-Kraemer et al., 2020)?Quantitative ArticlesIn Antibiotics Has More Impact on Mortality Than Other Early Goal-Directed Therapy Components in Patients with Sepsis: An Instrumental Variable Analysis, the authors noted a problem with sepsis mortality and bundle compliance (Londono et al., 2018). The question arose:Which element of early goal-directed therapy impacted sepsis mortality most (Londono et al., 2018)? The purpose of the research study was to determine the frequency and timing of each component of the sepsis bundle and the impact of each on sepsis mortality (Londono et al., 2018).

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture