ArticleBMC nursing2025
Nurses' knowledge, attitudes, and decision-making related to sepsis assessment and management in Palestinian intensive care units.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The relationship between cognitive flexibility and decision-making styles of midwifery and nursing students.BMC medical education · 2026Article
- From Awareness to Action: Nurses' Experiences of Infection Control Measures in Clinical Practice.Journal of nursing management · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSepsis is a major global health issue leading to severe organ damage and causing 11 million deaths annually. It affects 50 million people worldwide and requires extensive knowledge and resources. Intensive care nurses play an important role in evaluating sepsis, identifying it, escalating care, and initiating treatment. This study aimed to assess the Intensive Care Unit (ICU) nurses' knowledge, attitudes, and decision-making skills related to sepsis assessment and management, and determine the factors influencing nurses' decision-making in ICUs.
methodsA cross-sectional study was conducted among ICU registered nurses in Palestine. A convenience sample of 243 participants was recruited. A structured self-reported questionnaire comprising three sections: socio-demographic characteristics, Nurses' Knowledge and Attitudes Survey, and the Nurses' Decision-Making Instrument (NDMI) was used to collect the data from April to June 2024.
resultsThe findings revealed that participants demonstrated means of 82.74 ± 16.34, 72.31 ± 22.32, and 88.36 ± 14.84 for knowledge, attitudes, and decision-making skills, respectively, reflecting high knowledge, moderate attitudes, and high decision-making skills levels. Decision-making skills were correlated with knowledge (r = 0.348, p < 0.001), attitudes (r = 0.607, p < 0.001), sex (r= -0.193, p < 0.01), and sepsis training (r = 0.607, p < 0.001). The predictors of decision-making skills were sepsis training (B = 0.413, p < 0.01), attitudes (B = 0.354, p < 0.01), and knowledge (B = 0.147, p < 0.01).
conclusionThis study highlights that ICU nurses' knowledge, attitudes, and training significantly influence their decision-making skills related to sepsis management. Targeted sepsis education programs, incorporating early recognition strategies, guideline adherence, and protocol-driven interventions, are crucial for enhancing nurses' clinical decision-making. Strengthening these educational initiatives will improve timely and evidence-based sepsis care, ultimately leading to better patient outcomes in ICUs. CLINICAL TRIAL NUMBER: Not applicable.
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