Evidence map›Paper›PMID 41136218›Full record

ArticleBMJ open quality2025

Roles and responsibilities of registered nurses in the early recognition and management of sepsis in acute hospital settings: a scoping review.

Alison Y Lemoh, Zohal Rashidzada, Mei Krishnasamy, Aileen Wilkinson, Rebecca Blackwood, Alexandra Rivalland, Courtney Ierano, Karin A Thursky, Lisa Guccione

Abstract readScoping Review
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alison Y LemohSir Peter MacCallum Department of Oncology, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia Alison.Lemoh@petermac.org.ORCID 0000-0002-1283-0971
Zohal RashidzadaNational Centre for Antimicrobial Stewardship, Department of Infectious Diseases, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
Mei KrishnasamyDepartment of Nursing; Sir Peter MacCallum Department of Oncology, University of Melbourne VCCC, Parkville, Victoria, Australia.
Aileen WilkinsonPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Rebecca BlackwoodPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Alexandra RivallandDepartment of Clinical Haematology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Courtney IeranoNational Centre for Antimicrobial Stewardship, Department of Infectious Diseases, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
Karin A ThurskyNational Centre for Antimicrobial Stewardship, Department of Infectious Diseases, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
Lisa GuccioneCentre for Health Services Research in Cancer, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSepsis causes over 20% of deaths annually, with early recognition and management being key strategies to preventing patient deterioration. Despite being the largest group of hospital-based clinicians, the role of registered nurses (RNs) in sepsis remains poorly defined.

objectiveTo describe the roles and responsibilities of RNs in early recognition and management of sepsis in acute hospital settings, applying the

methodsThe review was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist. We searched Medline, EMBASE, CINAHL and PubMed for studies discussing the contribution of RNs in acute hospital-based sepsis care. Data were extracted and mapped to the AACTT framework domains.

results27 (90%) of 30 included studies described RNs as the

conclusionNurses perform essential actions in early sepsis recognition and management, with several RN roles focused on sepsis care identified. A broader scope of nurse-initiated actions was identified in resource-restricted contexts to meet clinical demand. There is potential for a greater scope of nursing actions in sepsis care for the benefit of patients and health services, but to achieve this, standardised training requirements need to be developed, and scope of practice defined.

Indexed as

Early DiagnosisNursesNurse's RoleSepsisHospitalsHumansCritical careImplementation scienceNursesProfessional RoleSepsis

Identifiers

PMID41136218
PMCPMC12557786

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.