PloS one
Understanding the processes involved in sepsis recognition across clinical contexts to guide individualised management: A phenomenographic study
By Nemeckova M, Conner T and Steven A.
Abstract
Background
Sepsis is a highly heterogeneous condition, yet it is commonly recognised by application of standardised criteria, irrespective of clinical context. Understanding the complexity of sepsis recognition in the heterogeneous populations of patients with sepsis is critical to better target our resources to the needs of patients. Our aim was to examine nurses' clinical experiences to understand the processes involved in sepsis recognition across clinical contexts.
Methods
Semi-structured interviews were conducted with 26 nurses with various levels of experience in caring for patients with sepsis from multiple hospital settings. The interviews were phenomenographically analysed using the Arkelind method. The Cynefin framework was used to inform the organisation of findings according to contextual complexity.