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Knowledge, Practice and Attitudes to the Management of Sepsis in Jamaica

Karen Roye-Green
Karen Roye-Green
, 
Rohan Willis
Rohan Willis
, 
Sharon R. Priestley
Sharon R. Priestley
 and 
Ivan Vickers
Ivan Vickers
   | Nov 12, 2022
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Article Category: Research Article
Published Online: Nov 12, 2022
Page range: 232 - 241
Received: Mar 08, 2022
Accepted: Sep 10, 2022
DOI: https://doi.org/10.2478/jccm-2022-0024
Keywords
© 2022 Karen Roye-Green, Rohan Willis, Sharon R. Priestley, Ivan Vickers, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Fig. 1

Frequency of respondents indicating correct and incorrect knowledge responses (Q 10-13). Correct responses (green) are indicated first followed by incorect responses (red) for each question.
Frequency of respondents indicating correct and incorrect knowledge responses (Q 10-13). Correct responses (green) are indicated first followed by incorect responses (red) for each question.

Fig. 2

Frequency of respondents indicating correct and incorrect practice responses (Q 18-24). Correct responses (green) are indicated first followed by incorect responses (red) for each question.
Frequency of respondents indicating correct and incorrect practice responses (Q 18-24). Correct responses (green) are indicated first followed by incorect responses (red) for each question.

Summary of Attitudes to Sepsis

Questions Groups Clinical Positions N (%)
All (n=616) Nurse (n=47) GP (n=102) Consultant (n=99) Senior/ Chief Resident (n=52) Resident (n=236) Intern/ SHO (n=80) p-value
Q15. Need More Yes 577(93.7) 46(97.9)* 87(85.3) 72(72.7) 46(88.5) 203(86) 77(96.3)*
Sepsis Training? No 37(6.0) 0(0) 5(4.9) 10(10.1) 4(7.7) 12(5.1) 1(1.3) 0.014
Q16. Extent HCW Strong Agree 148(24) 15(31.9) 23(22.5) 20(20.2) 8(15.4) 61(25.8) 13(16.3) 0.131
Can Identify Sepsis Somewhat Agree 311(50.5) 15(31.9) 46(45.1) 41(41.4) 32(61.5) 113(47.9) 43(53.8) 0.064
Risk? Neutral 106(17.2) 14(29.8) 18(17.6) 14(14.1) 6(11.5) 33(14) 18(22.5) 0.095
Somewhat Disagree 29(4.7) 2(4.3) 3(2.9) 7(7.1) 2(3.8) 8(3.4) 4(5) 0.509
Strong Disagree 4(0.6) 0(0) 2(2.0) 0(0) 2(3.8)* 0(0) 0(0) 0.016
Q17. Implement Yes 574(93.2) 46(97.9)* 83(81.4) 77(77.8) 49(94.2) 210(89.0) 78(97.5)*
Sepsis Bundle? Training No 20(3.2) 0(0) 9(8.8) 5(5.1) 1(1.9) 5(2.1) 0(0) 0.003

Multivariate Linear Regression Models Outlining Independent Predictors for Correct and Incorrect Knowledge and Practice Scores

Scores Independent Predictors LS Mean Score B coeff (95%CI) p-value (R2 model adjusted R2)
Correct Knowledge Anaesth/Critical Med 5.1 1.1(0.1/2.1) 0.027 0.20 (0.15)
Emergency Med 4.8 0.8(0.1/1.6) 0.045
Other Specialty 3.2 -0.8(-0.1/-1.6) 0.047
Psychiatry 3.0 -1.1(-0.1/-2.1) 0.040
Public Health 2.9 -1.1(-0.1/-2.2) 0.034
Family Med 2.8 -1.2(-0.1/-2.2) 0.031
Paediatrics 2.8 -1.2(-0.6/-1.8) <0.001
Nurse 2.2 -1.7(-0.8/-2.7) 0.001
Incorrect Knowledge General Practitioner 3.8 1.2(0.5/1.9) 0.001 0.20 (0.16)
O&G 3.8 0.8(0.3/1.3) 0.001
Paediatrics 3.7 0.7(0.2/1.2) 0.004
Consultant 3.5 0.8(0.4/1.3) 0.001
Correct Practice Internal Medicine 9.5 1.5(0.6/2.4) 0.001 0.21 (0.16)
General Practitioner 7.2 -1.9(-0.6/-3.2) 0.006
Exp 0-5yrs 7.2 -1.4(-0.7/-2.2) <0.001
Nurse 5.7 -3.3(-1.8/-4.9) <0.001
Psychiatry 5.7 -2.2(-0.7/-3.8) 0.005
Incorrect Practice Psych 3.9 1.5(0.6/2.3) 0.001 0.25 (0.20)
Nurse 3.8 1.6(0.7/2.4) <0.001
Exp>24yrs 3.2 1.2(0.6/1.8) <0.001
No Sepsis Training 2.8 0.3(0.1/0.6) 0.034
Exp 0-5yrs 2.7 0.6(0.2/1.1) 0.004
Exp 12-17yrs 2.7 0.7(0.2/1.2) 0.005
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