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

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

Open Access
|Nov 2022

Figures & Tables

Table 1

Summary of Attitudes to Sepsis

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 MoreYes577(93.7)46(97.9)*87(85.3)72(72.7)46(88.5)203(86)77(96.3)*
Sepsis Training?No37(6.0)0(0)5(4.9)10(10.1)4(7.7)12(5.1)1(1.3)0.014
Q16. Extent HCWStrong Agree148(24)15(31.9)23(22.5)20(20.2)8(15.4)61(25.8)13(16.3)0.131
Can Identify SepsisSomewhat Agree311(50.5)15(31.9)46(45.1)41(41.4)32(61.5)113(47.9)43(53.8)0.064
Risk?Neutral106(17.2)14(29.8)18(17.6)14(14.1)6(11.5)33(14)18(22.5)0.095
Somewhat Disagree29(4.7)2(4.3)3(2.9)7(7.1)2(3.8)8(3.4)4(5)0.509
Strong Disagree4(0.6)0(0)2(2.0)0(0)2(3.8)*0(0)0(0)0.016
Q17. ImplementYes574(93.2)46(97.9)*83(81.4)77(77.8)49(94.2)210(89.0)78(97.5)*
Sepsis Bundle? TrainingNo20(3.2)0(0)9(8.8)5(5.1)1(1.9)5(2.1)0(0)0.003

[i] The clinical group(s) indicating least agreement with the indicated question is (are) highlighted in bold and statistical comparison is made with that group(s) as the baseline reference. (*p<0.05, **p<0.01 compared to reference group).

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.

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.

Table 2

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

ScoresIndependent PredictorsLS Mean ScoreB coeff (95%CI)p-value(R2 model adjusted R2)
Correct KnowledgeAnaesth/Critical Med5.11.1(0.1/2.1)0.0270.20 (0.15)
Emergency Med4.80.8(0.1/1.6)0.045
Other Specialty3.2-0.8(-0.1/-1.6)0.047
Psychiatry3.0-1.1(-0.1/-2.1)0.040
Public Health2.9-1.1(-0.1/-2.2)0.034
Family Med2.8-1.2(-0.1/-2.2)0.031
Paediatrics2.8-1.2(-0.6/-1.8)<0.001
Nurse2.2-1.7(-0.8/-2.7)0.001
Incorrect KnowledgeGeneral Practitioner3.81.2(0.5/1.9)0.0010.20 (0.16)
O&G3.80.8(0.3/1.3)0.001
Paediatrics3.70.7(0.2/1.2)0.004
Consultant3.50.8(0.4/1.3)0.001
Correct PracticeInternal Medicine9.51.5(0.6/2.4)0.0010.21 (0.16)
General Practitioner7.2-1.9(-0.6/-3.2)0.006
Exp 0-5yrs7.2-1.4(-0.7/-2.2)<0.001
Nurse5.7-3.3(-1.8/-4.9)<0.001
Psychiatry5.7-2.2(-0.7/-3.8)0.005
Incorrect PracticePsych3.91.5(0.6/2.3)0.0010.25 (0.20)
Nurse3.81.6(0.7/2.4)<0.001
Exp>24yrs3.21.2(0.6/1.8)<0.001
No Sepsis Training2.80.3(0.1/0.6)0.034
Exp 0-5yrs2.70.6(0.2/1.1)0.004
Exp 12-17yrs2.70.7(0.2/1.2)0.005

[i] LS Mean Score (Least Square Mean Score): The mean score after controlling for confounding variables. B coeff (95%CI) – Beta coefficient (95% confidence interval): a measure of the degree of change in the outcome variable for every unit of change in the predictor variable. R2 is a measure of goodness of fit of the regression model.

DOI: https://doi.org/10.2478/jccm-2022-0024 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 232 - 241
Submitted on: Mar 8, 2022
Accepted on: Sep 10, 2022
Published on: Nov 12, 2022
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Karen Roye-Green, Rohan Willis, Sharon R. Priestley, Ivan Vickers, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.