Quality of Care Management for Persons with Sepsis in the Medical Department

Abstract

This descriptive research aimed to study the quality of care management for persons with sepsis regarding structure, process, and outcomes at medical department in a tertiary hospital. The Donabedian’s nursing quality assessment model was applied as a research framework. The samples included 40 medical registered nurses and 91 medical records of persons with sepsis admitted to the medical department during October 2017 – September 2018. The research instruments used for collecting data from registered nurses included (Biographic) data record and knowledge in assessment and care management test for persons with sepsis. The research instruments used for collecting data from medical record were personal information sheet of persons with sepsis and the care processes and outcomes recording form. Data were analyzed using descriptive statistics

The study of quality of care management for persons with sepsis on structural aspect revealed that knowledge in assessment and care management among medical registered nurses were at moderate levels. Quality of care management on process aspect were found that most of the patients did not receive hemoculture test and antibiotics within a period of 60 minutes (53.8% and 83.5% respectively). Quality of care management on outcome aspect found that after 6 hours of treatment, shock occurred 13.2% and death rate was 49.5%.

The study reflects the need to improve the medical registered nurses’ knowledge in assessment and care management for persons with sepsis, and develop a system of quality care management for persons with sepsis.