A qualitative study investigating the barriers to the implementation of the 'Sepsis Six Care Bundle' in maternity wards

Abutheraa, Nouf and Mullen, Alexander B. and Grant, June and Akram, Gazala (2020) A qualitative study investigating the barriers to the implementation of the 'Sepsis Six Care Bundle' in maternity wards. Healthcare, 8 (4). 374. ISSN 2227-9032

[thumbnail of Abutheraa-etal-Healthcare-2020-investigating-the-barriers-to-the-implementation-of-the-Sepsis-Six-Care-Bundle]
Preview
Text (Abutheraa-etal-Healthcare-2020-investigating-the-barriers-to-the-implementation-of-the-Sepsis-Six-Care-Bundle)
Abutheraa_etal_Healthcare_2020_investigating_the_barriers_to_the_implementation_of_the_Sepsis_Six_Care_Bundle.pdf
Final Published Version
License: Creative Commons Attribution 4.0 logo

Download (601kB)| Preview

    Abstract

    Background: In 2014, the Sepsis Six Care Bundle (SSCB) was introduced into a Scottish health region to improve patient outcomes. Poor compliance was demonstrated with the SSCB across different specialities. This study explored determinants of non-compliance with the SSCB in maternity wards. Methods: In-depth interviews were conducted with midwives in a single Scottish health region. Convenience sampling was used to recruit interviewees. The interviews were digitally recorded, transcribed verbatim, entered into NVivo software, and analysed using thematic analysis. Results: Thirteen face-to-face interviews were completed and lasted an average of 33 min. Three main barriers were identified to SSCB implementation; the difficulty of diagnosing sepsis, the suitability of the SSCB in a maternity setting as part of the pre-conditions phase, and the lack of staff training as part of the pre-implementation phase. Conclusion: The findings emphasize the importance of adapting improvement initiatives with sufficient preparation of staff in the rationale use to the context of care bundles.

    ORCID iDs

    Abutheraa, Nouf ORCID logoORCID: https://orcid.org/0000-0002-2345-932X, Mullen, Alexander B. ORCID logoORCID: https://orcid.org/0000-0001-7475-5543, Grant, June and Akram, Gazala ORCID logoORCID: https://orcid.org/0000-0003-3207-8091;