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 (https://doi.org/10.3390/healthcare8040374)

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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.

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