Why do clinicians treat, or not treat, a patient for sepsis? Using the theoretical domains framework to elicit barriers and enablers to performing the Sepsis Six in UK hospitals

Dr Guy Hooper; Dr Neil Roberts; Dr Fabiana Lorencatto; Dr Adam Pollard; Dr Michael Spivey; Dr Wendell Storr; Dr Deborah Webster; Mr Alan Eccles; Mr George Ramsay; Dr Jan Jansen; Dr Ruth Thomas; Dr Helen Bounds; Dr Michael Eddie; Dr Stephen Knight; Dr Robert Pearson; Dr James Chean Khun Ng; Ms Theresa Weldring; Ms Sandra Courtiour; Ms Laura Smith; Ms Nicola DeVeaux; Dr Biju Cherian; Toby Flack; Stephen Rogen; Nadia Mekki; Hope Ward; Sian Edwards; Nigel Booth; Heather Clarke; Samantha Rowe; Kate Adams; Donna Gotts

doi:10.1016/j.jinf.2021.08.036

Why do clinicians treat, or not treat, a patient for sepsis? Using the theoretical domains framework to elicit barriers and enablers to performing the Sepsis Six in UK hospitals

J Infect. 2021 Dec;83(6):709-737. doi: 10.1016/j.jinf.2021.08.036. Epub 2021 Aug 26.

Authors

Dr Guy Hooper¹, Dr Neil Roberts², Dr Fabiana Lorencatto³, Dr Adam Pollard⁴, Dr Michael Spivey⁵, Dr Wendell Storr⁶, Dr Deborah Webster⁷, Mr Alan Eccles⁸, Mr George Ramsay⁹, Dr Jan Jansen¹⁰, Dr Ruth Thomas¹¹, Dr Helen Bounds¹², Dr Michael Eddie¹³, Dr Stephen Knight¹⁴, Dr Robert Pearson¹⁵, Dr James Chean Khun Ng¹⁵, Ms Theresa Weldring¹⁶, Ms Sandra Courtiour¹⁷, Ms Laura Smith¹⁸, Ms Nicola DeVeaux¹⁹, Dr Biju Cherian²⁰, Toby Flack²¹, Stephen Rogen²¹, Nadia Mekki²¹, Hope Ward²¹, Sian Edwards²¹, Nigel Booth²¹, Heather Clarke²¹, Samantha Rowe²¹, Kate Adams²², Donna Gotts²²

Affiliations

¹ Departments of Intensive Care and Anaesthesia, Royal Cornwall Hospital, Cornwall, United Kingdom. Electronic address: guy.hooper@nhs.net.
² Departments of Intensive Care and Anaesthesia, Royal Cornwall Hospital, Cornwall, United Kingdom. Electronic address: neil.roberts8@nhs.net.
³ University College London, London, United Kingdom. Electronic address: f.lorencatto@ucl.ac.uk.
⁴ Organisational Development, Royal Cornwall Hospital, Truro, Cornwall, United Kingdom. Electronic address: adampollard@nhs.net.
⁵ Royal Cornwall Hospital, Truro, Cornwall, United Kingdom. Electronic address: michaelspivey@nhs.net.
⁶ Department of Anaesthesia, Royal Victoria Infirmary, Newcastle, United Kingdom. Electronic address: wendell.storr@nhs.net.
⁷ University Hospitals Plymouth, Plymouth, Devon, United Kingdom. Electronic address: dwebster2@nhs.net.
⁸ Department of Radiology, University Hospitals Plymouth, Plymouth, Devon, United Kingdom.
⁹ Department of Surgery, Raigmore Hospital, Inverness. Electronic address: eorge.ramsay@nhs.net.
¹⁰ Division of Acute Care Surgery, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: jjansen@uabmc.edu.
¹¹ Dorset County Hospital, Dorchester, Dorset, United Kingdom. Electronic address: ruth.thomas@dchft.nhs.uk.
¹² Department of Intensive Care, Dorset County Hospital, Dorchester, Dorset, United Kingdom. Electronic address: helen.bounds@doctors.org.uk.
¹³ Department of Intensive Care, Dorset County Hospital, Dorchester, Dorset, United Kingdom. Electronic address: michael.eddie@doctors.org.uk.
¹⁴ Monklands District General Hospital, Airdrie, Lanarkshire, United Kingdom. Electronic address: stephenknight@doctors.org.uk.
¹⁵ Department of General Surgery, Monklands District General Hospital, Airdrie, Lanarkshire, United Kingdom.
¹⁶ Project Monitoring Group, Kingston Hospital NHS Foundation Trust, Kingston Upon Thames, Surrey, United Kingdom. Electronic address: theresa.weldring1@nhs.net.
¹⁷ Poole Hospital NHS Foundation Trust, Poole, Dorset, United Kingdom. Electronic address: sandra.courtiour@poole.nhs.uk.
¹⁸ Poole Hospital NHS Foundation Trust, Poole, Dorset, United Kingdom. Electronic address: laura.smith@poole.nhs.uk.
¹⁹ Great Western Hospitals NHS Foundation Trust, Swindon, Wiltshire, United Kingdom. Electronic address: n.deveaux@nhs.net.
²⁰ Hull Royal Infirmary, Hull, Yorkshire, United Kingdom. Electronic address: biju.cherian1@nhs.net.
²¹ University of Plymouth Hospitals Trust, United Kingdom.
²² Hull Royal Infirmary, United Kingdom.

PMID: 34454956
DOI: 10.1016/j.jinf.2021.08.036

No abstract available

Publication types

Letter
Comment

MeSH terms

Hospitals*
Humans
Sepsis* / diagnosis
Sepsis* / therapy
United Kingdom