Identificação precoce e abertura do protocolo de primeira hora pelo enfermeiro ao paciente com sepse: revisão integrativa da literatura
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v18.13965Keywords:
Sepse, Enfermeiro, Protocolo de tratamentoAbstract
Objective: identify in scientific evidence nurses have knowledge about sepsis and its treatment protocol. Methodology: this is a study carried out through an integrative literature review. From the survey of problems, the following research question arose: what is the relevance of nurses in the identification and early treatment of sepsis? Results: the sample consisted of 10 articles selected from 2014 to 2024. The study carried out with nurses demonstrated significant improvements in the early identification of sepsis (65.8% to 87.3%), improvement in the ability to care for these patients (62.4% to 86.6%), and increased mobilization of the team for early treatment after specific training for patients with sepsis (66.3% to 85.6%). Conclusion: the results positively highlight that after training there was an improvement in early identification and advancement in the ability to care for patients with sepsis.
Descriptors: Sepsis; Nurse; Treatment Protocol.
Downloads
References
Júnior ARF, Belarmino AC, Almeida TDFS, Holanda LCA. Sistematização da assistência de enfermagem a pacientes adultos com diagnóstico de sepse. Rev Baiana Saúde Pública. [Internet]. 2020 [acesso em 27 de março 2024];44(2). Disponível em: https://doi.org/10.22278/2318-2660.2020.v44.n2.a2825.
Viana RAPP, Machado FR, Amorim de Souza JL. Sepse: um problema de saúde pública. A atuação e colaboração da Enfermagem na rápida identificação e tratamento da doença. 3ª ed. São Paulo: COREN-SP. [Internet]. 2020 [acesso em 23 de agosto 2025]. Disponível em: https://ilas.org.br/wp-content/uploads/2022/02/livro-sepse-um-problema-de-saude-publica-coren-ilas.pdf.
Instituto Latino-Americano de Sepse (ILAS). Implementação de protocolo gerenciado de sepse: atendimento ao paciente adulto com sepse / choque séptico. São Paulo: ILAS. [Internet]. 2018 [acesso em 23 de agosto 2025]. Disponível em: https://ilas.org.br/wp-content/uploads/2022/02/protocolo-de-tratamento.pdf.
Henrique DM, Costa BSR, Fassarella CS, Camerini FG, Silva RFA, Silva JLO. Nurse-managed protocols for early identification of sepsis: a scoping review. Rev Enferm UERJ. [Internet]. 2023 [cited 2024 jul 20];31:e66263. Available from: https://doi.org/10.12957/reuerj.2023.66263.
Melo MS, Seixas SAWM, Carvalho TA, Andrade JS, Sousa CS, Rodrigues IDCV, et al. Aspectos clínicos e epidemiológicos de pacientes internados com sepse em um hospital privado. Rev Enferm Atual In Derme. [Internet]. 2019 [acesso em 23 de agosto 2025];90(28). Disponível em: https://revistaenfermagematual.com.br/index.php/revista/article/view/527.
Machado FR, Cavalcanti AB, Bozza FA, Ferreira EM, Carrara FSA, Sousa JL, et al. SPREAD Investigators; Latin American Sepsis Institute Network. The epidemiology of sepsis in Brazilian intensive care units (the Sepsis PREvalence Assessment Database, SPREAD): an observational study. Lancet Infect Dis. [Internet]. 2017 [cited 2025 aug 23];17(11). Available from: https://doi.org/10.1016/S1473-3099(17)30322-5.
Instituto Latino-Americano para Estudos da Sepse (ILAS). Sepse: um problema de saúde pública. Brasília: Conselho Federal de Medicina (CFM). [Internet]. 2015 [acesso em 23 de agosto 2025]. Disponível em: https://biblioteca.cofen.gov.br/wp-content/uploads/2015/10/livro-um-problema-de-saude-publica.pdf.
Miranda AP, Silva JRD, Duarte MGD. O conhecimento do enfermeiro frente ao protocolo da sepse em um serviço de emergência de hospital público de grande porte. Nursing (São Paulo). [Internet]. 2019 [acesso em 10 de julho 2025];22(251). Disponível em: https://doi.org/10.36489/nursing.2019v22i251p2834-2838.
Bezerra NKS, Silva PS, Maciel JC, Carvalho FCA, Caldart RV. Early identification and initial treatment of sepsis by emergency nurses. Rev Enferm UFPI. [Internet]. 2022 [cited 2024 jul 1];11:e2809. Available from: https://doi.org/10.26694/reufpi.v11i1.2809.
Silva APRM, Souza HV. Sepse: importância da identificação precoce pela enfermagem. Revista Pró-Univer SUS. [Internet]. 2018 [acesso em 26 de janeiro 2024];9(1). Disponível em: https://editora.univassouras.edu.br/index.php/RPU/article/view/1266.
Mendes KDS, Silveira RCCP, Galvão CM. Integrative literature review: a research method to incorporate evidence in health care and nursing. Texto Contexto Enferm. [Internet]. 2008 [cites 2024 jul 20];17(4). Available from: https://doi.org/10.1590/S0104-07072008000400018.
Ribeiro NJM, Campos DA, Marques LBA, Ramalho CROC, Nóbrega MML. Conceptions of nurses who work in a general intensive care unit regarding sepsis. Cogitare Enferm. [Internet]. 2015 [cites 2024 jul 20];20(4). Available from: https://revistas.ufpr.br/cogitare/article/view/41963/26637.
Rababa M, Hamad DB, Hayajneh AA. Sepsis assessment and management in critically ill adults: a systematic review. PLoS One. [Internet]. 2022 [cited 2024 jul 20];17(7):e0270711. Available from: https://doi.org/10.1371/journal.pone.0270711.
Pedrosa KKA, Oliveira SA, Machado RC. Validation of a care protocol for the septic patient in the Intensive Care Unit. Rev Bras Enferm. [Internet]. 2018 [cites 2024 jul 20];71(6). Available from: https://doi.org/10.1590/0034-7167-2017-0312.
Oliveira SC, Correa BT, Dodde HN, Pereira GL, Aguiar BGC. The Nurse Approach Towards the Detection of Antecedent Signs and Symptoms of Sepsis in Patients at a Nursing Ward. Rev Pesqui Cuid Fundam Online. [Internet]. 2019 [cited 2024 jl 20];11(5). Available from: http://dx.doi.org/10.9789/2175-5361.2019.v11i5.1307-1311.
Branco MJC, Lucas APM, Marques RMD, Sousa PP. The role of the nurse in caring for the critical patient with sepsis. Rev Bras Enferm. [Internet]. 2020 [cited 2024 jul 20];73:e20190031. Available from: https://doi.org/10.1590/0034-7167-2019-0031.
Goulart LS, Júnior MAF, Sarti ECFB, Sousa AFL, Ferreira AM, Frota OP. Are nurses updated on the proper management of patients with sepsis? Esc Anna Nery. [Internet]. 2019 [cited 2024 jul 20];23:e20190013. Available from: https://doi.org/10.1590/2177-9465-EAN-2019-0013.
Antunes BCS, Cruz EDA, Batista J, Silva DP, Nazário SS. Early detection of sepsis in urgent and emergency services: integrative review. Rev Enferm UERJ. [Internet]. 2021 [cited 2024 jul 20];29(1):e61458. Available from: https://doi.org/10.12957/reuerj.2021.61458.
Sanches CT, Ribeiro ASP, Rodrigues OMU, Magalhães CGC, Kerbauy G, Mathias DE. Sepse: avaliação da qualidade do atendimento em setor de urgência e emergência. Cienc Cuid Saude. [Internet]. 2020 [acesso em 23 de agosto 2025];19:e48588. Disponível em: https://doi.org/10.4025/cienccuidsaude.v19i0.48588.
Silva DF, Brasil MHF, Santos GC, Guimarães KSDL, Oliveira FMRL, Leal NPR, et al. Knowledge of emergency nurses about a sepsis clinical protocol. Rev Enferm UFPE Online. [Internet]. 2021 [cited 2024 jul 20];15:e246932. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/245947/38107.
Cebriano GCM, Silva DLC, Ramos LGA, Passos ICGAP, Barbosa KLR, Andrade PP, et al. The nurse as the protagonist of the early identification of Sepsis: care in the management and evolution of the disease. Res Soc Dev. [Internet]. 2021 [cited 2025 aug 23];10(2):e56010212922. Available from: https://doi.org/10.33448/rsd-v10i2.12922.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Revista de Pesquisa Cuidado é Fundamental Online
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
TRANSFER AGREEMENT COPYRIGHT I transfer copyright of the article to the Journal of Care Survey is Fundamental - Online - RPCF, so it is accepted due to electronic publishing. The copyright includes the right to reproduce in whole or in part by any means, distributing that article, including figures, photographs, and any translations. The author can also print and distribute copies of your article, stating that since the rights belong to RPCF. I declare that this manuscript is original and has not been submitted for publication, in whole or in part to other online journals or not, so BMMC in the Annals of scientific events or book chapters.
