Psychometric Properties of the Barriers to and Facilitators of Implementing the Sepsis Six Care Bundle (BLISS-1) Questionnaire.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-05-27 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S517386

Dania Bani Hamad, Mohammad Rababa, Raeda Abu Ali, Hala ALeasa

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引用次数: 0

Abstract

Background: Sepsis, a severe medical condition caused by a dysregulated host response to infection, accounts for 20% of global fatalities. While simplifying early sepsis treatment with the Sepsis Six care bundle has been shown to reduce mortality by 46.6%, multiple barriers often prevent clinical nurses from adhering to sepsis care recommendations. Identifying these barriers is essential to eliminating them, and thus the Sepsis Six Care bundle (BLISS-1) questionnaire was developed to identify the barriers to and facilitators of nurses' implementation of the Sepsis Six care bundle while caring for sepsis patients. The current study assessed the psychometric properties of the BLISS-1 questionnaire to evaluate its validity and reliability.

Purpose: This study assessed the psychometric properties of the BLISS-1 questionnaire.

Methods: A total of 180 clinical nurses working in different critical care units at a selected University Hospital participated in a cross-sectional, descriptive study. Data were collected using the BLISS-1 Questionnaire, used to assess the perceived barriers to and facilitators of Sepsis Six performance. Descriptive statistics, Cronbach's alpha reliability analysis, and Promax rotation EFA were performed to assess the validity and reliability of the questionnaire.

Results: The BLISS-1 questionnaire has strong internal consistency, with Cronbach's alpha values of 0.978 for perceived barriers and 0.976 for perceived importance. Factor analysis revealed that key barriers included skepticism about the protocol's clinical efficacy and operational challenges such as limited training and insufficient resources.

Conclusion: This study revealed the BLISS-1 questionnaire to be highly reliable. Focused education, appropriate resource allocation, and supporting policies are needed to increase nurses' adherence to the Sepsis Six protocol and, hence, improve patient outcomes.

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实施脓毒症六大护理包（BLISS-1）问卷的障碍和促进因素的心理测量特性

背景：败血症是一种由宿主对感染反应失调引起的严重疾病，占全球死亡人数的20%。虽然使用脓毒症6护理包简化早期脓毒症治疗已被证明可降低46.6%的死亡率，但多重障碍往往阻碍临床护士坚持脓毒症护理建议。识别这些障碍对于消除这些障碍至关重要，因此制定了脓毒症六项护理包（BLISS-1）问卷调查，以确定护士在护理脓毒症患者时实施脓毒症六项护理包的障碍和促进因素。本研究评估了BLISS-1问卷的心理测量特性，以评估其效度和信度。目的：本研究评估BLISS-1问卷的心理测量特性。方法：对某大学附属医院不同重症监护病房的180名临床护士进行横断面描述性研究。使用BLISS-1问卷收集数据，用于评估脓毒症6表现的感知障碍和促进因素。采用描述性统计、Cronbach’s alpha信度分析、Promax旋转EFA等方法评估问卷的效度和信度。结果：BLISS-1问卷具有较强的内部一致性，感知障碍的Cronbach α值为0.978，感知重要性的Cronbach α值为0.976。因素分析显示，主要障碍包括对该方案临床疗效的怀疑，以及培训有限和资源不足等操作挑战。结论：本研究显示BLISS-1问卷具有较高的信度。需要有针对性的教育、适当的资源分配和支持政策来提高护士对脓毒症六级协议的依从性，从而改善患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.