Effects of Nursing Staff on Empiric Antibiotic in Septic Shock

Study Overview
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Brief Summary
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A retrospective, observational study was performed about the patients with septic shock who admitted into intensive care unit (ICU) from January 1, 2015 to February 29, 2016. The number of patients who received empiric antibiotic treatment within first hour after septic shock diagnosis were collected. Detailed information about clinical ladder for nursing stuff and nursing shift were collected . Clinical ladder for nursing stuff is a new definition based on education background and work experience and nurses stuff are classified into four levels. N0 was defined who got college degree or above, nurse qualification certificate and working time less than one year. N1 an N2 were defined as who got nurse qualification certificate and working time between 1 3 years and more than three years, respectively. N3 was defined who was nurse-in-charge qualification or got nurse practitioner qualification for more than five years. Compliance of empiric antibiotic treatment within first hour and evaluate the effect of nursing stuff on the compliance were calculated.

Official Title
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The Effect of Nursing Staff on Empiric Antibiotic Treatment Within the First Hour in Patients With Septic Shock: A Retrospective Study

Conditions
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Septic Shock, Compliance, Antibiotic, Nursing Caries

Intervention / Treatment
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* Behavioral: work Time


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age>18 years old sepsis Exclusion Criteria: pregnancy >80 years old.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Nurse level N0<br>who got college degree or above, nurse qualification certificate and working time less than one year | Behavioral: work Time<br>* nurse got qualification certificate and the working time<br>|
| Nurse level N1<br>who got nurse qualification certificate and working time between 1 3 years | Behavioral: work Time<br>* nurse got qualification certificate and the working time<br>|
| Nurse level N2<br>who got nurse qualification certificate and working time between 3 5 years | Behavioral: work Time<br>* nurse got qualification certificate and the working time<br>|
| Nurse level N3<br>who got nurse qualification certificate and working time more than 5 years | Behavioral: work Time<br>* nurse got qualification certificate and the working time<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| compliance of empiric antibiotic treatment within first hour | compliance of empiric antibiotic treatment within first hour | 1 hour | 
| evaluate the effect of nursing stuff on the compliance | evaluate the effect of nursing stuff on the compliance | 1 hour |