The impact of sepsis education quality improvement interventions for intensive care units’ healthcare workers: A systematic review

Background and aim: Sepsis mortality is one of the significant, preventable public health issues worldwide. Although there has been increased focus on sepsis education and training for healthcare professionals and students, the effectiveness of various educational methods in promoting the adoption of best sepsis care practices has been less thoroughly evaluated, especially in critical care settings. Thus, the aim of this review was to explore the impact of sepsis education quality improvement interventions on intensive care units healthcare workers. Methods: This systematic review followed PRISMA guidelines and involved a comprehensive search of PubMed, Scopus, Embase, and Cochrane Library using keywords related to sepsis education and training. The search included English-language articles published after 2010, focusing on randomised and non-randomized trials, interventional studies, and quality improvement projects. Studies were screened by title, abstract, and full text to evaluate eligibility. Data extraction covered study design, objectives, healthcare staff involved, intervention types, outcomes, and methods. Results: A total of 660 records were initially identified through the electronic database search. Resulting in the inclusion of seven studies in this review. Educational interventions across various studies showed mixed results in sepsis management. No significant impact was on late-onset sepsis rates despite improved clinical outcomes. Improved knowledge and competence was reported but no link between knowledge and overall competence. Better compliance and a trend towards reduced mortality was achieved. Both simulation and self-study were found to improve sepsis knowledge. Educational interventions also increased clinician confidence and guideline adherence in paediatric sepsis. They also improved knowledge and practices among ICU nurses. Moreover, comprehensive training significantly reduced sepsis mortality and costs. Conclusion: This review highlights the effectiveness of educational interventions in improving sepsis management, noting significant enhancements in knowledge and practice. Various methods, from high-fidelity simulations to multimodal approaches, show improvements in sepsis care and outcomes, such as reduced mortality and better adherence to care bundles. However, challenges remain in optimising these strategies and ensuring their impact on patient outcomes. Future research should focus on overcoming adherence barriers, evaluating direct effects on outcomes, and exploring cost-effective, sustainable educational methods.