Proposta de protocolo de sepse baseada em uma revisão integrativa

Abstract

Introduction: Sepsis is a dysregulated response of the organism to an infectious agent, being a challenge for health professionals, in view of the need for prompt recognition and early treatment, essential actions to reduce negative outcomes for patients. Objective: The objective of this study is to propose a sepsis protocol based on an integrative review. Methodology: The integrative review was carried out in the following databases: SciELO, LILACS, PubMed, MEDLINE e BDEnf. Descriptors according to the DeCS were used: protocols, sepsis and nursing. Results: 352 articles were found, and after exclusion by titles and abstracts, 25 articles were selected, which were read in full. After reading, the studies were divided into four categories: nurses' actions against septic patients; clinical protocols used / developed by nurses; impacts of using the protocol; and the nurses' knowledge about the management of the patient with sepsis. Thus, based on the guidelines proposed by the Latin American Sepsis Institute and the results achieved in the integrative review, a sepsis protocol was developed. Conclusion: This study may contribute to improving nurses' knowledge regarding the pathophysiology, treatment and implementation of strategies, such as protocols, for the management of sepsis in their reality. There is also the potential for further research to validate the proposed protocol.