Table 1 Median response (IQR) and factor loadings for the five factors identified in the exploratory factor analysis for the broad nursing cohort. Only loadings greater than 0.3a are displayed. Cronbach’s alpha (α) is reported for each factor
Questiona | Median response (IQR) | Factor 1: Knowledge and beliefs about paediatric sepsis and pathway application (α = 0.89) | Factor 2: Social influences when recognising, escalating and managing paediatric sepsis (α = 0.83) | Factor 3: Beliefs about capability and skills delivering treatment for paediatric sepsis (α = 0.84) | Factor 4: Beliefs about capability and behaviour in recognising, escalating and managing paediatric sepsis (α = 0.87) | Factor 5: Environmental context and resources in the ED for recognising, escalating and managing paediatric sepsis (α = 0.74) |
|---|---|---|---|---|---|---|
24. I am confident that I could recognise sepsis in a paediatric patient | 6 (5–6) | – | – | – | 0.70 | – |
26. I am sufficiently trained to respond to sepsis in a paediatric patient | 6 (5–6) | – | – | – | 0.63 | – |
27. I have a clear plan of how I will escalate care of a patient with suspected sepsis following the PSP | 6 (6–7) | – | – | – | 0.60 | – |
28. I am confident that I can set up an Adrenaline infusion in a time critical situation | 5 (3–6) | – | – | 0.75 | – | – |
29. I have the skills to calculate and deliver a fluid bolus to a paediatric patient as rapidly as their condition demands | 6 (5–6) | – | – | 0.92 | – | – |
30. When I have to prescribe or deliver an intravenous antibiotic I feel comfortable using the guide on the PSP | 6 (5–7) | – | – | 0.50 | – | – |
31. Escalating my concerns to a Senior Medical Officer that a child could have sepsis is | 6 (6–7) | – | 0.66 | – | – | – |
33. For me, seeking support from colleagues when uncertain about the management of paediatric sepsis is | 6 (6–7) | – | 0.70 | – | – | – |
35. My hospital provides doctors and nurses with sufficient training to recognise and manage treatment for paediatric patients with sepsis | 6 (5–6) | – | – | – | – | 0.48 |
36. Senior staff in the organisation in which I work are willing to listen to my problems with escalating care and finding placement for paediatric patients with sepsis | 6 (6–6) | – | 0.70 | – | – | – |
37. I can count on gaining support from doctors and nurses to respond when I suspect a patient has sepsis | 6 (6–7) | – | 0.81 | – | – | – |
38. I can remember the important steps of care for paediatric patients with sepsis | 6 (5–6) | – | – | – | 0.49 | – |
39. In my ED, I think there are all the necessary resources available to efficiently manage paediatric sepsis | 6 (5–6) | – | – | – | – | 0.55 |
40. In my hospital, there is a good collaboration between Paediatrics or retrieval teams and the ED when accepting patients with sepsis who require ongoing care | 6 (5–6) | – | – | – | – | 0.49 |
41. Delivering sepsis care following the pathway is a high priority of mine when working in the ED | 6 (6–7) | 0.53 | – | – | – | – |
43. I am often triggered to think about sepsis in children by the level of parental concern voiced | 6 (5–6) | 0.58 | – | – | – | – |
44. My ED recommends the inclusion and involvement of parents in assessment and clinical management of paediatric patients with sepsis | 6 (6–7) | 0.54 | – | – | – | – |
47. If I deliver sepsis care following the PSP I will feel satisfied in the care I am delivering to my patient | 6 (6–7) | 0.77 | – | – | – | – |
48. Delivering the treatment bundle on the sepsis pathway is part of my role as a clinician | 6 (6–7) | 0.77 | – | – | – | – |
49. If I deliver care within one hour following the treatment bundle on the sepsis pathway this will result in a better patient outcome. | 7 (6–7) | 0.80 | – | – | – | – |
50. Delivering sepsis care following the PSP is something I do as part of routine patient management | 6 (6–7) | 0.68 | – | – | – | – |