Exploring Emergency Department Nurses’ Experiences of Sepsis Management in Saudi Arabia’s Hospitals

Abstract

Abstract

Background: Sepsis presents a significant challenge in emergency care. In Saud Arabia, where Emergency Departments face high patient loads and complex clinical environment, early recognitions and timely management of sepsis is critical yet often hindered by systematic and contextual factors. Understanding the lived experiences of Emergency Department nurses can provide crucial insight into how organizational, interprofessional and clinical dynamics influence sepsis care. Aim: This study aims to explore the lived experiences, perceptions and practices of Emergency Department nurses in Saudi Arabia regarding sepsis early recognition and management. Methods: A qualitative study using focused ethnography will be conducted in three phases: ethnographic fieldwork within the Emergency Department; semi-structured interviews with Emergency Department nurses, physicians, and hospital administrators; and a supplementary review of sepsis-related policies, training materials, and clinical guidelines. Data will be analyzed thematically to explore behavioural patterns, institutional influences, and lived professional experiences. Ethics and Dissemination: Ethical approval will be obtained from relevant review boards in the United Kingdom and Saudi Arabia. Informed consent will be treated as an ongoing process to ensure participants’ autonomy. Confidentiality and anonymity will be strictly maintained. Findings will be shared with participants via online summary and disseminated through peer-reviewed publications, conferences, and direct engagement with policymakers. Estimated timeframe: The research is expected to be conducted over a period of 33 to 36 months, including time for data collection, analysis, and dissemination. Implications: This study will inform clinical practice, nursing education, and policy in Saudi Arabia by addressing local sociocultural and organizational factors affecting sepsis care. It also adds valuable insights from a non-Western context to the global health research community.