{"id":"https://openalex.org/W7220990606","doi":"https://doi.org/10.3389/fnut.2026.1933045","title":"Knowledge, attitudes, and practices of emergency nurses regarding sepsis nutritional management: a multicenter cross-sectional study","display_name":"Knowledge, attitudes, and practices of emergency nurses regarding sepsis nutritional management: a multicenter cross-sectional study","publication_year":2026,"publication_date":"2026-10-08","ids":{"openalex":"https://openalex.org/W7220990606","doi":"https://doi.org/10.3389/fnut.2026.1933045","pmid":"https://pubmed.ncbi.nlm.nih.gov/42923044","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13687387"},"language":"en","primary_location":{"id":"doi:10.3389/fnut.2026.1933045","doi":"https://doi.org/10.3389/fnut.2026.1933045","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fnut.2026.1933045","pdf_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1933045/pdf","source":{"id":"https://openalex.org/S2596909297","display_name":"Frontiers in Nutrition","issn_l":"2296-861X","issn":["2296-861X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Nutrition","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1933045/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157952560","display_name":"Lin Xiao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210137355","display_name":"Northern Jiangsu People's Hospital","ror":"https://ror.org/04gz17b59","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210137355"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lin Xiao","raw_affiliation_strings":["Department of Emergency, Affiliated Hospital of Yangzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency, Affiliated Hospital of Yangzhou University","institution_ids":["https://openalex.org/I4210137355"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157934411","display_name":"Weijia Pei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210137355","display_name":"Northern Jiangsu People's Hospital","ror":"https://ror.org/04gz17b59","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210137355"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Weijia Pei","raw_affiliation_strings":["Department of Emergency, Affiliated Hospital of Yangzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency, Affiliated Hospital of Yangzhou University","institution_ids":["https://openalex.org/I4210137355"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157955557","display_name":"Huijun Zhu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210137355","display_name":"Northern Jiangsu People's Hospital","ror":"https://ror.org/04gz17b59","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210137355"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Huijun Zhu","raw_affiliation_strings":["Department of Emergency, Affiliated Hospital of Yangzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency, Affiliated Hospital of Yangzhou University","institution_ids":["https://openalex.org/I4210137355"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5157955557"],"corresponding_institution_ids":["https://openalex.org/I4210137355"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.74523485,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1933045","last_page":"1933045"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":0.9437999725341797,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":0.9437999725341797,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.041999999433755875,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13960","display_name":"Dietetics, Nutrition, and Education","score":0.002400000113993883,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.996999979019165},{"id":"https://openalex.org/keywords/dietary-management","display_name":"dietary management","score":0.9390000104904175},{"id":"https://openalex.org/keywords/emergency-department-nurses","display_name":"emergency department nurses","score":0.8330000042915344},{"id":"https://openalex.org/keywords/emergency-nursing","display_name":"emergency nursing","score":0.6819999814033508},{"id":"https://openalex.org/keywords/knowledge-attitudes-and-practices","display_name":"knowledge, attitudes and practices","score":0.8119999766349792},{"id":"https://openalex.org/keywords/nurse-training","display_name":"nurse training","score":0.5759999752044678},{"id":"https://openalex.org/keywords/supportive-care","display_name":"supportive care","score":0.5910000205039978},{"id":"https://openalex.org/keywords/nursing-practice-implementation","display_name":"nursing practice implementation","score":0.37599998712539673}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.83160001039505},{"id":"https://openalex.org/C2992435398","wikidata":"https://www.wikidata.org/wiki/Q6934595","display_name":"Multicenter study","level":3,"score":0.46470001339912415},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.4505999982357025},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.44699999690055847},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.42800000309944153},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3450999855995178},{"id":"https://openalex.org/C3018868096","wikidata":"https://www.wikidata.org/wiki/Q2693233","display_name":"Internal consistency","level":3,"score":0.3325999975204468},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.3192000091075897},{"id":"https://openalex.org/C117312493","wikidata":"https://www.wikidata.org/wiki/Q2035437","display_name":"Multivariable calculus","level":2,"score":0.2987000048160553},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2775000035762787},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2773999869823456},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2732999920845032},{"id":"https://openalex.org/C152877465","wikidata":"https://www.wikidata.org/wiki/Q208042","display_name":"Regression analysis","level":2,"score":0.2583000063896179},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.25429999828338623},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.25029999017715454}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fnut.2026.1933045","doi":"https://doi.org/10.3389/fnut.2026.1933045","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fnut.2026.1933045","pdf_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1933045/pdf","source":{"id":"https://openalex.org/S2596909297","display_name":"Frontiers in Nutrition","issn_l":"2296-861X","issn":["2296-861X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Nutrition","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13687387","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13687387/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13687387/pdf/fnut-13-1933045.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Nutr","raw_type":"Text"},{"id":"pmid:42923044","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42923044","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in nutrition","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:8afe68d89ae34962af4d87f8d35bdc23","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/8afe68d89ae34962af4d87f8d35bdc23","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Nutrition, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fnut.2026.1933045","doi":"https://doi.org/10.3389/fnut.2026.1933045","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fnut.2026.1933045","pdf_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1933045/pdf","source":{"id":"https://openalex.org/S2596909297","display_name":"Frontiers in Nutrition","issn_l":"2296-861X","issn":["2296-861X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Nutrition","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220990606.pdf","grobid_xml":"https://content.openalex.org/works/W7220990606.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W2027060022","https://openalex.org/W2100342289","https://openalex.org/W2280404143","https://openalex.org/W2743095334","https://openalex.org/W2767390227","https://openalex.org/W2893877102","https://openalex.org/W2912820151","https://openalex.org/W2912939951","https://openalex.org/W2998853022","https://openalex.org/W3202964273","https://openalex.org/W3212404418","https://openalex.org/W4290038714","https://openalex.org/W4320497163","https://openalex.org/W4384297410","https://openalex.org/W4392772477","https://openalex.org/W4398208076","https://openalex.org/W4402078889","https://openalex.org/W4405014751"],"related_works":["https://openalex.org/W4401710119","https://openalex.org/W2914283119","https://openalex.org/W1982164315","https://openalex.org/W4408280681","https://openalex.org/W4403035951","https://openalex.org/W4306838903","https://openalex.org/W4290038714","https://openalex.org/W7127404194","https://openalex.org/W4415154273","https://openalex.org/W2993612566"],"abstract_inverted_index":{"Background":[0],"Nutritional":[1],"management":[2,41,318],"is":[3],"an":[4,289],"important":[5],"component":[6],"of":[7,123,154,157,326,337],"supportive":[8],"care":[9],"for":[10],"patients":[11,43,320],"with":[12,44,71,80,99,205,242,321,328,342],"sepsis,":[13],"but":[14],"its":[15],"implementation":[16],"in":[17,42,58,319],"emergency":[18,30],"settings":[19],"may":[20],"be":[21],"challenging":[22],"alongside":[23],"other":[24],"time-critical":[25],"priorities.":[26],"This":[27,47],"study":[28,50],"assessed":[29],"department":[31],"(ED)":[32],"nurses\u2019":[33],"knowledge,":[34,136,310],"attitudes,":[35],"and":[36,64,102,114,138,148,160,185,220,275,286,313,331,345],"practices":[37,222,244],"(KAP)":[38],"regarding":[39],"nutritional":[40,317],"sepsis.":[45,322],"Methods":[46],"multicenter":[48],"cross-sectional":[49],"was":[51,75,93,107],"conducted":[52],"among":[53,117],"ED":[54,306],"nurses":[55,132,165,307],"from":[56],"hospitals":[57],"Jiangsu":[59],"Province,":[60],"China,":[61],"between":[62],"January":[63],"May":[65],"2026.":[66],"A":[67,121],"structured":[68],"Chinese":[69],"questionnaire":[70],"satisfactory":[72],"internal":[73],"consistency":[74],"used":[76,108],"to":[77,95,109,180,194,215,229,251],"assess":[78],"KAP,":[79],"KAP":[81,100,118],"levels":[82],"descriptively":[83],"classified":[84],"using":[85],"modified":[86],"Bloom\u2019s":[87],"cut-off":[88],"criteria.":[89],"Multivariable":[90],"linear":[91],"regression":[92],"performed":[94],"identify":[96],"factors":[97],"associated":[98,204,241],"scores,":[101],"structural":[103],"equation":[104],"modeling":[105],"(SEM)":[106],"further":[110],"evaluate":[111],"the":[112,334],"direct":[113,262],"indirect":[115,290],"relationships":[116],"domains.":[119],"Results":[120],"total":[122],"630":[124],"valid":[125],"questionnaires":[126],"were":[127,141,202,238],"analyzed,":[128],"including":[129],"558":[130],"female":[131],"(88.6%).":[133],"The":[134,323],"median":[135],"attitude,":[137],"practice":[139,186,276,293,315,332],"scores":[140,173,187,201,237],"9.00":[142],"(9.00,":[143],"15.00),":[144],"40.50":[145],"(36.00,":[146],"45.00),":[147],"29.00":[149],"(22.25,":[150],"36.00),":[151],"respectively,":[152],"out":[153],"possible":[155],"ranges":[156],"0\u201318,":[158],"9\u201345,":[159],"9\u201345.":[161],"In":[162],"multivariable":[163],"analyses,":[164],"without":[166],"recent":[167],"training":[168],"had":[169,260,288],"significantly":[170],"lower":[171],"knowledge":[172,200,259,327],"(\u03b2":[174,188,209,223,245,266,277,296],"=":[175,189,210,224,246,267,278,297],"\u22124.676,":[176],"95%":[177,191,212,226,248,269,280,299],"CI:":[178,192,213,227,249,270,281,300],"\u22125.386":[179],"\u22123.965,":[181],"p":[182,196,217,231,253,272,283,302],"<":[183,197,218,232,254,273,284,303],"0.001)":[184,219,274],"\u22123.014,":[190],"\u22124.296":[193],"\u22121.732,":[195],"0.001).":[198,255,304],"Higher":[199],"independently":[203,240],"more":[206],"positive":[207,311],"attitudes":[208,312],"0.419,":[211],"0.337":[214],"0.501,":[216],"better":[221,243],"0.860,":[225],"0.723":[228],"0.997,":[230],"0.001),":[233,285],"while":[234],"higher":[235],"attitude":[236,265,295,330],"also":[239,287],"0.415,":[247],"0.294":[250],"0.537,":[252],"SEM":[256],"demonstrated":[257],"that":[258],"significant":[261],"effects":[263],"on":[264,292],"0.470,":[268],"0.404\u20130.536,":[271],"0.512,":[279],"0.432\u20130.589,":[282],"effect":[291],"through":[294],"0.100,":[298],"0.061\u20130.140,":[301],"Conclusion":[305],"showed":[308],"insufficient":[309],"moderate":[314],"toward":[316],"observed":[324],"associations":[325],"both":[329],"support":[333],"potential":[335],"value":[336],"targeted,":[338],"practice-oriented":[339],"training,":[340],"together":[341],"standardized":[343],"documentation":[344],"workflow-based":[346],"support.":[347]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-09T00:00:00"}