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Dear Editor, Internationally, sepsis remains a complex condition with high mortality rates for critically ill patients. With the associated high resource use in developed and developing countries, early recognition and treatment have become a global priority area of focus for critical care [1]. Since 2002, the European Society of Intensive and Critical Care Medicine (ESICM) and the Society of Critical Care Medicine (SCCM) have collaborated to develop [2, 3] and update international guidelines for the management of sepsis and septic shock. The most recent guidelines were published in 2017 and outline 93 recommendations and best practice statements for the medical treatment of sepsis in 21 categories including diagnosis, initial resuscitation, antimicrobial therapy, fluid therapy, mechanical ventilation, source control, and screening for sepsis and performance improvement, among others [2, 3]. Nurses play a pivotal role in the early identification and management of sepsis. In recognition of this, four leading international critical care organizations (the European Federation of Critical Care Nursing Associations, EfCCNa, the European Society of Intensive Care Medicine Nursing and Allied Healthcare Professionals Section; the SCCM, and the World Federation of Critical CAre Nurses, WFCCN) collaborated to outline considerations for nursing care based on the revised SSC guidelines. The President or Chair of the organizations (authors) formed the core group and engaged with, and drew upon, nursing members with expertise on sepsis care. Consensus on quality indicators was gained through face to face communication with committees at organizational meetings and via email among the leadership. Nurse-sensitive actions and quality indicators were identified based on key areas of nursing care as outlined in the guidelines.

International critical care nursing considerations and quality indicators for the 2017 surviving sepsis campaign guidelines