Date of Graduation

Spring 5-18-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Dr. Nneka Chukwu, DNP-HCSL, MBA, RN, CLNC

Abstract

Abstract

Problem: Sepsis creates complications for patients and nursing staff. Increasing sepsis bundle compliance has been shown to decrease patient mortality. This quality improvement project utilized a self-administered questionnaire to better understand the opinions of nursing staff on the Medical-Surgical/Telemetry unit and explore ways to improve sepsis bundle compliance.

Context: The microsystem is a 32-bed Medical-Surgical/Telemetry unit at Hospital X, a 244-bed, not-for-profit hospital serving the Bay Area of California.

Interventions: A questionnaire distributed to nursing staff on the unit was the primary intervention. Through microsystem assessment, questionnaire results, and direct conversations with staff; active and passive data were obtained.

Measures: The self-administered questionnaire distributed aimed to understand if staff had received sepsis bundle training and what their opinions were regarding the bundle, Rapid Response Team, eCART, and suggestions for improvement. Self-administered questionnaires were distributed over a one-month period.

Results: This project achieved a 67% response rate. Of the nurses who responded, 16.7% of them indicated that they did not receive the sepsis bundle at any time during their employment at Hospital X. 50% of respondents rated the effectiveness of training between an 8 and 10, 36.1% rated is between 5 and 7, and 11.1% rated it between 0 and 4. 88.9% felt that rapid response was effective when managing the care of patients admitted with sepsis. Qualitative data was obtained from written responses that provided valuable insight into the lack of sepsis bundle compliance.

Conclusion: Qualitative and quantitative data were obtained from the self-administered questionnaires, microsystem assessment, and conversations with staff. High response rate reflected staff willingness to improve their practice. Project findings contribute to improvements to be implemented by Hospital X. Results from the self-administered questionnaire support the need for repeat sepsis training, visual-aids, simplification of current sepsis protocol, and investigation into the transfer process beginning in the Emergency Department. Recommendations for improvement were provided to the leadership team for implementation. These recommendations are supported by the Nurses’ responses to the self-administered questionnaires and research on the best evidence-based practices.

Keywords: sepsis, sepsis bundle compliance, mortality, eCART, quality improvement

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