Date of Graduation

Spring 5-18-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

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



Problem: This Quality Improvement project aims to improve sepsis bundle education to reduce mortality and morbidity rates related to septicemia in a Medical-Surgical Telemetry Unit at a San Francisco Bay Area Hospital, Hospital Z.

Context: The Quality Improvement project occurred in a Medical-Surgical Telemetry unit at Hospital Z. This Unit is a 32 beds unit with an increased mortality and mobility rate with decreased sepsis bundle compliance.

Intervention: Collect active and passive observational data in the microsystem. Data collection was conducted through anonymous self-administered questionnaires to the registered nurses on the unit. No intervention was implemented at this time.

Measures: It began with completing an initial microsystem assessment using the 5 Ps. Edible incentives were given to encourage the nurses to actively participate in the survey. We assessed the nurses' knowledge of the unit through a sepsis questionnaire (see Appendix E). Results showed that nurses did feel the Electronic Cardiac Arrest Risk Triage (eCART) system was user-friendly, but there were barriers regarding education on Sepsis itself. The outcome measure would be to see a decrease in sepsis related morbidity and mortality.

Results: Our Results were a mix of quantitative and qualitative data. The response rate of 67% gave us a perspective of the nurse's opinions (see Appendix F). The questionnaire did reveal a need for stronger and more frequent sepsis education.

Conclusions: Ongoing research has shown that understanding the pathophysiology and immunological mechanisms of Sepsis and the approach to managing Sepsis leads to a better patient outcome (Ling Cheg et al., 2022). We found that the nurses' experience, knowledge, and on-site training affected their compliance rate and understanding of Sepsis.