Date of Graduation

Winter 12-15-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Theresa Mostasisa



Problem: In September 2023, Hospital X identified a lack of utilization of the Inpatient Handoff Sepsis Bundle Checklist (IHSBC) in the medical-surgical unit with only 25% of nurses being familiar with it. This project aimed to improve the use of the IHSBC to maintain compliance of the sepsis bundle above the benchmark of 75%.

Context: A microsystem assessment was completed in a medical-surgical unit by CNL students at Hospital X. The students collaborated with Hospital X and identified the need to improve the socialization of the IHSBC in the medical-surgical unit.

Interventions: The intervention included resocializing the IHSBC on the unit. The CNL students reintroduced the IHSBC during morning staff huddles. Additionally, resources on sepsis were placed on the break room educational board and copies of the checklist were put into a binder and placed on the unit.

Measures: A pre-intervention verbal survey and post-intervention verbal survey were conducted to measure the efficacy of the interventions to resocialize the IHSBC on the unit.

Results: After post-interventions were implemented, the results revealed that familiarity with the IHSBC increased from 25% to 60%.

Conclusions: Resocialization of the IHSBC had a positive outcome on staff awareness at Hospital X. Increasing socialization of the IHSBC can in turn increase utilization of the IHSBC which could reduce hospital costs and sepsis complications.. Interventions such as re-education, communicating with nurses, and placing resources on the unit are effective strategies used to resocialize the nurses on the IHSBC. Future research is indicated to further analyze the effectiveness of interventions performed to improve resocialization of the IHSBC

Keywords: Sepsis, Early Sepsis Recognition, Checklist, Bundle Adherence, Compliance, Education, Septic Shock, Severe Sepsis, Quality improvement, Resocialization.