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Dissertation/Thesis Abstract

Improving Sepsis Care for Non-Critical Care Hospitalized Patients by Using the Three Hour Treatment Bundle from the Surviving Sepsis Campaign
by Pryor, James Russell, D.N.P., Brandman University, 2017, 62; 10253593
Abstract (Summary)

Purpose: The purpose of this clinical scholarly project was to plan and execute a sepsis education presentation on identifying sepsis and using the three hour treatment bundle from the Surviving Sepsis Campaign to treat sepsis. The target audience is non-critical care inpatient nurses in a medium sized acute care community hospital.

Methods: Nurses were assigned a course over HealthStream, a web-based platform, which included the presentation along with a pre-test and post-test, and a consent statement to have their score reports analyzed. A descriptive analysis of group pre-test and post-test scores, compliance with completing each component of the three hour treatment bundle, sepsis mortality, and sepsis length of stay was completed.

Findings: There were 586 nurses who completed the course. A total of 172 nurses consented to having their test scores analyzed. The same test was used for the pre-test and the post-test. Overall, the mean test score for the pre-test was 75% and the mean post-test score was 92.6%. Completion compliance with each of the four components of the three hour treatment bundle increased in the 90 days following the education. Unfortunately, sepsis mortality and sepsis length of stay increased in the 90 days following the education using an outcome/expected variance ratio.

Conclusions: This project increased the post-test scores over pre-test scores. There was a linear relationship between increased post-test scores and at least one component (initial lactate vii measurement) of the three hour treatment bundle. There were confounding factors that might contribute to increased compliance of the treatment bundles. This method of education delivery proved useful for one person to provide education to a large group of nurses over a short period of time and allowed for the nurses to complete the course when they had time to do so.

Recommendations: This project should be expanded to include other areas of the hospital such as wound care, surgery clinic, emergency department, and other outpatient areas. In addition, the program could be modified for critical care unit nurses to include training on the six hour treatment bundle which focuses on critical care interventions.

Indexing (document details)
Advisor: Beissel, Donald
Commitee: Hanisch, Tyke C., Williamitis, Christine
School: Brandman University
Department: Nursing and Health Professions
School Location: United States -- California
Source: DAI-B 78/08(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Care, Education, Nurse, Nursing, Sepsis, Treatment
Publication Number: 10253593
ISBN: 978-1-369-46936-3
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