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Program evaluation of sepsis bundle and development of modified program
Descriptive
TitleInfo
Title
Program evaluation of sepsis bundle and development of modified program
Name
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Rosemary E.
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Rosemary E. Oruebor
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author
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Avadhani
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Amita
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Amita Avadhani
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Advisory Committee
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chair
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Cardinale
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Maria
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Maria Cardinale
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Advisory Committee
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co-chair
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Rana
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Haris
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Haris Rana
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Advisory Committee
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co-chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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Text
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theses
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ETD doctoral
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2021
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2021-01
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English
Abstract
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Purpose of Project: The purpose of this quality improvement (QI) project was to perform a program evaluation of a community teaching hospital (CTH) sepsis bundle and utilize the data gathered from the program evaluation for the development of a modified program.
Methodology: Stufflebeam’s CIPP (context, input, process, product) evaluation model was the theoretical framework that guided the study. Under the CIPP components, the study design utilized existing hospital sepsis data reports, registered nurses survey (n = 50) using a five-point Likert-type scale questionnaire, a secondary analysis of chart review data, and a gap analysis.
Results: Results indicated that CTH sepsis bundle compliance was below its 2019 benchmark goals and insufficient knowledge among some nurses on CTH sepsis bundle protocol. Also, the result showed that lactic acid (16.5%) was the highest category responsible for sepsis bundle failure in 2019, followed by antibiotics (9.4%), intravenous fluids (5.9%), blood cultures (3.5%), and repeat volume and tissue perfusion (2.4%). The gap analysis result showed that the CTH sepsis bundle was 100% compliant with CMS SEP-1 core measure guidelines.
Implications for Practice: This program evaluation resulted in a compilation of recommendations for program modifications that can improve sepsis bundle compliance, benchmark scores, and hospital finance. The recommendations can also help CTH attain its yearly bundle compliance goals.
Methodology: Stufflebeam’s CIPP (context, input, process, product) evaluation model was the theoretical framework that guided the study. Under the CIPP components, the study design utilized existing hospital sepsis data reports, registered nurses survey (n = 50) using a five-point Likert-type scale questionnaire, a secondary analysis of chart review data, and a gap analysis.
Results: Results indicated that CTH sepsis bundle compliance was below its 2019 benchmark goals and insufficient knowledge among some nurses on CTH sepsis bundle protocol. Also, the result showed that lactic acid (16.5%) was the highest category responsible for sepsis bundle failure in 2019, followed by antibiotics (9.4%), intravenous fluids (5.9%), blood cultures (3.5%), and repeat volume and tissue perfusion (2.4%). The gap analysis result showed that the CTH sepsis bundle was 100% compliant with CMS SEP-1 core measure guidelines.
Implications for Practice: This program evaluation resulted in a compilation of recommendations for program modifications that can improve sepsis bundle compliance, benchmark scores, and hospital finance. The recommendations can also help CTH attain its yearly bundle compliance goals.
Subject
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Topic
Sepsis
Subject
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Topic
Septic shock
Subject
(authority = local)
Topic
Sepsis bundle compliance
Subject
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Topic
Sepsis program evaluation
Subject
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Topic
Sepsis benchmark
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Topic
Surviving Sepsis Campaign guidelines
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Topic
CMS sepsis reimbursement
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Topic
Critical care
Subject
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Topic
Post-Master's DNP Practice
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Rutgers University Electronic Theses and Dissertations
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ETD_11347
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1 online resource (116 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-49qf-a237
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Rights
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The author owns the copyright to this work.
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Name
FamilyName
Oruebor
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Rosemary
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Permission or license
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2020-12-16 23:27:42
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Rosemary Oruebor
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2021-01-31
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2023-01-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 31st, 2023.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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