Date of Conferral

8-20-2026

Date of Award

August 2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Niedz

Abstract

Sepsis is a life-threatening condition that can rapidly lead to organ dysfunction, septic shock, and death if not recognized and treated early. Older adults in skilled nursing facilities (SNFs) are especially vulnerable because of age-related physiological changes, chronic conditions, weakened immunity, and increased exposure to infections. Consequently, sepsis remains a major cause of hospital readmissions, mortality, and healthcare utilization among SNF residents. The SNF serving as the site for this Doctor of Nursing Practice (DNP) project experienced increased hospital readmissions associated with recurrent sepsis, highlighting the need for a standardized, evidence-based approach to sepsis recognition and management. The practice-focused question asked whether an expert panel would approve an evidence-based clinical practice guideline (CPG) to improve the early recognition and management of sepsis among SNF residents. The CPG was developed through a comprehensive review of current evidence and best practices and includes recommendations for early screening, assessment, timely communication, and escalation of care. Following panel review with eight experts skilled in infectious disease management and incorporation of feedback, the guideline was approved as a practical framework to support nursing decision-making and promote consistent sepsis management in long-term care and at the site. Implementation of the CPG has the potential to improve resident outcomes, reduce avoidable hospital readmissions, and enhance the quality of care in the SNF setting, all evidence of positive social changes.

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