Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Francisca Farrar

Abstract

Sepsis is the most common cause of death in burn patients. Optimal recovery from sepsis requires early recognition and prompt treatment. When sepsis is suspected or detected, the 2016 Surviving Sepsis Campaign guidelines endorse immediate initiation of the Hour-1 Sepsis Bundle. Unfortunately, a random audit of hospital system compliance with the Centers for Medicare and Medicaid Services sepsis core measure was less than 50%. A 2019 performance improvement project uncovered delays in antibiotic administration, and a search of scientific and burn center literature did not elucidate a course that educated burn intensive care nurses about sepsis. The purpose of this project was to develop and validate a sepsis course for burn intensive care unit nurses. The American Burn Association’s 2007 sepsis consensus, the 2016 Surviving Sepsis Campaign guidelines, the 2018 Hour-1 Sepsis Bundle, organization policies, and current research contributed to the development of the sepsis course. Theoretical foundations for the course included the ADDIE approach and adult learning theory. A panel of experts evaluated and validated instructional materials using 2 surveys: a modified survey validated rubric for expert panel and a course evaluation survey. An aggregate mean of 3.92 and a median of 4 on the validated rubric for expert panel (a 4-point Likert scale) validated the post-course test. A thematic analysis of panelist responses helped validate course content. These results demonstrated that current research and experiential knowledge might be combined to create a burn-specific sepsis course. The sepsis course may improve staff compliance with the Hour-1 Sepsis Bundle and create positive social change for nursing staff and burn patients.

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