Date of Award


Document Type

Restricted Access Thesis

Degree Name

Master of Arts in Nursing (MAN)



First Advisor

Joyce P. Miller, DNP, RN

Second Advisor

Katie Clark, DNP, RN

Third Advisor

Rivka Atadja, DNP, RN, LHIT


Sepsis diagnosis delay is a prevalent problem affecting millions worldwide. Global efforts to combat the sepsis problem led to the development of the Surviving Sepsis Campaign protocol to promote early sepsis detection. Yet, complying with the protocol remains a challenge. Nurses working at the bedside in the hospital are often the first to observe possible sepsis cases; however, many nurses lack the necessary knowledge to recognize the symptoms and follow the protocol. A nursing audit was conducted in the hospital to assess nurses' knowledge regarding sepsis identification and management tools listed in the sepsis protocol. The audit findings showed a lack of knowledge regarding early clinical signs and symptoms of sepsis and treatment regimens. A quality improvement initiative designed to educate nurses in a Midwest teaching hospital about changes in the signs, symptoms, and laboratory findings for the early identification of sepsis, was created. Using Newman's Health as Expanding Consciousness as a framework, targeted educational interventions were developed to address the nurses’ knowledge deficit that results in sepsis protocol non-compliance. The intervention will also provide the nurses with practical tools essential to recognize early signs and symptoms of sepsis and empowers them to avoid diagnosis delay resulting in patient morbidity, mortality, and potential disability at this Midwest hospital.


SC 11.MAN.2021.Taye.B