Year: 2026 | Month: April-June | Volume: 10 | Issue: 2 | Pages: 11-16
DOI: https://doi.org/10.52403/gijash.20260202
A Study to Assess the Nurses Knowledge and Practice Regarding the Sepsis Bundle and Its Impact on Patients Outcome Among Sepsis Patients Undergoing Treatment in Apollo DRDO Hospital in IP Basis
D Divya1, Dr Nagajoythi2, G Nirmala3, O Nishitha4
1(Clinical Nurse, Apollo DRDO Hospitals, Hyderabad, Telangana.)
2(Internal Medicine, Apollo DRDO Hospitals, Hyderabad)
3(Chief Nursing Officer, Apollo DRDO Hospital, Hyderabad, Telangana.)
4(Nurse Educator, Apollo DRDO Hospital, Hyderabad, Telangana)
Corresponding Author: D Divya
ABSTRACT
Sepsis is a life-threatening medical emergency caused by a dysregulated host response to infection, leading to organ dysfunction and high mortality. Early identification and prompt implementation of the sepsis bundle are essential for improving patient outcomes. Nurses play a pivotal role in early recognition and timely initiation of evidence-based interventions. The study aimed to assess nurses’ knowledge and practice regarding the sepsis bundle and to evaluate its impact on patient outcomes among sepsis patients admitted to Apollo DRDO Hospital. A quantitative research approach with a pre-test and post-test research design was adopted. Sixty staff nurses working in inpatient units were selected using convenience sampling. Data were collected using a structured knowledge questionnaire, practice adherence checklist, and opinionnaire. Medical records were reviewed to assess patient outcomes such as mortality and length of hospital stay. A structured teaching programme on sepsis bundle management was administered. Data were analysed using descriptive and inferential statistics, including chi-square test and independent t-test. The findings revealed that 40% of nurses had good knowledge, 12% had Average knowledge, and 8% had poor knowledge regarding the sepsis bundle. Practice adherence showed that 80% demonstrated good practice, 20% moderate practice, and 0% poor practice. Patients managed by nurses with good practice adherence had lower mortality rates (12%) and shorter mean length of stay (7.2 days) compared to those with poor practice (35% mortality and 12.1 days length of stay). Statistical analysis showed a significant association between nurses’ practice level and patient outcomes (χ² = 8.45, p = 0.015; t = 2.87, p = 0.006). The study concludes that improved nurses’ knowledge and strict adherence to sepsis bundle protocols significantly enhance patient outcomes. Continuous education, regular training programmes, and institutional support are essential to bridge the knowledge–practice gap and reduce sepsis-related morbidity and mortality.
Keywords: Sepsis bundle, Nurses’ knowledge, Practice adherence, Patient outcomes, Critical care nursing.
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