Related Experiment Video
Updated: May 20, 2025
Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression
Published on: June 15, 2019
An Innovative Escape Room Intervention to Improve Medical-Surgical Nurses' Knowledge, Confidence, and Care of
Jaime Moore1, Kimberly Pate, James Montegrico
1Author Affiliations: Trauma Program, North Kansas City Hospital, North Kansas City, Missouri (Dr Moore); Nursing Administration, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina (Dr Pate); and School of Nursing, University of North Carolina at Charlotte, Charlotte, North Carolina (Drs Montegrico and Powers).
Background:
Sepsis is a leading cause of transfers to intensive care units (ICUs) and hospital mortality, often due to delayed recognition in medical-surgical units.
Local Problem:
Project site sepsis data showed that 19.4% of ICU transfers originated from medical-surgical units, accounting for 27% of sepsis mortality cases.
Intervention:
This quality improvement project evaluated a sepsis-themed escape room to train medical-surgical nurses.
Results:
After training, mean knowledge scores increased from 77.4% to 82.4% ( P = .068). Significant improvements were seen in self-reported confidence in identifying patients with sepsis ( P = .02), knowing how and what to monitor in patients with sepsis ( P = .007), and knowing initial management of patients with sepsis ( P = .008). ICU transfers for sepsis decreased by 33.3%.
Conclusions:
Innovative escape room education for medical-surgical nurses can improve knowledge and confidence in managing patients with sepsis, which may lead to earlier recognition of deterioration and reduce sepsis-related ICU transfers.
Related Concept Videos
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:30Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:20Sputum Studies II: Culture and Sensitivity
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
01:18The Scientific Method in Nursing Process
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
01:22The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.