An Innovative Escape Room Intervention to Improve Medical-Surgical Nurses' Knowledge, Confidence, and Care of Patients With Sepsis.

IF 1.2 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2025-05-15 DOI:10.1097/NCQ.0000000000000875

Jaime Moore, Kimberly Pate, James Montegrico, Kelly Powers

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引用次数: 0

Abstract

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.

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创新逃生室干预提高内科外科护士对脓毒症患者的知识、信心和护理。

背景：脓毒症是转移到重症监护病房（icu）和住院死亡率的主要原因，通常是由于内科-外科单位的延迟识别。局部问题：项目现场败血症数据显示，19.4%的ICU转移来自内科-外科单位，占败血症死亡病例的27%。干预措施：本质量改进项目评估了一个脓毒症主题的逃生室，以培训内外科护士。结果：培训后平均知识得分由77.4%提高到82.4% （P = 0.068）。在识别脓毒症患者（P = 0.02）、了解脓毒症患者如何监测和监测什么（P = 0.007）以及了解脓毒症患者的初始管理（P = 0.008）方面，自我报告的信心均有显著改善。脓毒症的ICU转移减少了33.3%。结论：创新逃生室教育可提高医外科护士管理脓毒症患者的知识和信心，可使脓毒症患者更早认识到病情恶化，减少脓毒症相关的ICU转院。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.