Sepsis management bundle in prevention of multiorgan dysfunction syndrome: Effectiveness of competency-based training among ICU nurses in Gurugram, Haryana
Keywords:
Effectiveness, Competency Based Training, Knowledge, Skill, Sepsis Management Bundle, Prevention, Multiorgan Dysfunction Syndrome, ICU NursesAbstract
Background: Sepsis, a life-threatening organ dysfunction caused by a dysregulated host response to infection, poses significant ICU mortality risk. Early implementation of the Hour-1 Sepsis Bundle can reduce progression to Multiorgan Dysfunction Syndrome (MODS), yet nursing knowledge gaps and inconsistent application hinder outcomes. Aim: To evaluate the effectiveness of competency-based training (CBT) on ICU nurses’ knowledge and skill competencies regarding sepsis bundle implementation to prevent MODS. Methods: A one-group pre-test post-test design recruited 60 ICU nurses via purposive sampling in a tertiary-care hospital, Gurugram. A validated knowledge questionnaire and skill checklist assessed competencies pre- and post-intervention. Training included lectures, demonstrations, and simulations. Paired t-tests and Chi-square tests analyzed data (p < 0.05 significance threshold). Results: Mean knowledge scores improved significantly from 10.32 ± 3.12 to 16.48 ± 2.14 (t = 14.67, p < 0.0001). The proportion rated “Highly Competent” rose from 13.95% to 17.82%. Prior sepsis training was significantly associated with higher baseline and post-training knowledge (χ², p = 0.0004). No significant associations with age, gender, or religion, while ICU type influenced outcomes. Conclusion: CBT substantially enhanced ICU nurses’ sepsis bundle competencies. Incorporation of CBT into continuing education and nursing policy is essential to standardize care and reduce sepsis-related mortality.
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