Nurses' Knowledge Regarding Implementation of One-Hour Sepsis Bundle: A Cross-Sectional Study

Abstract

Abstract
Background: Sepsis is a serious threat, causing a staggering number of hospitalizations;
additionally, the difficulties in identifying early symptoms and starting the right treatment is a
major contributing factor to the high mortality rates linked to sepsis. Severe sepsis is a serious
complication of sepsis where the body's response to an infection damages its organs. This study
investigated nurses' knowledge about implementing the one-hour sepsis bundle in Najaf, Iraq.
Methodology: A descriptive cross-sectional design was employed. Data was collected from 52
nurses working in the respiratory, intensive, and burn care units at two government hospitals in
Najaf City between March 19th and April 25th, 2024. The study was conducted in Al-Najaf
City's governmental hospitals: (The study was conducted at one governmental hospital (Al-
Sadr Medical City and Burn Hospital in Al-Najaf City). A specially prepared questionnaire
was used to collect the required data, and a self-administered questionnaire, developed based
on relevant guidelines and validated by experts, was used for data collection. Purposive
sampling was employed to recruit participants. Descriptive statistics and qi-square were used to
analyze the data.
Results: The study revealed a concerning lack of understanding among nurses regarding the
key steps outlined in the one-hour sepsis bundle. Furthermore, there was no association
between the overall assessment of nurses' knowledge about the one-hour sepsis bundle and
their demographic data (P>0.05).
Conclusion: Based on the results and discussion, the study concluded that the majority of
nurses had a fair knowledge of the one-hour sepsis bundle, which is considered satisfactory.
Nurses in Najaf hospitals require improved knowledge about the one-hour sepsis bundle for
effective participation in early sepsis management. Implement regular in-service education
programs on the Surviving Sepsis Campaign guidelines and the one-hour sepsis bundle.
Closely monitor adherence to the sepsis bundle and provide feedback to nurses. Ensure
comprehensive training on the one-hour sepsis bundle for all newly hired nurses.