Nurses’ experiences with implementation of the sepsis six care bundle in intensive care unit at Kabwe central hospital, in Kabwe, Zambia.
| dc.contributor.author | Phiri, Remmy | |
| dc.date.accessioned | 2025-09-16T08:05:04Z | |
| dc.date.available | 2025-09-16T08:05:04Z | |
| dc.date.issued | 2025 | |
| dc.description | Thesis of Master of Science in Critical Care Nursing | |
| dc.description.abstract | Background: Sepsis remained to be a critical global health challenge, affecting approximately (49) million people and causing (11) million deaths annually. It was characterized by a deregulated host response to infection, leading to life-threatening organ dysfunction. Timely diagnosis, evidence-based care, and appropriate treatment were essential to improving patient outcomes, particularly in intensive care settings. This study explored nurses' experiences with implementation of the Sepsis Six Care Bundle in managing sepsis at Kabwe Central Hospital’s Intensive Care Unit. Methods: An explorative phenomenological study design was employed, Data collection involved in-depth interviews with 10 conveniently selected participants from Kabwe Central Hospital Intensive Care Unit, with audio recordings and field notes transcribed verbatim. Thematic analysis was conducted to generate codes and themes from the transcribed data. Results: The findings revealed four major themes: Nurses’ Approach to Sepsis Care, Collaborative Efforts in Sepsis Care, Strategies for Improving Sepsis Outcomes, Barriers to Effective Sepsis Management. Many nurses demonstrated limited familiarity with the Sepsis Six Care Bundle, leading to inconsistent implementation and variations in patient care. Additionally, resource constraints such as inadequate medical supplies, staffing shortages, and lack of continuous education programs further impeded its effective use. However, some enabling factors, including teamwork, leadership support, and access to protocols, facilitated improved adherence to sepsis management guidelines. Conclusion: This study highlighted the challenges and enablers of implementing the Sepsis Six Care Bundle among ICU nurses at Kabwe Central Hospital. While some nurses were aware of the bundle, inconsistent application and limited familiarity were evident due to resource constraints, staffing shortages, and lack of continuous education. Teamwork, leadership support, and access to protocols were identified as key factors in improving sepsis management. To enhance patient outcomes and ICU efficiency, targeted training, resource allocation, and a strong support system are needed. The study recommends integrating structured training and optimizing resources for the successful, sustainable implementation of the Sepsis Six Care Bundle. | |
| dc.identifier.uri | https://dspace.unza.zm/handle/123456789/9406 | |
| dc.language.iso | en | |
| dc.publisher | The University of Zambia | |
| dc.title | Nurses’ experiences with implementation of the sepsis six care bundle in intensive care unit at Kabwe central hospital, in Kabwe, Zambia. | |
| dc.type | Thesis |