Date of Project Completion

Fall 9-2020

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice



First Advisor

Dr. Carole Jenson

Second Advisor

Dr. Ann Loth





The desired outcome for this project is to improve nurse’s self-perceived confidence, competence and knowledge in recognizing the early symptoms of sepsis in adult medical patients. Evidence indicates that early recognition and intervention are key to survival.

Overall, the literature regarding sepsis education indicates that education in combination with a screening tool is the most effective in assisting nurses with early recognition of sepsis in hospitalized patients. All studies reviewed on escape rooms focused on nursing knowledge and self-perceived confidence or competence and used a pre/posttest design.

Registered nurses will participate in a high fidelity escape room to help achieve the following outcomes related to sepsis: Identify signs and symptoms of septic shock, describe the pathophysiology of septic shock, define timeline related to treatment of shock to patient case, apply nursing components of shock power plan, understand what CHEETAH NICOM ™ is used for, complete steps in application for a basic assessment of patient, and apply use of fluid bolus calculation for patient.

Registered nurses will complete a pre/post knowledge test and participate in a debriefing for meaningful learning session to ensure that their escape room simulation experience has meaning and their understanding of learning points. Registered nurses will also complete a pre/post Nurse Competence Scale to evaluate self-competence when identifying and caring for septic patients.

Sepsis is a serious condition that develops quickly and can result in significant illness and potentially death. The lack of evidence and research available on escape room education intervention indicates a need for further research and development of this concept for learning.

The DNP students are hopeful that a high-fidelity simulation-based escape room will enhance nurses’ knowledge and confidence. This will ensure that correct care measures are implemented quickly after diagnosis and that everything can be done to save patients’ lives.


Michigan Medicine Department of Professional Development and Education-Dr. Corinne Lee

Included in

Other Nursing Commons