Clinical sustainability assessment of sepsis care bundle: a cross-sectional study

Abstract Introduction Clinical sustainability in healthcare ensures long-term delivery of high-quality care. A ‘care bundle’ is a set of interventions specifically designed for managing a particular condition, differing from standard care checklists by comprising evidence-based best practices. Care bundles like sepsis management are essential for improving patient outcomes and hospital accreditation processes. We assessed the clinical sustainability of sepsis care bundle use in practice. Methods The study conducted in a single department at a tertiary public hospital in Oman utilized the clinical sustainability assessment tool (C-SAT). This cross-sectional study involved healthcare professionals at Royal Hospital, Oman, using the C-SAT to evaluate sepsis care bundle sustainability. Data were collected via a digital survey between June and October 2023. Descriptive statistics summarized demographic characteristics and domain scores. Internal consistency was assessed with Cronbach’s alpha, and multivariable regression analysed the impact of profession on sustainability scores. Results A total of 121 (n = 245) healthcare professionals participated in the survey (49% response rate), including 97 nurses (80%) and 24 physicians (19%). Gender distribution showed 86% female and 14% male respondents. Nurses had more experience (12 years) compared to physicians (8 years). Cronbach’s alpha indicated strong internal consistency across various domains, with values ranging from 0.9117 to 0.9541. Clinical sustainability scores for sepsis bundles showed no significant variation between nurses and physicians. Multivariable regression analysis revealed that nurses had significantly lower scores in Engaged Staff & Leadership compared to physicians (mean difference: −4.16, P = 0.014). Conclusions The study findings emphasize the impact of various factors, such as workload and organizational structure, on sustainability perceptions, highlighting the need for targeted interventions to enhance collaboration and sustainability in sepsis care bundle delivery.