Aldina Tafa, Verrazzano Class of 2026, completed major in Nursing and Psychology, and minors in English Linguistics and Speech Language Pathology
Working on my capstone project became
one of the most meaningful academic undertakings of my nursing education. When
I first began this project, I knew sepsis was a critical issue in healthcare,
but I had not yet understood the extreme
vulnerability of immunocompromised patients or how consistently their early symptoms can be overlooked. As
I progressed through the literature and developed my analysis, I realized how
crucial nurses truly are in bridging the gap between early recognition,
prevention, and lifesaving intervention. The process changed the way I view
nursing practice, health equity, and my own role as a future clinician.
One of the most important things I
learned through this project was how different sepsis looks in immunocompromised populations. Many patients do not present
with the “classic”
signs that nurses are traditionally taught to look for, no fever, no
elevated white blood cell count, and often no obvious signs of infection.
Understanding these atypical presentations deepened my appreciation for the
complexity of nursing assessment and the level of critical thinking required to
protect high-risk patients. I learned that early detection is not just about
following a set of guidelines; it requires situational awareness, strong
clinical judgment, and a willingness to question whether something subtle might
actually be the first sign of a life-threatening decline.
This
project also taught me how essential prevention truly is. Much of the existing
literature focuses on treatment, what to do once sepsis
is already present,
but preventing it from occurring in the first place is where
nurses have the greatest potential to save lives. As I reviewed studies from
2020–2025, I found myself becoming increasingly passionate about hand hygiene
initiatives, aseptic technique, early warning tools, and patient education. It
was eye-opening to realize how many infections are preventable, and that
something as “simple” as consistent hand hygiene can literally cut the risk of
sepsis in half for immunocompromised patients. Working through the evidence
reinforced how powerful nursing interventions are, even when they seem routine
or basic.
A major
part of this capstone experience was collaborating closely
with my mentor,
who encouraged me to dig deeper
into the policy
and systemic side of sepsis
prevention. Through her guidance, I learned how research connects
to real-world nursing
practice, hospital protocols, and national initiatives like the CDC’s Sepsis Core Elements. It
helped me see how bedside nurses contribute not only to individual patient
outcomes but also to broader quality improvement and institutional change.
This mentorship made the project
feel personal, meaningful, and tied to my
future role in nursing leadership.
If I were to continue developing this
research, I would want to build a project that examines sepsis prevention
directly within clinical environments, particularly in oncology units,
transplant floors, and long-term care facilities, where immunocompromised patients
are cared for daily. I would also like to explore
how technology, such as machine-learning prediction models, can be integrated
into nursing workflows to support earlier recognition of subtle symptoms.
Another area worth expanding
is patient and family education: creating clear, accessible tools that teach high-risk individuals how to identify early
infection signs before a hospital visit.