Date on Paper

7-2024

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Shumaker, Shannon

Committee Member

Abusalem, Said

Author's Keywords

pressure injury; interventions; prevention; decision-making; nurse awareness

Abstract

Abstract

Background/Significance: Hospitalized patients with pressure injuries have 5 times greater death compared to a patient without a pressure injury. A needs assessment identified the problem of pressure injuries in the CVICU with the goal to improve nurse awareness and decision-making to decrease pressure injuries in the CVICU.

Purpose: The purpose of this project was to increase nurse awareness of pressure injury prevention via an education workshop and evidence-based pressure injury decision tree in the Cardiovascular ICU.

Methods: A MeSH search was conducted to identify pressure injury interventions and nurse awareness of pressure injuries which resulted in 17 publications. The LEGEND model appraisal tool was used to evaluate study quality. The Plan Do Study Act Model for Improvement was used to guide the process change.

Intervention: There were 20 CVICU nurses who participated in an education workshop and completed the APuP pre- and post-intervention over a 4-week duration.

Results: The Wilcoxon Signed Rank test demonstrated that an improvement in the median score difference pre- to post intervention supported PI prevention, nurse confidence, and nurse awareness of a decision- making algorithm.

Conclusion: This quality improvement project improved awareness of decision-making algorithms for pressure injury prevention interventions, increased awareness of screening for high-risk pressure injury patients, and led to 0 HAPIs occurring in the project timeframe.

Keywords: pressure injury, interventions, prevention, decision-making, nurse awareness

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