Document Type
Report
Publication Date
4-13-2020
Date of Final Presentation
3-12-2020
Committee Chair
Teresa Serratt, RN, PhD
Committee Member
Cara Gallegos, PhD, RN
Coordinator/ Chair of DNP Program
Pamela Gehrke, EdD, RN
Abstract/ Executive Summary
Background: For many health care organizations, pressure injury (PI) prevention strategies have become a priority focus to improve patient outcomes and associated costs.
Problem: A rural community hospital located in the Eastern U.S. experienced an increase in hospital acquired pressure injuries (HAPIs), predominantly in the intensive care unit (ICU). In 2018, 17.4% of HAPIs occurred in the ICU.
Approach: Implementation of a Quality Improvement project in an adult ICU, providing education and on-going learning activities to nursing staff, and applying a standardized plan of care “bundle” for prevention interventions.
Outcomes: The approach resulted in improved documentation of flotation of heels, incontinence pads, and moisturizer to skin. During the project period of 3 months, zero HAPI events occurred.
Conclusions: The implementation of a PIP program may contribute to the decrease in HAPI rates in the ICU setting. On-going monitoring is needed to evaluate sustainability of the program.
Recommended Citation
Harvey, Michelle, "Reducing Pressure Injuries in the Intensive Care Setting: Nursing Knowledge and Best Practices Approach" (2020). Doctor of Nursing Practice Projects. 32.
https://scholarworks.boisestate.edu/dnp/32