An Evaluation of a Prevention Protocol of Hospital Acquired Pressure Injuries
Primary Investigator:Sandy Lee Davis, MSN, RN
Purpose: To evaluate the effectiveness of a nurse-driven prevention protocol to decrease the number of hospital-acquired pressure injuries in hospitalized patients who participated in a hospital-wide prevalence study.Methods:This project was a program evaluation and reviewed results from prevalence studies conducted at a large community hospital on the west coast of Florida. Four time points during 2018 and 2019 were used to determine the incidence of pressure injury development. Two of the time points were conducted prior to implementation of a skin prevention protocol and the other two time points were conducted post implementation.
Results: Prevalence data was collected over a thirteen-month period and included timepoints prior to and after the implementation of the pressure injury prevention protocol. A total of 1,812 patients were assessed during the pre and post intervention period. Twenty-three pressure injuries were identified on hospitalized patients during the prevalence studies conducted prior to implementation of the skin prevention protocol, and seven pressure injuries were found during prevalence after the protocol was implemented.Pressure injury incidence per 100 patients was 2.59 prior to the intervention, and 0.76 per 100 patients post-intervention.
Discussion: Results demonstrated that implementation of a skin prevention protocol did decrease the number of pressure injuries developed during hospitalization.Conclusion:The results demonstrated that the implementation of a skin prevention protocol to assess hospitalized patients at risk did decrease the number of pressure injuries developed during hospitalization.
Major Professor: Alicia Craig-Rodriguez, DNP, MBA, APRN, FNP-BC