Doctor of Nursing Practice (DNP) Projects

Access Control

Open Access

Embargo Period

4-27-2020

Degree Program

Doctor of Nursing Practice

Degree Track

Adult Gerontological Primary Care Nurse Practitioner (AGPCNP)

Year Degree Awarded

2020

Month Degree Awarded

May

Keywords

Pressure ulcers prevention, pressure ulcer interventions in long-term care, nursing

Advisor

Dr. Raeann LeBlanc

DNP Project Chair

Dr. Raeann LeBlanc

DNP Project Member Name

Dr. Pamela Aselton

DNP Project Outside Member Name

Dr. Bogdan A. Nedelescu

Abstract

Abstract

Background: Pressure injuries (PIs), formerly known as pressure ulcers, affect approximately 2.5 million people in the United States and cost the American healthcare system more than $11.6 billion annually. The goal of this project was to reduce the pressure injury incidence rate at the project site by 50% within a period of six months.

Methods: The purpose of this project was to evaluate the impact of implementation of PI prevention measures in a medium-sized long-term care facility in central Massachusetts. The project utilized parts of the MISSCARE survey and AHRQ checklists as a pre-test. Collection of data from nurses and certified nurse’s assistants was done using hard copies that were distributed before and after the educational presentation.

Results: The results of the PI prevention pre-test were compared with the three-week post-test consisting of these two surveys to assess the effectiveness of the initiative. Rates of new pressure injuries were tracked for four months after the educational intervention as well as documentation of prevention efforts in medical records by nursing staff. Nursing compliance with PI prevention measures and treatment improved significantly. Pressure injury rate decreased from 3.6% to 1.4% in six months.

Conclusion: There was high correlation between PI prevention and PI rate reduction. The project helped improve patient care and safety in the project site. There was improvement in PI preventive measures and compliance with treatment plan.

Key Words: Pressure ulcers prevention, pressure ulcer interventions in long-term care, nursing.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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