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Hospital-Acquired Pressure Injury Prevention: A Quality Improvement Project
Student’s Name
Capella University
May 2021

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Abstract
A pressure injury (PI) sustained while in the hospital is a life-changing experience for
both the patient and their families. Since the nursing staff must prevent the patient from
acquiring pressure injuries and manage wounds (Chapman, 2017), pressure injury development
in the medical-surgical patient population represents a disparity in practice. This project aimed to
find a response to the following question. How does the introduction of a Wound Care Specialty
program impact the incidence of hospital-acquired injuries (HAPI) for patients on a medical-
surgical unit over three months? The University of Miami Hospital (UMH) announced an
increase in HAPI prevalence in 2009, prompting improvement strategies. The changing approach
used to frame the quality improvement project was prepare, do, review, act (PDSA). In addition,
Watson’s theory of “Human Caring” was used to infuse to identify and care for the patients at
high risk of developing HAPI. During the intervention of this project, few nurses will be trained
on evidence-based patient care practices in a fourteen (14) lesson wound care specialty program
that covers various topics such as risk factors associated with HAPI development, regulatory
issues, HAPI prevention protocols, wound assessment and management, prevention, and
management strategies.
During the three-month post-education cycle, there was a statistically significant increase
in mean test scores and a decrease in pressure ulcer prevalence, according to a comparison of pre
and post-clinical training (Lachenbruch, Rabble, & Vangilder, 2016). In the hospital setting,
patients with reduced mobility in the Intensive Care Unit (ICU) were more likely to develop
pressure ulcers than medical-surgical patients. According to a study comparing medical-surgical
and ICU units, patient acuity and immobility are substantially higher in the ICU environment,
contributing to this increased risk.

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1 Hospital-Acquired Pressure Injury Prevention: A Quality Improvement Project Student’s Name Capella University May 2021 2 Abstract A pressure injury (PI) sustained while in the hospital is a life-changing experience for both the patient and their families. Since the nursing staff must prevent the patient from acquiring pressure injuries and manage wounds (Chapman, 2017), pressure injury development in the medical-surgical patient population represents a disparity in practice. This project aimed to find a response to the following question. How does the introduction of a Wound Care Specialty program impact the incidence of hospital-acquired injuries (HAPI) for patients on a medicalsurgical unit over three months? The University of Miami Hospital (UMH) announced an increase in HAPI prevalence in 2009, prompting improvement strategies. The changing approach used to frame the quality improvement project was prepare, do, review, act (PDSA). In addition, Watson’s theory of “Human Caring” was used to infuse to identify and care for the patients at high risk of developing HAPI. During the intervention of this project, few nurses will be trained on evidence-based patient care practices in a fourteen (14) lesson wound care specialty program that covers various topics such as risk factors associated with HAPI development, regulatory issues, HAPI prevention protocols, wound assessment and management, prevention, and management strategies. During the three-month post-education ...
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