Date of Award

Summer 2022

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP) in Family Nurse Practitioner

Department

Nursing

Faculty Chair

Dr. Laura Barrow

Abstract

Background: Hospital acquired pressure injury rates are increasing while other hospital acquired condition rates are decreasing. Pressure injuries are expensive and place patients at a higher risk of death. Accurate wound assessment and documentation to satisfy the present on admission indicator could positively affect hospital acquired pressure injury rates.

Purpose: The purpose of this process improvement project was to increase nurses’ skills and knowledge towards proper wound assessment and documentation and to increase nurses’ knowledge on why comprehensive skin assessments and documentation of the observations are important for positive patient outcomes.

Method: This project consisted of offering an educational interventional session, using evidenced-based education from the National Pressure Injury Advisory Panel and Agency for Healthcare Research and Quality on pressure injury prevention and wound assessment and documentation. The pre- and post- questionnaire design was used to measure the effectiveness of the evidence-based education.

Results: Key results included there was not a statistical significance between pre- and post- test results, as evidenced by p = 0.1429. However, there were numerical increases when comparing both test results. A paired t-test was used to determine statistical significance.

Conclusion: This project aided in stressing the important role of nurses having a strong knowledge level on wound assessment and documentation. It is important for nurses to receive continued education on pressure injuries as current best practices are ever changing. This project also helped to relate a solid wound education to HAPI reduction.

Knight.pdf (104 kB)
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