Date of Award

Summer 2022

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP) in Family Nurse Practitioner



Faculty Chair

Dr. Laura Barrow


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)
Manuscript Defense Approval Form

Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.