Early Identification, Intervention, and Prevention of Hospital-Acquired Pressure Injuries Using a Nurse-Driven Pressure Injury Prevention Program.

IF 1.1 4区 医学 Q3 NURSING
Sharee McCray, Amy Donaldson
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引用次数: 0

Abstract

Purpose/objectives: The purpose of this quality improvement project was to reduce the hospital-acquired pressure injury (HAPI) rate to less than 1.177 per 1000 patient-days, increase staff competency and care in pressure injury prevention best practices through implementation of a nurse-driven pressure injury prevention program, to engage patients in pressure injury prevention through implementation of skin rounds, and improve staff adherence to documentation requirements for pressure injury interventions on an amputee/stroke unit.

Description of the project/program: HAPIs can lead to negative patient outcomes including pain, infection, extended hospitalization, and morbidity. Using an evidence-based education strategy, the Agency for Healthcare Research and Quality pressure ulcer prevention clinical pathway and skin rounds were implemented. Focused education for nursing, staff competency, daily audits, HAPI rates, and documentation compliance were evaluated pre and post intervention.

Outcomes: The HAPI rate reduced from 1.177 to 0.272 per 1000 patient-days. After completion, the unit maintained zero pressure injuries, daily patient care for pressure injuries improved, documentation compliance increased, and staffs' knowledge and skill set in early identification, intervention, and prevention of pressure injuries heightened.

Conclusion: A nurse-driven pressure injury prevention program was successful in the reduction of the HAPI rate.

利用护士主导的压伤预防计划,早期识别、干预和预防医院获得性压伤。
目的/目标:本质量改进项目旨在将医院获得性压伤(HAPI)率降低到每 1000 个患者日 1.177 例以下,通过实施由护士主导的压伤预防计划,提高员工在预防压伤最佳实践方面的能力和护理水平,通过实施皮肤巡视,让患者参与压伤预防,并改善截肢者/中风患者病房员工对压伤干预文件要求的遵守情况:压力性损伤可导致患者出现疼痛、感染、延长住院时间和发病率等不良后果。采用循证教育策略,实施了美国医疗保健研究与质量机构的压疮预防临床路径和皮肤查房。对干预前后的护理重点教育、员工能力、日常审计、HAPI 发生率和文件合规性进行了评估:结果:每 1000 个患者日的 HAPI 率从 1.177 降至 0.272。干预结束后,该病房保持了零压伤,压伤患者的日常护理得到了改善,文件记录的合规性得到了提高,员工在早期识别、干预和预防压伤方面的知识和技能得到了加强:结论:以护士为主导的压力伤害预防计划成功地降低了 HAPI 发生率。
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来源期刊
CiteScore
1.50
自引率
16.70%
发文量
83
审稿时长
>12 weeks
期刊介绍: The purpose of Clinical Nurse Specialist™: The International Journal for Advanced Nursing Practice is to disseminate outcomes of clinical nurse specialist practice, to foster continued development o fthe clinical nurse specialist role, and to highlight clinical nurse specialist contributions to advancing nursing practice and health policy globally. Objectives of the journal are: 1. Disseminate knowledge about clinical nurse specialist competencies and the education and regulation of practice; 2. Communicate outcomes of clinical nurse specialist practice on quality, safety, and cost of nursing and health services across the continuum of care; 3. Promote evidence-based practice and innovation in the transformation of nursing and health policy for the betterment of the public welfare; 4. Foster intra-professional and interdisciplinary dialogue addressing nursing and health services for specialty populations in diverse care settings adn cultures.
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