Date of Graduation

Fall 12-17-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Nneka Chukwu


Problem: Hospital-Acquired Pressure Injuries (HAPI) are a serious health problem as they increase patient morbidity and mortality. They are detrimental to patients, families, and healthcare systems. Context: Research supports HAPI prevention bundles are a way to standardize care processes and reduce the incidence of pressure injuries. This evidence-based practice intervention was initiated to develop a HAPI prevention bundle in an adult Medical-Surgical Telemetry unit. A literature review was conducted to identify the best HAPI prevention practices. Intervention: The evidence-based pressure injury preventive bundle includes interventions consistent with proper skin assessments and documentation, patient risk identification, development of Wound Care Champions, routine huddle attendance, proper education, and continuous training. Measures: Wound, ostomy, and continence nurses, bedside nurses, nurse leaders, and Quality Improvement (QI) specialists participated in the development of the bundle. Nursing questionnaires, chart audits, and interviews were conducted. Pre-implementation HAPI incidences and sentinel events were reviewed. Results: Post-implementation findings will be conducted at 12 months after bundle implementation to determine a significant reduction of HAPI incidence. Conclusion: An evidence-based bundle initiative was developed in an adult Medical-Surgical Telemetry unit to reduce the incidence of HAPIs and standardize the process for pressure injury prevention. Staff engagement and leadership involvement are essential to the success of this EBP intervention. The goal is to integrate the bundle and decrease the number of HAPIs in the unit.

Included in

Nursing Commons