Date of Graduation

Spring 5-20-2022

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Dr Nneka Chukwu


Problem: Hospital Acquired Pressure injuries are devastating to both patients and health care systems. Patients suffer from significant pain, prolonged stay in the hospital, increased chances of systemic infection, the extra cost of treatment, and in some severe cases of injuries, it can lead to mortality. These are an extra burden on the hospital resources. Context: Most pressure injuries are preventable, so to identify various prevention strategies, evidence-based articles research was conducted. After a careful review of the literature, HAPI prevention measures and surface selection algorithms were commenced in the adult Medical-Surgical/stroke unit. Intervention: The quality improvement project worked towards the development of the surface/specialized bed selection algorithm that will be used by the unit staff as prevention and treatment measures to improve the outcome. The prevention measures also encompass the thorough skin assessment on patient admission, two nurses' skin inspection during their stay on every shift to identify the presence of erythema, documentation of the findings, wound care nurse involvement, proper measure on recognition of pressure injury, surface selection based on the severity of the wound, education, and training to the staff on the unit. Measures: Unit staff surveys, nurses' interviews, periodic meetings between staff (wound specialist nurse, nurse manager, bedside nurses, nurse leader, and quality improvement team), and audits were conducted. Results: After twelve months of implementing prevention measures, a reduction in the number of cases will be found. Conclusion: To prevent the occurrence of HAPI in adult medical-surgical units, evidence-based prevention measures were developed. Standardized processes of the HAPI prevention and treatment algorithms include the collaborative work of the leadership staff members, quality improvement team, wound care specialists, and the unit nurses.

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