Date of Graduation

Spring 5-20-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


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MSN project

First Advisor

Dr Nneka Chukwu


Hospital acquired pressure injuries (HAPIs) remain a detrimental health problem that plagues hospital institutions and patients with a significant increase in morbidity and mortality. The development of HAPIs takes a tremendous toll on the patient, their family, as well as the healthcare system. Research has shown that there are multiple approaches in the prevention and treatment of HAPIs and one of the prominent methods includes choosing the appropriate bed surface tailored for the patient’s condition. This evidenced-based practice intervention was initiated with extensive literature review to contribute to the development of a new pressure injury surface selection algorithm for the adult Medical-Surgical Telemetry Stroke unit at KF hospital. The new algorithm is supported by the stakeholders to ensure compliance and support for a smooth transition and implementation. Individuals involved in the development of this new algorithm include the quality and risk team, wound nurse, bedside nurses, wound champions, and nurse leaders. Furthermore, audits, interviews, and HAPI interviews were conducted during this project. The pre-implication results showed a significant number of nurses with an apparent knowledge gap in prevention and treatment of HAPIs when ordering the specialized beds. However, through the implementation of the new surface algorithm and support from the stakeholders, the post survey data and analysis are projected to show an increase in nurse knowledge and competency at 3 months after implementation. Overall, the evidence-based bed selection algorithm was developed for the adult Medical-Surgical Telemetry Stroke Unit to reduce the knowledge gap among the nurses and reduce the incidence of HAPIs.

Keywords: Hospital-acquired pressure injury (HAPI), bed algorithm, knowledge gaps, stakeholders, prevention, treatment.