Date of Graduation

Spring 5-15-2025

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Mark Tungol, MS, RN, ACCNS-AG, PHN

Abstract

Objective: Hospital-acquired pressure injuries (HAPIs) have a powerful effect on patient outcomes, satisfaction, and health costs. In the face of multiple interventions, nurse-patient communication failures and decreased HCAHPS scores reveal patient safety hazards. Aim: The purpose of this quality improvement effort was to enhance HCAHPS nurse communication scores by instituting a Pressure Injury Prevention Care Bundle (PIPCB) on a 93-bed medical-surgical/telemetry unit. Methods: The intervention was nurse-implemented education through educational posters and education cards distributed at admission and shift report. Nurse participation and education delivery were measured through pre- and post-intervention questionnaires and observations. The change in the HCAHPS nurse communication score was the main outcome and the nurse-reported education practice and patient comprehension were the secondary outcomes. Results: The HCAHPS did decline from 70.31% to 63.29%, though the results of the follow-up survey showed 100% of the nurses recommended continued utilization of the educational materials and 70% of the nurses agreed or strongly agreed the educational materials improved patient comprehension. Conclusion: The quantitative goal of the HCAHPS was not met while the intervention improved education process delivery and the role of the nurses. Future steps involve the implementation of relational communication strategies, bilingual materials for patient access, and education workflow integration. The research displays the merit of combining patient education and relationship-centered communication to improve patient satisfaction and outcomes of safety.

Download

Share

COinS