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

Abstract

Objective: Patient education is crucial for improving patient outcomes. An issue that has been consistent in healthcare is pressure injuries in inpatient care. Despite existing prevention efforts, there is an education gap between nursing communication and patient understanding. Aim: This QI project aims to improve HCAHPS scores, specifically in the nursing communication domain, by 5% and enhance patient understanding of pressure injury prevention strategies through the implementation of a Pressure Injury Prevention Care Bundle (PIPCB). Methods: The intervention included educational posters and fliers distributed to patients on a 93-bed acute care medical-surgical/telemetry unit. Educational materials focused on mobility, skin protection and nutrition. Nurses were encouraged to deliver and reinforce this education to patients upon admission and every shift. Data collection involved monthly HCAHPS scores and pre- and post- intervention surveys. A $100 raffle incentivized staff participation. Results: HCAHPS scores declined from 70.31% to 62.96%. However, 100% of participating nurses reported the material as useful and recommended continued usage. Surveys showed improved nurse engagement with patient education, however, patient understanding measures are limited. Conclusions: While HCAHPS scores did not improve as expected, nurse feedback supports the use of PIPCB education. Continued reinforcement and patient engagement are needed to improve patient outcomes and to close the communication gap between nurses and patients.

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