Date of Graduation

Fall 12-12-2025

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

Jennifer Zesati, MSN, RN

Abstract

Objective: Hospital-acquired pressure injuries (HAPIs) continue to rise nationally despite overall reductions in other hospital-acquired conditions. This project sought to address gaps in nurse knowledge, inconsistent prevention practices, and workflow barriers contributing to HAPI development on a Trauma Medical-Surgical Unit (Unit A). Aim: This project aims to decrease the number of HAPIs on the Trauma Medical Surgical Unit by 11%, from nine HAPIs to eight HAPIs, following implementation of nurse education on the proper use of the Braden Scale and the SKINS Bundle from October 6, 2025, to November 14, 2025. Methods: A pre-intervention survey was administered to identify baseline knowledge gaps among nurses on Unit A. The intervention included focused education on the Braden Scale and the SKINS Bundle, supplemented with patient-centered case studies to evaluate practical application. A post-intervention survey was then completed to measure improvements in knowledge following the training. Results: Following implementation of the intervention, comparison of pre-intervention survey results and post-intervention survey results revealed that there was a 9% increase (100%) in reported confidence in the utilization of the Braden Scale, as well as a 23% increase (88%) in reported confidence in the utilization of the SKINS Bundle order set. Additionally, audits performed on the unit showed a 32% increase in the utilization of the SKINS Bundle itself. Furthermore, Unit A has reported zero HAPIs from September to November 2025. Conclusion: The targeted nurse education increased the nurses’ confidence in utilizing both the Braden Scale and the SKINS Bundle order set. Strengthening staff knowledge, clarifying prevention workflows, and improving access to resources show promise in reducing HAPI incidence and support long-term quality improvement efforts.

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