Date of Graduation

Fall 12-12-2025

Document Access

Restricted Project/Capstone - USF access only

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: In 2024, the Trauma Medical-Surgical Unit at Hospital X identified nine hospital-acquired pressure injuries (HAPIs). The unit’s goal for 2025 was to decrease the number of HAPIs by 22%, from nine in 2024 to seven in 2025. As of September 2025, this unit has accumulated eight HAPIs. Out of 34 of 40 nurses who work on this unit, 43% of them highlighted that the Braden Scale, a tool to determine a patient’s risk of a pressure injury, can be subjective. Furthermore, 35% of nurses indicated a lack of knowledge, and therefore confidence, in utilizing the SKINS (Skin Assessment, Keep Turning, Incontinence Management, Nutrition, and Surfaces) Bundle to accurately treat a patient with a HAPI. 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 two-week education in-service was conducted for the nurses on the unit, offered six days weekly across both day and night shifts. Education included how to properly score a patient’s risk for a pressure injury utilizing the Braden Scale and how to differentiate between the SKINS Bundle components. Pre- and post-intervention surveys assessed nurses’ knowledge, and therefore confidence, in accurately utilizing the Braden Scale and the SKINS Bundle. Results: Confidence in accurately utilizing the Braden Scale increased from 91% to 100%, and confidence in accurately utilizing the SKINS Bundle increased from 65% to 88%. Conclusion: The nurse education in-service increased nurses’ knowledge, and therefore confidence, in accurately utilizing the Braden Scale and SKINS Bundle to prevent or treat a HAPI. From September to November 2025, the unit has not identified a HAPI, thus remaining at eight for 2025, emphasizing a need for sustainable HAPI prevention practices.

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