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
Department/Program
Biological Science
Program
MSN project
First Advisor
Jennifer Zesati, MSN, RN
Abstract
Objective Hospital acquired pressure injuries (HAPIs) are injuries developed by admitted patients, from treatment interventions that they encounter during their hospital stay. If a patient acquires a HAPI during their stay, the hospital is required to cover all expenses related to the injury. An in-patient trauma unit at a large medical center wishes to improve patient care by educating nursing staff on preventive measures of HAPIs. A review of relevant literature on HAPIs from the past five years was conducted to identify HAPI preventions tools, such as the Braden Scale and SKINS bundle, as well as the best methods to inform registered nurses (RN) of HAPI prevention. Aim A quality improvement (QI) project has been selected to implement a nurse education program on the proper use of the Braden Scale and SKINS Bundle to prevent further HAPIs on the in-patient trauma unit for the remainder of 2025. Methods The QI project was composed of a pre-intervention survey to assess nurses’ knowledge utilizing the Braden Scale and SKINS bundle. An educational in-service was directed to RNs to increase their knowledge of the Braden Scale and SKINS bundle, as well as improve their performance with patient care. A post-intervention survey was then performed to determine any changes in RN knowledge/confidence. Results Data gathered from the pre-and-post-intervention surveys demonstrated that RNs confidence in utilizing the Braden Scale increased from 91% to 100% and their confidence in utilizing the SKINS Bundle increased from 65% to 88%. Conclusions The educational in-service increased the nurse’s confidence in accurately utilizing the Braden Scale and SKINS Bundle to prevent or treat HAPIs. From September to November 2025, the unit has not identified a HAPI from their patient population, suggesting that interventions of continuous RN education can increase knowledge/confidence to improve patient outcomes and decrease hospital expenses.
Recommended Citation
Ward, Lance, "The Pressure is On: A Quality Improvement Project to Educate Nurses on Hospital Acquired Pressure Injuries" (2025). Master's Projects and Capstones. 1975.
https://repository.usfca.edu/capstone/1975
