Date of Graduation

Winter 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

Josephine Juan MSN, RN, CCRN, CNEcl

Abstract

Objective: Hospital-acquired pressure injuries continue to be an ongoing issue for many acute patient care settings. Not only does it impact patient care, but treatment of these injuries can cost upwards of $151,700 per patient (Sen, 2023). Aim: Occurrence of hospital acquired pressure injuries are being reported at this local East Bay hospital within their adult medical surgical microsystem. To mitigate this problem, a quality improvement intervention was created. A color-coded flyer system to be utilized at the patient’s bedside. Methods: A pre-intervention questionnaire was administered to identify gaps in practice within this microsystem. Once the barriers and challenges were identified, a quality improvement intervention was implemented. There were two weeks of intervention implementation, incorporating nursing staff morning and nighttime flyer usage education huddles. The post-intervention questionnaire provided insight into the perceived sustainability and feasibility of the intervention. Results: 66% of the floor staff who have interacted with this updated flyer system found it sustainable for their microsystem. Conclusions: Nursing staff in this microsystem strongly supported the feasibility of this signage and its incorporation into their day-to-day tasks. However, audits conducted on the microsystem floor showed discrepancies in perceived success and actual usage of the flyer. Limitations include a small sample size and restricted student access to electronic health records.

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