Date of Graduation

Spring 5-19-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric intensive care unit (PICU). Pressure injury prevention was not a high priority for the nursing staff; nurses were unaware of current PI prevention protocols or the PI prevalence in the PICU. The goals are to reduce PIs by 20% in 3 months, increase PI nursing education, and improve patient outcomes. Nursing skin-care rounds were conducted weekly and pressure injury prevention plans were established for high risk patients. The bedside nurses and skin-care champions reassessed the plans and adjusted them as needed. PICU nurses watched short videos and received formal training on Skills Day and during huddle and informal training through handouts. Pressure injury incidence remained at 8.33% after 10 weeks. However, following the skin-care project intervention, 67% of the nurses agreed they were more knowledgeable about PI prevention methods, and 55% of the nurses agreed they felt more comfortable with them. Finally, 66% of the nurses in the PICU strongly agreed that a unit-specific skin-care team would be beneficial in preventing PIs.