Date of Graduation

Fall 12-15-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


Reduce the Incidence of Pressure Ulcer in the Rehabilitation Unit


Pressure ulcers have been a concern for the population in the healthcare setting. The purpose of this evidence-based practice was to determine if the implementation of pressure ulcer reduction brochures, along with staff education, reduces the incidence of pressure ulcers in the rehabilitation unit. The CNL Internship Project aims to improve patient care by reducing the incidence of pressure ulcers by 50 percent in the rehabilitation unit by the end of March 2018, by creating educational brochures to continue educating the staff regarding pressure ulcer reduction. The site for the clinical nurse leader project is Windsor Elmhaven Care Center located in Stockton, CA, which has 128 beds. The majority of the resident population in Elmhaven are 60 years and older, with an equal number of males and females. Kotter's theory was utilized as guidance to facilitate the CNL project. After implementing educational brochures and evidence-based prevention strategies, the incidence of pressure ulcers is expected to decrease in the rehabilitation unit. An evaluation can be done through observation and clinical data on pressure ulcers in the upcoming 30 days. There will be a post-survey for staff to determine if the educational brochures are beneficial. Most pressure ulcers are preventable; it is essential to continue educating the staff and ensure that everyone is knowledgeable on how to reduce any adverse outcomes.