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Pressure injuries are localized areas of damage to the skin and underlying soft tissue, which typically occur over a bony prominence or under a medical device (Cai et al., 2023). Critical care patients are twice as likely as other patients to acquire pressure injuries (Alderden et al., 2020). A study by Alderden et al. (2020) identified specific risk factors associated with critical care patients, including skin irritation, minimum Braden score, and length of ICU stay before pressure injury diagnosis (Alderden et al., 2020). The results indicate that reversible skin conditions influence the development of a pressure injury that requires a high degree of attention from the nursing staff.
The Agency for Healthcare Research and Quality (AHRQ) reports that pressure injuries are the only hospital-acquired condition rate increasing rather than improving nationwide (National Pressure Injury Advisory Panel, 2022). Consistent with those statistics, an identified practice problem is higher than desired hospital-acquired pressure injury (HAPI) rates in specific high-acuity intensive care units. This DNP project aims to improve HAPI rates in the medical intensive care unit by implementing an evidence-based pressure injury prevention bundle.
References:
Alderden, J., Cowan, L. J., Dimas, J. B., Chen, D., Zhang, Y., Cummins, M., & Yap, T. L. (2020). Risk factors for hospital-acquired pressure injury in surgical critical care patients. American Journal of Critical Care, 29(6), e128-e134. https://doi.org/doi.org/10.4037/ajcc2020810
Cai, F., Jiang, X., Hou, X., Wang, D., Wang, Y., Deng, H., Guo, H., Wang, H., & Li, X. (2021). Application of infrared thermography in the early warning of pressure injury: A prospective observational study. Journal of Clinical Nursing, 30(3–4), 559–571. https://doi.org/10.1111/jocn.15576Links to an external site.
National Pressure Injury Advisory Panel (NPIAP) (2022). 2022 PI incidence statistics. National Pressure Injury Advisory Panel. https://cdn.ymaws.com/npiap.com/resources/resmgr/2022_wwpi_day/Updated_20Pressure injuries are localized areas of damage to the skin and underlying soft tissue, which typically occur over a bony prominence or under a medical device (Cai et al., 2023). Critical care patients are twice as likely as other patients to acquire pressure injuries (Alderden et al., 2020). A study by Alderden et al. (2020) identified specific risk factors associated with critical care patients, including skin irritation, minimum Braden score, and length of ICU stay before pressure injury diagnosis (Alderden et al., 2020). The results indicate that reversible skin conditions influence the development of a pressure injury that requires a high degree of attention from the nursing staff.
The Agency for Healthcare Research and Quality (AHRQ) reports that pressure injuries are the only hospital-acquired condition rate increasing rather than improving nationwide (National Pressure Injury Advisory Panel, 2022). Consistent with those statistics, an identified practice problem is higher than desired hospital-acquired pressure injury (HAPI) rates in specific high-acuity intensive care units. This DNP project aims to improve HAPI rates in the medical intensive care unit by implementing an evidence-based pressure injury prevention bundle.
References:
Alderden, J., Cowan, L. J., Dimas, J. B., Chen, D., Zhang, Y., Cummins, M., & Yap, T. L. (2020). Risk factors for hospital-acquired pressure injury in surgical critical care patients. American Journal of Critical Care, 29(6), e128-e134. https://doi.org/doi.org/10.4037/ajcc2020810
Cai, F., Jiang, X., Hou, X., Wang, D., Wang, Y., Deng, H., Guo, H., Wang, H., & Li, X. (2021). Application of infrared thermography in the early warning of pressure injury: A prospective observational study. Journal of Clinical Nursing, 30(3–4), 559–571. https://doi.org/10.1111/jocn.15576Links to an external site.
National Pressure Injury Advisory Panel (NPIAP) (2022). 2022 PI incidence statistics. National Pressure Injury Advisory Panel. https://cdn.ymaws.com/npiap.com/resources/resmgr/2…
