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Implementing bundles has been an effective strategy for reducing several hospital-acquired conditions. The SSKIN bundle was developed about a decade ago to define and package best practices together to help minimize variation in care (Bollineni, 2019). The SSKIN bundle is an evidence-based set of interventions to prevent pressure injuries. It has been used in many different clinical settings. The proposed practice change project will implement the SSKIN bundle in a medical intensive care unit.
Literature reflects that nurses’ knowledge of pressure injury prevention and adherence to prevention practices is poor (Bollineni, 2019). Evidence-based bundles have proven to impact the application of pressure injury prevention strategies at the bedside (Lovegrove et al., 2022; Wang et al., 2023; Yilmazer & Tuzer, 2022). SSKIN is an acronym used to highlight key nursing interventions to prevent the development of a pressure injury. The acronym bundles together and highlights the interventions of support surface, skin inspection, keep moving, incontinence, and nutrition (Bollineni, 2019). The bundle applies to the unique characteristics of ICU patients (Santy-Tomlinson & Limbert, 2020).
References:
Bollineni, N. J. (2019). Knowledge and practices of student nurses of NRI College of Nursing in application of SSKIN towards prevention of pressure ulcers in NRI Hospital, Chinakakani, Mangalagiri, Guntur (Dt). AP. Asian Journal of Nursing Education and Research, 9(1), 17–22. https://doi.org/10.5958/2349-2996.2019.00004.1Links to an external site.
Lovegrove, J., Fulbrook, P., Miles, S., & Steele, M. (2022). Effectiveness of interventions to prevent pressure injury in adults admitted to intensive care settings: A systematic review and meta-analysis of randomised controlled trials. Australian Critical Care, 35(2), 186–203. https://doi.org/10.1016/j.aucc.2021.04.007Links to an external site.
Santy-Tomlinson, J., & Limbert, E. (2020). Using the SSKIN care bundle to prevent pressure ulcers in the intensive care unit. Nursing Standard, 35(10), 77–82. https://doi.org/10.7748/ns.2020.e11536
Wang, L., Gao, M., Wang, X., Gu, M., & Qi, Q. (2023). Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis. International Wound Journal. https://doi.org/10.1111/iwj.14432Links to an external site.
Yilmazer, T., & Tuzer, H. (2022). Effectiveness of a pressure injury prevention care bundle; Prospective interventional study in intensive care units. Journal of Wound, Ostomy, and Continence Nursing, 49(3), 226–232. https://doi.org/10.1097/WON.0000000000000875
