Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

7-9-2024

Graduate Advisor

Elizabeth Segura, DNP

Committee

Elizabeth Segura, DNP

Charity Galgani, DNP

Julie Brooks, MSN

Abstract

Problem: Approximately 2.5 million people within the United States receiving inpatient medical care will develop a pressure injury each year (Padula & Demarmente, 2018). Pressure injuries (PI) are a multifactorial complication that can often be avoided with general prophylactic measures. Despite this, inpatient settings around the United States continue to see a rise in PIs.

Method: The quality improvement initiative utilized a descriptive, observational design. The turn team toolkit was implemented and monitored over a two-month period. Patient descriptors and quantitative data were collected through a retrospective chart review. The primary data collected was on pressure injury rates and staff compliance to turning frequency.

Results: Following implementation of this quality improvement effort, a total of 122 patients were included in the study. The pre-implementation phase had a total of three PIs and the post-implementation had zero acquired PIs. A Fishers exact test was utilized and found a p-value of 0.066 indicating no statistical significance. Staff compliance with patient turning increased from 37.20% to 50.7%. A two-tailed Mann-Whitney test was run proving statistical significance between the compliance and implementation phase.

Implications: Further research should be conducted to expand the sample size and occurrence of pressure injury to determine if the toolkit provides a statistical significance between variables. Pressure injury prophylaxis continues to be crucial to patient comfort and avoidance of unnecessary hospital complications.

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