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Patient safety and quality of care are critical to attainment of better outcomes in different care settings. Hospital acquired infections and adverse conditions like hospital acquired pressure injuries (HAPIs) have negative effects on patient care quality and safety. Each year, over 2.5 million people get HAPIs with close to 60,000 succumbing to these injuries. HAPIs cost the health system close to $11 billion every year. Studies are categorical that implementing pressure injury prevention (PIP) care bundle can reduce and prevent the prevalence of HAPIs in various settings, especially in critical and progressive care units (AHRQ, 2019). Therefore, through the PIP care bundle approach, nurses get interventions based on evidence to prevent these injuries as they can develop patient-centered strategies to reduce their occurrence. The purpose of this presentation is to showcase an evidence-based practice (EBP) capstone project aimed at reducing and preventing HAPIs in critical care and progressive care units.
A study by Pitman (2019) shows that the prevalence of HAPIs is between 3% and 8.3% among patients in critical care units. Pressure injuries range in their severity, from open wounds to advanced wounds that include deep skin tissue breakdown. HAPIs affect over 2.5 million patients in critical care and progressive care units with costs amounting to $11 billion (Mortada et al., 2020). Again, these injuries are associated with close to 60,000 deaths each year as well as comorbidities. Patients in critical care settings with limited mobility and delicate nature are more susceptible to these injuries because of their nature and immobility (Tervo-Heikkinen et al., 2021). The implication is that they are at an increased risk for HAPIs and require interventions based on evidence like the PIP care bundle approach.
HAPIs lower the quality of care and patient outcomes. Nursing care entails leveraging best practices to prevent adverse events or aspects and improve patient care. The proposed intervention is to implement pressure injury prevention (PIP) care bundle that comprise various strategies to manage HAPIs, especially among patients in critical care settings (Rivera et al., 2019). The PIP care bundle is patient-centered approach and encourages patient education to reduce and prevent HAPIs in settings that they occur.
The implementation of PIP care bundle entails having strategies that leverage technological interventions and innovations to deliver care, and staff-focused coordination and implementation. The use of PIP care bundle approach would entail having staff training on identification of pressure injuries and their effective management, patient-centered approaches to offer information and strategies that patients can leverage to reduce their susceptibility to HAPIs and effective interdisciplinary coordination to improve outcomes. The implementation requires effective organizational leadership and management support to enhance the possibility of attaining expected outcomes based on the available resources.
HAPIs are a significant health concern resulting in more than 60,000 deaths each year. Nurse need knowledge and awareness about their prevalence and prevention measures. The present literature is founded on search strategies agree that PIP care bundle is important to prevent an reduce the prevalence of HAPIs. The reviewed articles used different research methods and designs. The articles also had diverse objectives, goals and aims. However, they majorly focused on the prevalence of HAPIs and ways to prevent and reduce their occurrence through nurse knowledge and implementation of patient-centered interventions.
The reviewed literature demonstrates consistent support for the use of evidence-based practice to implement these interventions in different care settings, especially in critical care areas. The study by Yilmazer et al. (2022) shows that having PIP care bundle improves nurses interventions for managing these injuries. Edsberg et al. (2022) also emphasize the role of nurses in implementing better patient-centered strategies to reduce the prevalence of these injuries while Coyer et al. (2022) shows that the implementation is critical to the attainment of safety and quality care. Lindhardt et al. (2019) emphasize that nurses require knowledge and effective strategies to care for the geriatric population with the issue. Again, the article by Amirah et al. (2021) explores the role of positive attitudes by nurses in implementing PIP care bundle to prevent and reduce HAPIs.
The existing literature is categorical that sufficient and con
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