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A Cognitive and Behavioral Nursing S...

Salvi, M'ma.

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A Cognitive and Behavioral Nursing Staff Evidence-Based Intervention to Prevent Pressure Injuries in a Skilled Nursing Facility.

Record Type:	Electronic resources : Monograph/item
Title/Author:	A Cognitive and Behavioral Nursing Staff Evidence-Based Intervention to Prevent Pressure Injuries in a Skilled Nursing Facility./
Author:	Salvi, M'ma.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	131 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-10, Section: A.
Contained By:	Dissertations Abstracts International85-10A.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30997239
ISBN:	9798382121130

A Cognitive and Behavioral Nursing Staff Evidence-Based Intervention to Prevent Pressure Injuries in a Skilled Nursing Facility.
Salvi, M'ma.

A Cognitive and Behavioral Nursing Staff Evidence-Based Intervention to Prevent Pressure Injuries in a Skilled Nursing Facility. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 131 p.

Source: Dissertations Abstracts International, Volume: 85-10, Section: A.

Thesis (D.N.P.)--Azusa Pacific University, 2024.

Background/Significance: Pressure injury (PI) also known as pressure ulcer is defined as a localized damage to the skin and underlying tissues, often near a bony prominence, due to prolonged pressure It affects three million patients annually and cost the U.S. healthcare system more than 11.6 billion dollars annually (Agency for Healthcare Research and Quality [AHRQ], 2014). Pressure injuries can result in pain, disability, and impaired quality of life as well as significant financial costs (DecubICUs Study Team et al., 2021). The goal of this quality improvement project was to reduce the PI incidence rate at an Astoria skilled nursing facility (SNF) by 50% within a period of 3 months. Problem: Despite negative outcomes related to PIs, nurses may lack adequate knowledge and skills in applying preventive strategies to patients in SNF (Dalvand et al., 2018). Methods/Interventions/Evaluation: The project utilized (a) parts of the self-assessment tool "Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer," (b) the AHRQ assessment checklists, and (c) the PUKAT 2.0 as pretests. A convenience sample of nurses was recruited, and an educational intervention was delivered to pairs of nurses in 1-hour sessions. The intervention focused on (a) causes, (b) preventive strategies, and (c) assessment of PIs. Intervention effectiveness was determined according to the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework and included pretest and posttest score comparisons. Results: The results of the PI prevention pretest were compared with the posttest to assess the effectiveness of the project's objectives. The PI rates were tracked for 3 months before and after the educational intervention with documentation of preventive efforts noted in the medical records by nursing staff. Overall, the nursing staff compliance improved significantly as the nurses demonstrated increased knowledge of PI identification, staging, and prevention strategies. This intervention reduced the incidence and complications from PIs among SNF patients. Pressure injury incidence rate decreased from 3.9% to 1.1% in three months. Conclusion: There was a high correlation between PI prevention and PI incidence rate reduction. The quality improvement project significantly assisted with the improvement of patient's quality of care and safety. The post-intervention goal of improved early identification and applying preventive strategies was met.

ISBN: 9798382121130Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Behaviors

A Cognitive and Behavioral Nursing Staff Evidence-Based Intervention to Prevent Pressure Injuries in a Skilled Nursing Facility.
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520 $a Background/Significance: Pressure injury (PI) also known as pressure ulcer is defined as a localized damage to the skin and underlying tissues, often near a bony prominence, due to prolonged pressure It affects three million patients annually and cost the U.S. healthcare system more than 11.6 billion dollars annually (Agency for Healthcare Research and Quality [AHRQ], 2014). Pressure injuries can result in pain, disability, and impaired quality of life as well as significant financial costs (DecubICUs Study Team et al., 2021). The goal of this quality improvement project was to reduce the PI incidence rate at an Astoria skilled nursing facility (SNF) by 50% within a period of 3 months. Problem: Despite negative outcomes related to PIs, nurses may lack adequate knowledge and skills in applying preventive strategies to patients in SNF (Dalvand et al., 2018). Methods/Interventions/Evaluation: The project utilized (a) parts of the self-assessment tool "Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer," (b) the AHRQ assessment checklists, and (c) the PUKAT 2.0 as pretests. A convenience sample of nurses was recruited, and an educational intervention was delivered to pairs of nurses in 1-hour sessions. The intervention focused on (a) causes, (b) preventive strategies, and (c) assessment of PIs. Intervention effectiveness was determined according to the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework and included pretest and posttest score comparisons. Results: The results of the PI prevention pretest were compared with the posttest to assess the effectiveness of the project's objectives. The PI rates were tracked for 3 months before and after the educational intervention with documentation of preventive efforts noted in the medical records by nursing staff. Overall, the nursing staff compliance improved significantly as the nurses demonstrated increased knowledge of PI identification, staging, and prevention strategies. This intervention reduced the incidence and complications from PIs among SNF patients. Pressure injury incidence rate decreased from 3.9% to 1.1% in three months. Conclusion: There was a high correlation between PI prevention and PI incidence rate reduction. The quality improvement project significantly assisted with the improvement of patient's quality of care and safety. The post-intervention goal of improved early identification and applying preventive strategies was met.
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