DescriptionPurpose of Project: The purpose of this project was to evaluate an interprofessional pediatric pressure injury prevention initiative to determine its effect on hospital-acquired pressure injury incidence in the pediatric cardiac intensive care population.
Methodology: The pre-post quality improvement evaluation consisted of a retrospective review of compliance data and hospital-acquired pressure injury incidence data from the Pediatric Cardiac Intensive Care Unit. Healthcare workers with a role in pressure injury prevention in the Pediatric Cardiac Intensive Care Unit were invited to participate in a survey to assess their attitudes towards the preventative strategies implemented.
Results: Results demonstrated a statistical significance in improvement with compliance (p < .05), a substantial decrease (71%) in hospital-acquired pressure injury incidence rates, an 80% decrease in severity, and a 60% decrease in medical device-related pressure injuries. There was an 80% response rate for the survey, which yielded insightful suggestions from the interprofessional respondents.
Implications for Practice: Hospital-acquired conditions are a nursing quality indicator that requires a plan of action to be addressed. Nurses can make an impact in improving patient outcomes and have a key role in leading quality improvement initiatives, such as reducing pressure injuries in critically ill children. Strategies that include interprofessional support for comprehensive pediatric pressure injury prevention guidelines may mitigate financial and clinical risks. This study's findings can influence the development of evidence-based guidelines that can be disseminated to the larger pediatric critical care community.