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Nurse-led interprofessional pressure injury prevention in pediatric cardiac critical care
Descriptive
TitleInfo
Title
Nurse-led interprofessional pressure injury prevention in pediatric cardiac critical care
Name
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McGill
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Sandra
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Sandra McGill
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author
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Porter
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Sallie Anne
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Sallie Anne Porter
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Advisory Committee
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chair
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Rutgers University
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School of Nursing - RBHS
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school
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theses
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ETD doctoral
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2021
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2021-01
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English
Abstract
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Purpose 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.
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.
Subject
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Topic
Hospital-acquired pressure injury prevention
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Topic
Pediatric
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Critical care
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Topic
Interprofessional support
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Quality improvement
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Bundle
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Post-Master's DNP Practice
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Rutgers University Electronic Theses and Dissertations
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ETD_11337
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1 online resource (79 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-jh82-ex32
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Rights
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The author owns the copyright to this work.
RightsHolder
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Name
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McGill
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Sandra
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Permission or license
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2020-12-16 00:06:08
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Sandra McGill
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2021-01-31
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2023-01-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 31st, 2023.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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