Increasing Competence in Pressure Injury Prevention Using Competency-Based Education in Adult Intensive Care Unit.
作者信息
Aquino Carla, Owen Amanda, Predicce Ashley, Poe Stephanie, Kozachik Sharon
机构信息
Departments of Nursing Administration (Dr Aquino) and Medical Nursing Administration (Ms Owen) and Medical Intensive Care Unit (Ms Predicce), The Johns Hopkins Hospital, Baltimore, Maryland; Department of Nursing Administration, The Johns Hopkins Hospital, The Johns Hopkins Health System, Baltimore, Maryland (Dr Poe); and The Johns Hopkins School of Nursing, Baltimore, Maryland (Dr Kozachik).
出版信息
J Nurs Care Qual. 2019 Oct/Dec;34(4):312-317. doi: 10.1097/NCQ.0000000000000388.
BACKGROUND
There is a significant focus on pressure injury prevention to promote better patient outcomes and control health care cost.
LOCAL PROBLEM
In 2016, the institution's pressure injury quarterly prevalence survey showed that two-thirds of the patients surveyed who developed unit-acquired pressure injury stage 2 and greater were in the adult intensive care units.
METHODS
The quality improvement project used a pre- and postintervention design.
INTERVENTIONS
The adult medical intensive care unit (MICU) executed a competency-based education project to increase staff implementation of pressure injury prevention.
RESULTS
Following initiation of competency-based education, staff documentation of pressure injury prevention implementation increased, and unit-acquired pressure injury stage 2 and greater rates were reduced.
CONCLUSIONS
The use of a competency-based education program may be effective in increasing pressure injury prevention in the intensive care unit.
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