Aquino Carla, Owen Amanda, Predicce Ashley, Poe Stephanie, Kozachik Sharon
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).
J Nurs Care Qual. 2019 Oct/Dec;34(4):312-317. doi: 10.1097/NCQ.0000000000000388.
There is a significant focus on pressure injury prevention to promote better patient outcomes and control health care cost.
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.
The quality improvement project used a pre- and postintervention design.
The adult medical intensive care unit (MICU) executed a competency-based education project to increase staff implementation of pressure injury prevention.
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.
The use of a competency-based education program may be effective in increasing pressure injury prevention in the intensive care unit.
