Other Titles
Rising Star Poster/Presentation - Rapid Presentation Round
Abstract
Background: Increased age is a significant risk factor for hospital-acquired pressure injuries (HAPI) due to increased morbidities, decreased mobility, reduced nutrition, sensory impairments, reduced circulation, incontinence, and decreased immunity.
Purpose: Determine if focused education related to the Braden Scale (BS), pressure injuries (PI), and pressure injury prevention (PIP) will increase bedside staff knowledge of PI prevention and decrease HAPI incidence over three months.
Method: Pre/post-test design - Pre-intervention questionnaire, Educational Intervention, and Post-intervention questionnaire
Setting: 28-bed Orthopedic-Spinal Surgical Unit
Sample: Up to 38 nurses (RNs), four nursing supervisors, one director, and 14 patient care technicians (PCTs). Inclusion criteria: All full-time/part-time RNs, PCTs, supervisors, and the unit director working on an ortho-surgical unit who can read and write English and agree to participate. Patient sample includes any patients who experience a HAPI during the pre-intervention (3-month period) and post-intervention comparison 3-month period.
Instruments: Pressure Injury Knowledge Assessment Tool (PUKAT 2.0) to assess staff knowledge of PIs. Demographic questionnaire including age, gender, ethnicity, role, years of experience, and education level. A post-assessment questionnaire included an open-ended qualitative survey asking respondents to provide feedback about the educational intervention.
Intervention: Two weeks after completion of the pre-PUKAT 2.0, we delivered focused education based on the results of the pre-PUKAT via a rolling education cart, along with an illustrated informative PI booklet. Education was provided twice daily to reach the day and night shift staff. Two weeks post-educational intervention, the same PUKAT 2.0 was delivered to determine if staff education improved PI knowledge. HAPI incidence was also measured pre and post-intervention to assess for patient impact.
Data Analysis: Pre/post-knowledge assessment tests were analyzed using paired samples t-test. Descriptive statistics were used to analyze demographic data. HAPI incidence on the target unit will be compared in the same date ranges pre/post-educational intervention – 10/1/22 – 12/31/22 compared with 10/1/23 – 12/31/23.
Notes
References:
Agency for Healthcare Research and Quality. (2016). Agency for Healthcare Research and Quality (AHRQ) quality indicators (QIs) fact sheet: Patient safety and adverse events composite (modified version PSI 90). AHRQ. https://qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
Al-Otaibi, Y., Al-Nowaiser, N., and Rahman, A. (2019). Reducing hospital-acquired pressure injuries. BMJ Open Quality, 8(1), e000464. https://doi.org/10.1136/bmjoq-2018-000464
Aloweni, F., Ang, S., Fook-Chong, S., Agus, N., Yong, P., Goh, M., Tucker-Kellogg, L, and Soh, R. (2019). A prediction tool for hospital-acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score. International Wound Journal, 16(1), 164-175. https://doi.org/10.1111/iwj.13007
Araújo, T.M., Araújo, M.F.M., Barros, L.M., Oliveria, F.J.G., da Silva, L.A., and Caetano, J.A. (2019). Educational intervention to assess the knowledge of intensive care nurses about pressure injury. Rev Rene Revista de Rede de Enfermagen do Nordeste, 20, e41359. https://doi.org/10.15253/2175-6783.20192041359
Arizona Department of Health Services (2009a). Diabetes. Arizona Diabetes Coalition. Retrieved July 5, 2022, from https://www.azdhs.gov/documents/prevention/tobacco-chronic-disease/diabetes/diabetes-fact-sheet.pdf
Arizona Department of Health Services (2009b). Facts and figures: Statistics on hospital-based care in Arizona 2004 – 2006. AZDHS. https://www.azdhs.gov/documents/preparedness/public-health-statistics/cancer-registry/hospital-based-care-az-2004-2006.pdf
Aydin, A.K., Karadag, A., Gül, S., Avsar, P., and Baykara, Z.G. (2019). Nurses’ knowledge and practices related to pressure injury: A cross-sectional study. Journal of Wound, Ostomy, and Continence Nurses, 46(2), 117-123. https://doi.org/10.1097/WON.0000000000000517
Bakar, N., Shohor, N.A., Latif, R.A., Munirah, S., Wahab, A., Zaki, M.A.A., and Kasim, M.M. (2022). The effects of SSKIN care bundle on nurses’ practice in prevention of pressure ulcer. International Journal of Academic Research in Business and Social Sciences, 12(7), 958-968. http://dx.doi.org/10.6007/IJARBSS/v12-i7/14325
Bal, D. (2022, December 22). What are Magnet hospitals? (And why it matters for nurses). Nurse Journal. https://nursejournal.org/resources/what-are-magnet-hospitals
Barakat-Johnson, M., Barnett, C., Wand, T., and White K. (2018). Knowledge and attitudes of nurses toward pressure injury prevention: A cross-sectional multisite study. Journal of Wound, Ostomy, and Continence Nursing, 45(3), 233-237. https://doi.org/10.1097/WON.0000000000000430
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Hospital Acquired Pressure Injury, HAPI, Pressure Ulcer, Aged, Nursing Knowledge -- Evaluation
Recommended Citation
Gonzales, Maria T.; Tyree, Tammy; Johnson, Kari; and Johnson, Crystelle, "Pressure Injury Prevention and Education" (2026). Creating Healthy Work Environments (CHWE). 37.
https://www.sigmarepository.org/chwe/2024/presentations_2024/37
Conference Name
Creating Healthy Work Environments
Conference Host
Sigma Theta Tau International
Conference Location
Washington, DC, USA
Conference Year
2024
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2026-02-13
Pressure Injury Prevention and Education
Washington, DC, USA
Background: Increased age is a significant risk factor for hospital-acquired pressure injuries (HAPI) due to increased morbidities, decreased mobility, reduced nutrition, sensory impairments, reduced circulation, incontinence, and decreased immunity.
Purpose: Determine if focused education related to the Braden Scale (BS), pressure injuries (PI), and pressure injury prevention (PIP) will increase bedside staff knowledge of PI prevention and decrease HAPI incidence over three months.
Method: Pre/post-test design - Pre-intervention questionnaire, Educational Intervention, and Post-intervention questionnaire
Setting: 28-bed Orthopedic-Spinal Surgical Unit
Sample: Up to 38 nurses (RNs), four nursing supervisors, one director, and 14 patient care technicians (PCTs). Inclusion criteria: All full-time/part-time RNs, PCTs, supervisors, and the unit director working on an ortho-surgical unit who can read and write English and agree to participate. Patient sample includes any patients who experience a HAPI during the pre-intervention (3-month period) and post-intervention comparison 3-month period.
Instruments: Pressure Injury Knowledge Assessment Tool (PUKAT 2.0) to assess staff knowledge of PIs. Demographic questionnaire including age, gender, ethnicity, role, years of experience, and education level. A post-assessment questionnaire included an open-ended qualitative survey asking respondents to provide feedback about the educational intervention.
Intervention: Two weeks after completion of the pre-PUKAT 2.0, we delivered focused education based on the results of the pre-PUKAT via a rolling education cart, along with an illustrated informative PI booklet. Education was provided twice daily to reach the day and night shift staff. Two weeks post-educational intervention, the same PUKAT 2.0 was delivered to determine if staff education improved PI knowledge. HAPI incidence was also measured pre and post-intervention to assess for patient impact.
Data Analysis: Pre/post-knowledge assessment tests were analyzed using paired samples t-test. Descriptive statistics were used to analyze demographic data. HAPI incidence on the target unit will be compared in the same date ranges pre/post-educational intervention – 10/1/22 – 12/31/22 compared with 10/1/23 – 12/31/23.
Description
Assess pressure injury knowledge of nursing staff on a single orthopedic surgical unit at the target hospital and provide learning opportunity based on areas of knowledge deficit. Determine if rates of hospital acquired pressure injuries change after focused educational intervention.