Improving Nurses' Knowledge of Hospital-Acquired Pressure Injury Clinical Practice Guidelines

Date of Conferral

11-8-2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Patty Schweickert

Abstract

The practice problem identified for this doctoral project was the high rates of hospital-acquired pressure injuries at a southern U.S. hospital. Education that is based on evidence-based clinical practice guidelines (CPGs) and that outlines the complex nature of how to assess and then address potential skin issues may help registered nurses to reduce the number of hospital-acquired pressure injuries among patients. The practice-focused question concerned whether an educational offering regarding clinical guidelines for hospital-acquired pressure injuries will improve emergency room (ER) registered nurses' knowledge, particularly regarding the identification and assessment of patients with such injuries. Patricia Benner’s novice to expert nursing theory was the foundation for this doctoral project. The sources of evidence were scholarly articles obtained from Walden University Library databases and data from the National Database of Nursing Quality Indicators. A pre-post questionnaire consisting of 20 questions was administered to 45 ER registered nurses to determine whether there was any change in participants' knowledge. The results of a paired t test showed that the p value was < 0.0001, which indicated a reduction in the gap in knowledge. The project may support positive social change by improving nurses' knowledge of research-based CPGs. With such knowledge, nurses may be able to improve the overall care of the patient population and have greater autonomy in decision-making related to their daily nursing activities.

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