Date of Conferral

11-18-2025

Date of Award

November 2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Margaret Harvey

Abstract

This staff educational project focused on implementing training on the tissue, infection/inflammation, moisture, edge (TIME) framework to address gaps in nurses’ knowledge and improve adherence to the TIME framework during wound assessment. Current evidence shows inconsistent use of standardized wound assessment among nurses, which can lead to inappropriate treatment, delayed wound healing, increased infection risk, and higher healthcare utilization. This project’s question sought to assess whether implementing a staff education workshop focusing on the TIME framework would enhance nurse knowledge and adherence to the TIME framework. Six nurses participated in the training. Pre/post questionnaires were used to evaluate knowledge before the training and knowledge changes after the training. Nurses were also assessed using a 10-point checklist covering each element of the TIME framework to assess improvement in adherence rates. The results were summarized using means and frequency using Excel. The average pretraining knowledge score was 79.61% while the average post training score was 97.22%. The mean knowledge scores improved by a 22.12%. This suggests a notable improvement in knowledge of the TIME framework post training. Notably, all nurses’ knowledge score improved post training, illustrating that all participating nurses benefited from the training sessions. The mean adherence rate improved from baseline (M = 5.33 out of 10 points (53.3%) to after the training (M = 9.5 or 95%), demonstrating a 41.7% improvement in adherence to the TIME framework during wound assessment and documentation. These results will translate to improved wound assessment and care at the facility and has significant implications for social change as the project will translate to better care for patients.

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