Date of Doctor of Nursing Practice Project Completion
Spring 4-24-2026
Faculty Advisor
Dr. Christopher Rodriguez
Abstract
Purpose: The purpose of this quality improvement DNP project was to implement a preventative care bundle to reduce the number of hospital-acquired pressure injuries.Compliance with bundle elements was monitored through weekly bedside audits. HAPI data were collected for 12 weeks pre-intervention and 12 weeks post-intervention to evaluate outcomes. The project utilized Plan-Do-Study-Act (PDSA) cycles to refine implementation and address barriers in real time.
Background: The project was implemented in a 32-bed neuroscience intensive care unit in an academic center in the Texas Medical Center.
Results: After implementation of the care bundle, average HAPIs decreased from 4.6 per survey (pre-intervention) to 0.64 per survey (post-intervention). Weekly bedside audits with real-time feedback increased care bundle compliance.
Methodology: A pressure injury prevention care bundle was developed using best evidence from the literature and feedback from NSICU leadership and staff. Bedside staff completed an education module with pre- and post-testing to evaluate knowledge acquisition. Reinforcement education was provided during staff meetings, huddles, and bedside rounding with unit champions. Educational posters and visual reminders were placed throughout the unit to support sustained practice change.
Implications: A care bundle should be implemented in ICU settings to standardize HAPI prevention strategies for bedside staff and improve patient outcomes. The reduction observed suggests potential cost avoidance associated with decreased HAPI incidence, given the estimated $21,767 cost per ICU HAPI.Education should be provided to newly hired nurses and PCTs and weekly bedside audits should be continued to ensure the sustainability of this project.
Keywords
Hospital Acquired Pressure Injuries, Pressure Injury Prevention Bundle, Pressure Ulcer, Quality Improvement
Recommended Citation
Sarah Dolick, "Hospital-Acquired Pressure Injury Prevention Using a Care Bundle in a Neuroscience Intensive Care Unit" (2026). Doctor of Nursing Practice Final Project Abstract. 181.
https://digitalcommons.library.tmc.edu/dnp_abstract/181