Skin integrity is one of the quality indicators used to evaluate nursing care of patients in long-term care and rehabilitation settings and yet pressure ulcers continue to occur at alarming rates among this population group. Using Patricia Benner’s: From Novice to Expert model, the IOWA Evidence Based Model, and the Ottawa Model of Research Use (OMRU) a quality improvement practice change was implemented in a long-term care and rehabilitation facility located in the Mid-Atlantic region of the United States. The target population consisted of registered nurses and licensed practical nurses caring for patients with pressure ulcers. The sample size included ten registered nurses, twenty License Practical Nurses, and seventy-four patients with pressure ulcers. The Casper Report, Braden Scale scores, Pressure Ulcer Score for Healing (Push Tool), and Pieper Pressure Ulcer Knowledge test was used to measure the project outcomes. The project results of the pressure ulcer education program indicated that all thirty nurses completed the exam. Descriptive analysis was used and showed pre-test scores with a mean and standard deviation of 79/7.99 and post test scores of 86.6/3.69 validating an increase of knowledge retained by the nurses after the education session. Pressure ulcer data during incidence and prevalence rounds indicated a decrease in healing times of pressure ulcers using the PUSH Tool. A decrease in pressure ulcer rates were noted by the number of pressure ulcers resolved each week in wound rounds. Retrospective chart reviews confirmed improved documentation and accurate Braden score documentation by nurses throughout the facility. The overall project results are anticipated to continually improve pressure ulcer outcomes of this population and can be used as a model for long-term care and rehabilitation facilities globally.
|Commitee:||Axley, Lawrette, Forsythe, Lydia, Matthews, Teresa|
|Department:||School of Public Service Leadership|
|School Location:||United States -- Minnesota|
|Source:||DAI-B 75/08(E), Dissertation Abstracts International|
|Keywords:||Long-term care, Pressure ulcer, Rehabilitation|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be