Year of Publication

2020

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Sheila Melander

Clinical Mentor

Dr. Sarah Lester

Committee Member

Dr. Kathy Isaacs

Abstract

PURPOSE: The purpose of this proposal is to evaluate the introduction of pressure ulcer prevention videos to at risk adult patients in the intensive care unit within the acute care health setting.

METHODS: The study design is a retrospective chart review to analyze the effect of the pressure ulcer prevention videos on the number of pressure ulcers and incidence rate while comparing Jackson/Cubbin scores. As pressure ulcers continue to rise, patient education through the Get Well Network is a required intervention. This project is relevant in reducing pressure ulcers and increasing patient safety. Data collection took place from July 1st, 2019 and September 30th, 2019. The Center for Clinical and Translational Science department randomly selected 1000 charts from all patients admitted to the 9th and 10th floor Tower 200 Intensive Care Units with a Jackson/Cubbin score of 36 or less.

RESULTS: The study identified no statistical difference in the prevalence of pressure ulcers. The overall incidence of new hospital acquired pressure ulcers in the Intensive Care Units was decreased by one with the introduction of the pressure ulcer prevention videos versus prior to implementation. There was no change in median Intensive Care Unit length of stay but there was a statistically significant decrease in hospital length of stay.

CONCLUSION: Although there was a small reduction in newly acquired pressure ulcers, there is a need for video education for acute care hospitalized patients. By increasing patient knowledge about pressure ulcer prevention, video education can dramatically reduce costs for healthcare systems and provided safe patient care.

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