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Michigan State University

The clinical nurse specialist in the community hospital : impact on hospital-acquired pressure injuries

Abstract

dc:description

Problem: Hospital-acquired pressure injuries (HAPIs) are a significant challenge, leading to adverse outcomes such as pain, infections, and prolonged hospital stays. Clinical Nurse Specialists (CNS) play a key role in preventing these injuries by promoting and carrying out evidence-based practices. Purpose: This project aims to reduce HAPIs in a Midwest community hospital by leveraging CNS-led interventions to improve patient care. Methods: Evaluating the outcomes of HAPIs in the community hospital setting included pre- and post-surveys of bedside nurse confidence in HAPI prevention strategies, a prevalence survey inclusive of a skin audit, and data outcomes analysis pre- and post-implementation. Results: The project aimed to reduce the incidence of HAPIs by at least 10% and increase the confidence of bedside nurses in the prevention/reduction of HAPIs. Prior to interventions, the HAPI rate was 1.76 per 1,000 patient days. Post-intervention, the rate was lowered to 1.62 per 1,000 patient days. Conclusion: A CNS can implement and support HAPI prevention measures in the community hospital setting, reducing and preventing HAPI incidence. Keywords: Hospital Acquired Pressure Injury (HAPI), Clinical Nurse Specialist (CNS)

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Troyer, Jess
Contributors dc:contributor
  • Iseler, Jackie

Subjects

dc:subject × 4

Rights

dc:rights
Statement dc:rights
  • In Copyright
Language dc:language
English

Identifiers

dc:identifier.*
Identifier
dnp:67
oclc:1569639926
local:R_31ugoYy149ABbbU
OAI identifier oai:identifier
oai:d.lib.msu.edu:dnp_67

Chain of custody

source
Harvested from
Michigan State University
Base URL
d.lib.msu.edu/oai
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Troyer, Jess. The clinical nurse specialist in the community hospital : impact on hospital-acquired pressure injuries. 2025. https://doi.org/doi:10.25335/e7jj-zh32