{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_67"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_67","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"The clinical nurse specialist in the community hospital : impact on hospital-acquired pressure injuries","abstract":"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)","abstract_html":"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)","abstract_has_math":false,"creators":["Troyer, Jess"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Iseler, Jackie"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025","date_published":"2025","updated_at":"2026-07-24T03:16:39Z","subjects":["Bedsores","Bedsores--Prevention","Nurse practitioners","Nursing care plans"],"languages":["English"],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:67","oclc:1569639926","local:R_31ugoYy149ABbbU"],"render_values":[{"text":"dnp:67","href":null,"code":true},{"text":"oclc:1569639926","href":null,"code":true},{"text":"local:R_31ugoYy149ABbbU","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/e7jj-zh32","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Iseler, Jackie"]},{"key":"dc:creator","label":"Author","values":["Troyer, Jess"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:coverage","label":"Dc Coverage","values":["Middle West"]},{"key":"dc:date","label":"Dc Date","values":["2025"]},{"key":"dc:relation","label":"Dc Relation","values":["Doctor of Nursing Practice Projects"]},{"key":"dc:type","label":"Dc Type","values":["Text","Theses"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Bedsores","Bedsores--Prevention","Nurse practitioners","Nursing care plans"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:67","oclc:1569639926","local:R_31ugoYy149ABbbU","https://doi.org/doi:10.25335/e7jj-zh32"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["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)","Thesis (D.N.P.)--Michigan State University. Clinical nurse specialist, 2025","Includes bibliographical references (pages 27-30)"]},{"key":"dc:format","label":"Dc Format","values":["47 pages","application/pdf"]},{"key":"dc:title","label":"Title","values":["The clinical nurse specialist in the community hospital : impact on hospital-acquired pressure injuries"]}]}],"canonical_facts":{"dc:contributor":["Iseler, Jackie"],"dc:coverage":["Middle West"],"dc:creator":["Troyer, Jess"],"dc:date":["2025"],"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)","Thesis (D.N.P.)--Michigan State University. Clinical nurse specialist, 2025","Includes bibliographical references (pages 27-30)"],"dc:format":["47 pages","application/pdf"],"dc:identifier":["dnp:67","oclc:1569639926","local:R_31ugoYy149ABbbU","https://doi.org/doi:10.25335/e7jj-zh32"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["In Copyright"],"dc:subject":["Bedsores","Bedsores--Prevention","Nurse practitioners","Nursing care plans"],"dc:title":["The clinical nurse specialist in the community hospital : impact on hospital-acquired pressure injuries"],"dc:type":["Text","Theses"]},"updated_at":"2026-07-24T03:16:39Z"}