In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric intensive care unit (PICU). Pressure injury prevention was not a high priority for the nursing staff; nurses were unaware of current PI prevention protocols or the PI prevalence in the PICU. The goals are to reduce PIs by 20% in 3 months, increase PI nursing education, and improve patient outcomes. Nursing skin-care rounds were conducted weekly and pressure injury prevention plans were established for high risk patients. The bedside nurses and skin-care champions reassessed the plans and adjusted them as needed. PICU nurses watched short videos and received formal training on Skills Day and during huddle and informal training through handouts. Pressure injury incidence remained at 8.33% after 10 weeks. However, following the skin-care project intervention, 67% of the nurses agreed they were more knowledgeable about PI prevention methods, and 55% of the nurses agreed they felt more comfortable with them. Finally, 66% of the nurses in the PICU strongly agreed that a unit-specific skin-care team would be beneficial in preventing PIs.
","abstract_html":"<p>In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric intensive care unit (PICU). Pressure injury prevention was not a high priority for the nursing staff; nurses were unaware of current PI prevention protocols or the PI prevalence in the PICU.<strong> </strong>The goals are to reduce PIs by 20% in 3 months, increase PI nursing education, and improve patient outcomes.<strong> </strong>Nursing skin-care rounds were conducted weekly and pressure injury prevention plans were established for high risk patients. The bedside nurses and skin-care champions reassessed the plans and adjusted them as needed. PICU nurses watched short videos and received formal training on Skills Day and during huddle and informal training through handouts.<strong> </strong>Pressure injury incidence remained at 8.33% after 10 weeks. However, following the skin-care project intervention, 67% of the nurses agreed they were more knowledgeable about PI prevention methods, and 55% of the nurses agreed they felt more comfortable with them. Finally, 66% of the nurses in the PICU strongly agreed that a unit-specific skin-care team would be beneficial in preventing PIs.<strong></strong></p>","abstract_has_math":true,"creators":["Konstantin, Anna Therianos"],"institution":null,"degree_name":"Master of Science in Nursing (MSN)","degree_level":"Project/Capstone - Global access","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-05-19T07:00:00Z","date_published":"2017-05-19T07:00:00Z","updated_at":"2026-07-24T05:43:52Z","subjects":["Pressure injury","skin-care","PICU","Pediatrics","Pressure ulcer","prevention","Critical Care Nursing","Medicine and Health Sciences","Nursing","Pediatric Nursing"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/capstone/508","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Konstantin, Anna Therianos"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2017-05-10T07:00:00Z"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project/Capstone - Global access"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science in Nursing (MSN)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Pressure injury","skin-care","PICU","Pediatrics","Pressure ulcer","prevention","Critical Care Nursing","Medicine and Health Sciences","Nursing","Pediatric Nursing"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/capstone/508"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric intensive care unit (PICU). Pressure injury prevention was not a high priority for the nursing staff; nurses were unaware of current PI prevention protocols or the PI prevalence in the PICU. The goals are to reduce PIs by 20% in 3 months, increase PI nursing education, and improve patient outcomes. Nursing skin-care rounds were conducted weekly and pressure injury prevention plans were established for high risk patients. The bedside nurses and skin-care champions reassessed the plans and adjusted them as needed. PICU nurses watched short videos and received formal training on Skills Day and during huddle and informal training through handouts. Pressure injury incidence remained at 8.33% after 10 weeks. However, following the skin-care project intervention, 67% of the nurses agreed they were more knowledgeable about PI prevention methods, and 55% of the nurses agreed they felt more comfortable with them. Finally, 66% of the nurses in the PICU strongly agreed that a unit-specific skin-care team would be beneficial in preventing PIs.
"]},{"key":"dc:title","label":"Title","values":["Pediatric Intensive Care Unit Skin-Care Team"]}]}],"canonical_facts":{"dc:creator":["Konstantin, Anna Therianos"],"dc:date.available":["2017-05-10T07:00:00Z"],"dc:description.abstract":["In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric intensive care unit (PICU). Pressure injury prevention was not a high priority for the nursing staff; nurses were unaware of current PI prevention protocols or the PI prevalence in the PICU. The goals are to reduce PIs by 20% in 3 months, increase PI nursing education, and improve patient outcomes. Nursing skin-care rounds were conducted weekly and pressure injury prevention plans were established for high risk patients. The bedside nurses and skin-care champions reassessed the plans and adjusted them as needed. PICU nurses watched short videos and received formal training on Skills Day and during huddle and informal training through handouts. Pressure injury incidence remained at 8.33% after 10 weeks. However, following the skin-care project intervention, 67% of the nurses agreed they were more knowledgeable about PI prevention methods, and 55% of the nurses agreed they felt more comfortable with them. Finally, 66% of the nurses in the PICU strongly agreed that a unit-specific skin-care team would be beneficial in preventing PIs.
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