Campus Location

Dallas Campus (Online)

Date of Award



Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Cheryl Green

Second Committee Member or Secondary Advisor

Marcia Sotelo

Third Committee Member or Committee Reader



Abstract Pressure injuries are rated as the third most costly health problem, with deaths of about 60,000 in the United States due to complications annually and with a high mortality rate from complications. Incidences of pressure injury differ in various clinical settings, although the incidence rate ranges from 4% to 38% in hospitalization and mortality. Secondary complications among older individuals are approximately 68%. Pressure ulcers are injuries caused by unrelieved pressure, shear, friction, or a combination of all these to the skin or underlying tissues. Pressure ulcers develop from a prolonged tissue compression between a bony prominence and an external surface. They cause patients pain and discomfort and can lead to decreased quality of life, delayed healing, and prolonged hospital stays. People with medical conditions that limit their ability to change positions or those who spend most of their time in bed or chair are mostly at risk of pressure ulcers. The purpose of this project was to determine if evidence-based educational sessions provided to nurses would help to improve their consistent utilization of evidence-based assessment tools to perform comprehensive skin assessment, leading to a reduction in the incidences of pressure injury. Also, nurses should be encouraged to consistently use evidence-based assessment tools, such as the Braden Scale, to help reduce incidences of pressure injuries. The researcher used the pressure injury preventive bundle to provide education to medical-surgical nurses to help increase awareness in preventing pressure injuries using the bundle. The researcher also evaluated nurses’ self-efficacy in their use of evidence-based assessment tools to prevent pressure injuries in at-risk patients in healthcare v clinical settings. Participants’ post education knowledge assessment, practice, and attitude levels significantly improved after they received the education and training.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



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