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Development of an Interdisciplinary Healthcare Team for Pressure Injury Management: A Quality Improvement Project
Leena Ali Al-Mansour1,2,3, Sharon Dudley-Brown1,2,3, Abdullah Al-Shaikhi1,2,3
1Leena Ali Al-Mansour, DNP, MSc, BSN, RN, CWCN, Johns Hopkins Aramco Healthcare, Dhahran, Kingdom of Saudi Arabia.
Summary
Implementing an interdisciplinary team improved communication and adherence for pressure injury (PI) care. This quality improvement initiative led to a decrease in hospital-acquired pressure injuries (HAPIs) and enhanced nursing staff knowledge.
Area of Science:
- Healthcare Quality Improvement
- Wound Care Management
- Interdisciplinary Team Collaboration
Background:
- Pressure injuries (PIs) pose a significant challenge in adult inpatient settings, particularly stages 3, 4, and unstageable.
- Effective management requires coordinated efforts from various healthcare professionals to prevent hospital-acquired pressure injuries (HAPIs).
Purpose of the Study:
- To establish an interdisciplinary healthcare team for managing patients with advanced-stage pressure injuries (PIs).
- To enhance communication among healthcare team members involved in PI care.
- To assess and improve nursing staff's educational level regarding PI management and reduce HAPI rates.
Main Methods:
- Formation of an interdisciplinary team including hospitalists, surgeons, nurses, dietitians, and therapists.
- Utilized audit tools to measure team communication and adherence to care plans.
- Assessed nursing staff knowledge via pre- and post-tests and conducted PI prevalence surveys.
Main Results:
- Demonstrated improved interdisciplinary team communication and 100% adherence to care plans for HAPI management.
- Reported a statistically significant increase in nursing staff knowledge following educational sessions (P < .000).
- Observed a reduction in the HAPI rate from 5.9% to 5% over the 3-month study period.
Conclusions:
- An interdisciplinary team approach significantly enhances communication and adherence in pressure injury care.
- Targeted education effectively improves nursing staff knowledge of pressure injury management.
- Quality improvement initiatives, including interdisciplinary teams and education, can contribute to reducing hospital-acquired pressure injuries.
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