Applying the PDSA Framework to Examine the Use of the Clinical Nurse Leader to Evaluate Pressure Ulcer Reporting.
The clinical nurse leader (CNL) role has been cited as an effective strategy for improving care at the microsystem level. The purpose of this article is to describe the use of the CNL role in an academic medical center for evaluating pressure ulcer reporting. The Plan-Do-Study-Act cycle was used as the methodological framework for the study. The CNL assessment of pressure ulcers resulted in a 21% to 50% decrease in the number of hospital-acquired pressure ulcers reported in a 3-month time period. The CNL role has potential for improving the validity and reliability of pressure ulcer reporting.
UAB School of Nursing (Drs Polancich, Roussel, and Miltner), and Center for Nursing Excellence (Ms Herrero and Dr Graham), UAB Hospital (Drs Polancich and Poe and, Mss Coiner, Barber, Williams, Cumbest, and Noles), Birmingham, Alabama.
Shea
S
Polancich
Sarah
S
Coiner
Rebekah
R
Barber
Terri
T
Poe
Linda
L
Roussel
Kelley
K
Williams
Heather
H
Cumbest
Kristen
K
Noles
Ashlea
A
Herrero
Shannon
S
Graham
Rebecca
R
Miltner
D006801:Humans; D007857:Leadership; D009720:Nurse Clinicians; D009730:Nursing Assessment / Q000379:methods; D003668:Pressure Ulcer / Q000517:prevention & control*; D058996:Quality Improvement; D015203:Reproducibility of Results