Educating Certified Nursing Assistants to Communicate Skin Changes to Reduce Pressure Injuries.

Journal of Gerontological Nursing
Ellen RummelPamela V O'Neal


Pressure injuries (PIs) are common and costly complications in long-term care (LTC) residents. Educating and coaching certified nursing assistants (CNAs) to communicate early skin changes is a PI surveillance strategy that may influence PI outcomes. A communication guide related to Skin, Clean, Activity, and Nutrition was developed for CNAs to promote prompt upstream communication to licensed nurses. A pre-/post-intervention design measured PI knowledge and skills in 24 CNAs, and PI incidence was tracked over a 6-week time period. CNAs demonstrated improvement in their PI surveillance role, comfort in identifying and reporting skin changes, keeping skin clean and dry, and resident nutritional status. Baseline PI incidence of 9.6% decreased to 0% by Week 3, and no new PIs occurred over 6 weeks. CNAs developed role awareness and knowledge in primary PI surveillance and were instrumental in a team approach to decrease PIs in a LTC setting. [Journal of Gerontological Nursing, 47(8), 21-28.].


Oct 22, 2014·Western Journal of Nursing Research·Gregory L Alexander
Jul 3, 2015·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Diba Maria Sebba Tosta de SouzaLydia Masako Ferreira
Oct 16, 2015·Journal of Gerontological Nursing·Tara L McMullenRobert Rubinstein
Dec 8, 2015·Journal of Continuing Education in Nursing·Marie Agrell-Kann
Apr 10, 2016·The Gerontologist·Alison M TrinkoffKihye Han
Sep 21, 2017·BMJ Quality & Safety·William V Padula, Peter J Pronovost
Apr 25, 2018·BMC Nursing·Werku EtafaBelachew Melese
Jun 18, 2018·Geriatric Nursing·Kerry J JordanLindsey Butler
Oct 8, 2019·International Journal of Older People Nursing·Jacqueline EatonLee Ellington
Dec 6, 2019·British Journal of Community Nursing·Tuba YilmazerHilal Tuzer
Jul 14, 2020·Health Services Insights·Charlene HarringtonDebra Bakerjian
Jul 23, 2020·Advances in Skin & Wound Care·Kelly Saindon, Dan R Berlowitz

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