Dr. Julie Swanson, DNP, RN, NEA-BC – Implementing the Braden QD Scale to Reduce Pressure Injuries in the Pediatric Patient

Course Description

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Implementation of the Braden QD scale was expected to decrease the incidence of hospital-acquired pressure injury (HAPI) in pediatric patients through improved risk assessment and intervention (Curley et al., 2018). Prior to implementation (Q1 2020) the incidence of HAPI was 3% and following implementation the incidence was zero (Q2 2020). Data were gathered over an eight-week period. The project included 418 patients admitted to the Pediatric Unit or PICU.   A positive score was found in 26 (6%) of patients. In each case, an intervention was performed (100% compliance). A skin care plan was created for 20 of the 26 patients (77%). In 222 cases (53%), shift documentation was missed at least once. The project demonstrates successful implementation of the Braden QD scale to address incidence of MDRPI. It highlights the importance of proper risk assessment to promote the implementation of nursing interventions to address patients at risk.

Dr. Swanson received her BSN from Creighton University, her Master of Nursing in Population Health from Boise State University, and her Doctor of Nursing Practice in Healthcare System Leadership from Chamberlain University. Dr. Swanson’s clinical experience has been focused on newborn intensive care and pediatrics in community, and urban settings. She is certified as a Nurse Leader Executive by ANCC. She is currently the Program Manager for the PATHS program at St. Luke’s Health System. Dr. Swanson is an expert in evidence-based practice and enjoys teaching and coaching nurses and clinicians in utilizing the EBP model to improve patient and staff outcomes. She is a member of American Nurses Association, ANA Idaho, and Sigma Theta Tau.

Course Objectives

Objective 1

Discuss the implications for risk assessment using the Braden QD scale

Objective 2

Describe the key components of a successful practice change using an evidence-based practice model

Objective 3

Identify practices to support implementation science in the clinical setting prior to and during a pandemic