Problem:
The nursing sensitive quality indicator selected is hospital acquired pressure injuries (HAPIs). This indicator is extremely important because it directly reflects nursing assessment, prevention planning, and ongoing bedside monitoring. Pressure injuries are preventable when evidence based strategies, regular repostioning, moisture management, nutritional support, appropriate support surfaces, and meticulous skin assessment are reliability implemented and documented. When HAPIs occur, they frequently indicates lapses in timely assessment, communication, staffing, or adherence to prevention protocols (Montalvo, 2007). Monitoring HAPI rates is important because these injuries cause patient harm including pain, infection, delayed healing, prolonged hospitalization, increased costs, and diminished patient satisfaction. HAPI rates are used in evaluating and public reporting because many are preventable, higher rates can negatively influence reimbursement and institutional quality ratings (Lyder & Ayello, 2008). Newly hired nurses must be familiar with this indicator since they deliver most hands on care, perform routine skin inspections, and initiate preventive measures. Understanding HAPIs empowers new nurses to detect early skin changes, apply interventions in a timely manner, document accurately, and report events correctly, all of which support patient safety and continuous quality improvement. Applying this indicator into orientation ensures nurses recognize their responsibility in prevention, stewardship of resources, and contribution to improved. Need Assignment Help?