Covid-19 hindered many quality improvement projects. As the stressors from the pandemic began to disappear the healthcare industry was struck with new struggles. These new struggles were ensuring quality care was being provided to all patients. The decline in quality care also led to a decline in reimbursement from payor sources, such as Medicare. During the pandemic the healthcare industry was at their most vulnerable state and now that the dust is settling the ramifications of just surviving are staring the industry right in the eyes. Change is difficult, but it is even more difficult following traumatic events such as the pandemic.

In order to effectively initiate change the project leader must ensure they gather all information before presenting to the team. In creation of a pressure ulcer prevention bundle (PUPB) to decrease the hospital-acquired pressure injury (HAPI) rates the project leader must understand where the problem lies before initiating change. Once the problem is identified the leader must find evidence-based practices (EBP) that will support the proposed change. In order to help change be successful the staff must understand why the change is needed and they must be included to the change process. By including the end-user in the change process the leader is ensuring compliance in the long run. Since patients are the heart of the healthcare industry it is important the nursing staff is able to confidently provide education to them in regards to why these measures are so important for them to be compliant with.

As with any change continuity and auditing is important. The project leader must continually work to ensure the change process is still working and if it is not communicate with the bedside staff to understand the why it is no longer working. The most important aspect when starting any change project is ensuring the key stakeholders are identified and everyone works together as a team.

Date of publication

Summer 8-6-2023

Document Type

MSN Capstone Project



Persistent identifier



Master of Science in Nursing