Degree Name
Nursing Practice, DNP
Publication Date
2-24-2026
First Advisor
Lisa Drake
Second Advisor
Beatrice Bailey
Abstract
Hospital-acquired pressure injuries remain a significant patient safety concern in acute care settings despite the availability of evidence-based prevention guidelines. Novice nurses, who often have limited clinical experience and exposure to wound care education, may be less prepared to consistently identify risk factors, accurately stage pressure injuries, and implement appropriate preventive strategies. Simulation-based education offers an experiential learning approach that supports the translation of evidence-based knowledge into clinical practice. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the effectiveness of simulation-based education in improving novice nurses’ knowledge of pressure injury identification and prevention. The project was guided by the Donabedian Structure–Process–Outcome conceptual framework and Kotter’s 8-Step Change Model. A quantitative, quasi-experimental pre–post intervention design was used. A convenience sample of 22 novice registered nurses employed in an acute care hospital completed the Pressure Injury Prevention Knowledge (PIPK) questionnaire before and after participating in a simulation-based educational intervention. The evidence-based intervention focused on pressure injury risk assessment, staging, and prevention strategies. Pre- and post-intervention knowledge scores were analyzed using the Wilcoxon Signed-Rank Test. Results demonstrated a statistically significant improvement in knowledge of pressure injury prevention following the intervention (p = .009). The significance of the findings supports simulation-based education as an effective strategy for addressing knowledge gaps among novice nurses and promoting consistent use of evidence-based pressure injury prevention practices to improve patient safety outcomes.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Cantu, Michelle "Mikki", "The Impact of Simulation-Based Education on Novice Nurses’ Knowledge of Pressure Injury Prevention" (2026). Doctor of Nursing Practice Projects. 288.
https://arch.astate.edu/dnp-projects/288
