Mohammad S. Isaifan^1,, Maha Mohammed Al Ahmadi¹, Khadija Lafi Aljarary¹, Farzana Kousar¹, Mohammad S. Al-Theiba¹

Background: Critically ill patients in the Intensive Care Unit (ICU) are considered to be at the greatest risk for pressure ulcer development, A pressure ulcer is a localized injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure, or pressure in combination with shear. OBJECTIVE: This study was aimed to identify evidence-based care to prevent pressure ulcer in critical care sitting by using full comprehensive prevention measures included in one prevention bundle, and measure the effect in reduction of hospital acquired pressure injury. SETTINGS/DESIGN: Quasi-experimental before and after study design conducted in intensive care unit of King Abdullah Medical City, Makkah. SUBJECTS AND METHODS: The study sample was all patient in intensive care unit with high or very high risk for pressure injury based on Waterlow assessment tool, when patient enrolled in the study on admission with high or very high risk or patient status changed during ICU stay to become high risk or very high risk for pressure ulcer patient will stay under this intervention for whole stay period in ICU. RESULTS: Study result show a significant reduction (55%) of pressure ulcer rate, before and after pressure ulcer bundle implementation, which show the effectiveness of pressure ulcer bundle implementation on ICU patient. CONCLUSION: Looking to result of pressure Injury rate in pre and post intervention, The study found the effectiveness of pressure injury prevention bundle implementation on ICU patient; this result been achieved with presence of high compliance to the element of bundle by ICU nurses. In conclusion use bundle of prevention interventions will decrease rate of pressure injury in intensive care department.

intensive care units, Pressure injury prevention bundle, Hospital Acquired pressure injury