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Sacral gluteal Hospital Acquired Pressure Injuries (HAPIs) have long term effects on patients’ skin integrity, quality of life, and increase costs. Evidence shows turning reduces HAPIs, yet internal audits revealed long periods of supine positioning. Nurses noted multiple siloed mobility efforts across departments. The Care With Every Turn (CWET) campaign unified teams strengthened nursing ownership of safety practices and aligned with organizational priorities for improved patient outcomes.
Methods:
Shared governance reviewed audit findings that helped clinical nurses identify workflow barriers to turning. The supine position was removed from the turn clock, EMR reminders were added, nonverbal assistance cues were created, and a buddy-system approach was implemented. A practice reset emphasized bedside report, purposeful rounding, mobility screening, and Braden subscales. The organization supported superusers to provide education and partner with leaders across departments, standardizing expectations and building a united approach to mobility and turning.
Results:
Since CWET launched, supine documentation decreased by 54% and sacral gluteal HAPIs decreased by 58%. Monthly data sharing through shared governance, newsletters, and leader meetings sustained engagement. A bedside practice partner was designated to coach staff, provide real-time feedback, and collect live data. To recognize nursing excellence and motivate unit-level improvement, the organization created the Golden Wedge Award, celebrating the units with the greatest gains in turning compliance.
Discussion:
The CWET campaign demonstrated how shared governance and interprofessional collaboration empower nurses to lead change, improve outcomes, and patient safety. Organizational support, superuser development, and the Golden Wedge Award reinforced sustained ownership of mobility and HAPI prevention.