This study evaluates the effect of an artificial intelligence-supported mobile application, PRESS AI, on pressure injury prevention and nursing care in adult intensive care patients. The application supports nurses in pressure injury risk assessment, wound assessment and staging, and selection of appropriate prevention and care interventions. The study compares the incidence of hospital-acquired pressure injuries before and after the implementation of PRESS AI. During the pre-intervention period, patients receive routine pressure injury prevention and nursing care. During the intervention period, nurses use PRESS AI together with an integrated pressure injury prevention and care algorithm to support clinical assessment and care planning.
Aged 18 years or older.
Hospitalized in the Anesthesiology and Reanimation Intensive Care Unit of Ankara University Ibni Sina Research and Application Hospital during the pre-intervention or intervention period.
Written informed consent provided by the patient or, when the patient lacks decision-making capacity, by the patient's legally authorized representative.
Refusal to participate by the patient or legally authorized representative, or withdrawal of previously provided consent.
Missing essential follow-up data required to assess the development of pressure injuries.
Parallel
PRESS AI-Supported Nursing Care
Other interventionPRESS AI is an artificial intelligence-supported mobile clinical decision support application integrated with a pressure injury prevention and care algorithm. It supports nurses in Braden Scale risk assessment, skin and wound assessment, artificial intelligence-assisted pressure injury staging, and the planning and documentation of individualized pressure injury prevention and care interventions. Artificial intelligence-generated staging recommendations are used to support clinical decision-making and do not replace nurses' clinical judgment. The final pressure injury stage is determined by the nurse based on clinical assessment.
Incidence of Hospital-Acquired Pressure Injuries
The incidence of hospital-acquired pressure injuries will be determined based on newly developed pressure injuries during the intensive care unit stay. Patients will be assessed daily for pressure injury development, including the date of occurrence, anatomical location, and stage. The incidence during the pre-intervention period will be compared with the incidence during the PRESS AI intervention period.
Distribution of Pressure Injury Stages
Newly developed hospital-acquired pressure injuries will be classified according to pressure injury stage. The number and proportion of pressure injuries in each stage will be determined and compared between the pre-intervention and PRESS AI intervention periods.
Anatomical Distribution of Pressure Injuries
The anatomical locations of newly developed hospital-acquired pressure injuries will be recorded. The number and proportion of pressure injuries according to anatomical location will be determined and compared between the pre-intervention and PRESS AI intervention periods.
Time to Development of Pressure Injury
The time from admission to the intensive care unit to the development of a new hospital-acquired pressure injury will be recorded in days for patients who develop a pressure injury. The time to pressure injury development will be evaluated and compared between the pre-intervention and PRESS AI intervention periods.
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