It is not easy to differentiating between quality improvement (QI), evidence-based practice (EBP) and research unless one has taken research class. Although QI, EBP and research differs, still they are interconnected. It is impossible to maintain the highest quality of care in clinical nursing if these three strategies are not combined. Stage 111 and IV pressure ulcer that occurs during hospitalization are among the conditions considered preventable by center for Medicare and Medicaid services (CMS) (Zarakiewicz, Whitney, Lowe, Taylor, O’Donnell, & Minton-Foltz, 2010). Hospital acquired pressure ulcer (HAPUs) is a major concern for hospitals due to morbidity, treatment cost and reimbursements. CMS does not pay for HAPUs anymore, therefore
