In the intervention period (July 2016 to April 2017), patients in critical care settings were screened for recruitment to the study. The Norton score was estimated for all patients on their admission. If the Norton score were less than 14, patients were approached for consent to the study. For mentally incompetent patients, their surrogates were approached. Patients were excluded from the study if there were preexisting sacral and coccygeal pressure injuries, preexisting incontinence-associated