Background: Hospital acquired pressure ulcers represent a significant burden to both patients and healthcare providers. Skin integrity care bundle is a set of nursing interventions, each part of which has been proven in clinical practice to prevent hospital acquired pressure ulcer among patient with traction. Aim: Explore the effect of skin integrity care bundle on hospital acquired pressure ulcer among patient with traction. Setting: Trauma and emergency ddepartment at Assiut university Hospital. Sample: A Sixty (33 male and 27 female) adult patients with traction were included in the study; patients were divided equally into two groups (study and control). Tools: (I) A structured interview-based questionnaire, (II) Skin assessment observation check list and Braden scale for predicting pressure ulcer risk. Results: Skin integrity care bundle had a positive effect in preventing the development of pressure ulcer among studied patients in the study group where the majority (90%) of the patients showed no pressure ulcers or no sign of pressure ulcer after application of the nursing intervention while pressure ulcers were observed among more than two thirds of the patients in the control group. Conclusion: The program succeeded in preventing the development of pressure ulcers. Recommendations: Hospitals' policy should enforce the application of nursing intervention measures to prevent the occurrence of pressure ulcer