Evaluation of Cueing Innovation for Pressure Ulcer Prevention Using Staff Focus Groups

Healthcare

Tracey L. Yap³  Susan Kennerly¹  Kirsten Corazzini³  Kristie Porter⁴  Mark Toles² 

[1] School of Nursing, University of North Carolina at Charlotte, Charlotte, NC 28223, USA; E-Mail:;School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; E-Mail:;School of Nursing, Duke University, Durham, NC 27710, USA; E-Mails:;RTI International, Research Triangle Park, NC 27709, USA; E-Mail:

关键词: pressure ulcer prevention;    long-term care;    multidisciplinary healthcare teams;    nursing interventions;    diffusion of innovation;    implementation;   

DOI  :  10.3390/healthcare2030299

来源: mdpi

【 摘 要 】

The purpose of the manuscript is to describe long-term care (LTC) staff perceptions of a music cueing intervention designed to improve staff integration of pressure ulcer (PrU) prevention guidelines regarding consistent and regular movement of LTC residents a minimum of every two hours. The Diffusion of Innovation (DOI) model guided staff interviews about their perceptions of the intervention’s characteristics, outcomes, and sustainability. Methods: This was a qualitative, observational study of staff perceptions of the PrU prevention intervention conducted in Midwestern U.S. LTC facilities (N = 45 staff members). One focus group was held in each of eight intervention facilities using a semi-structured interview protocol. Transcripts were analyzed using thematic content analysis, and summaries for each category were compared across groups. Results: The a priori codes (observability, trialability, compatibility, relative advantage and complexity) described the innovation characteristics, and the sixth code, sustainability, was identified in the data. Within each code, two themes emerged as a positive or negative response regarding characteristics of the innovation. Moreover, within the sustainability code, a third theme emerged that was labeled “brainstormed ideas”, focusing on strategies for improving the innovation. Implications: Cueing LTC staff using music offers a sustainable potential to improve PrU prevention practices, to increase resident movement, which can subsequently lead to a reduction in PrUs.

【 授权许可】

CC BY   
© 2014 by the authors; licensee MDPI, Basel, Switzerland.