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Healthcare 2014, 2(3), 299-314; doi:10.3390/healthcare2030299

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

1
School of Nursing, Duke University, Durham, NC 27710, USA
2
Center for the Study of Aging and Human Development, Duke University, Durham, NC 27710, USA
3
School of Nursing, University of North Carolina at Charlotte, Charlotte, NC 28223, USA
4
RTI International, Research Triangle Park, NC 27709, USA
5
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
*
Author to whom correspondence should be addressed.
Received: 18 March 2014 / Revised: 3 July 2014 / Accepted: 10 July 2014 / Published: 25 July 2014
(This article belongs to the Special Issue Wound Care)
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Abstract

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. View Full-Text
Keywords: pressure ulcer prevention; long-term care; multidisciplinary healthcare teams; nursing interventions; diffusion of innovation; implementation pressure ulcer prevention; long-term care; multidisciplinary healthcare teams; nursing interventions; diffusion of innovation; implementation
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Yap, T.L.; Kennerly, S.; Corazzini, K.; Porter, K.; Toles, M.; Anderson, R.A. Evaluation of Cueing Innovation for Pressure Ulcer Prevention Using Staff Focus Groups. Healthcare 2014, 2, 299-314.

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