Yap, T. L. and Kennerly, S. and Corazzini, K. and Porter, K. and Toles, M. and Anderson, R. A., Evaluation of cueing innovation for pressure ulcer prevention using staff focus groups.,
Healthcare, vol. 2 no. 3
(July 25, 2014),
pp. 299-314, ISSN 2227-9032 [299], [doi]
(last updated on 2014/08/05)
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.
Keywords:
pressure ulcer prevention • long-term care • multidisciplinary healthcare teams • nursing interventions • diffusion of innovation • implementation
