![]() Implementation of multiple strategies for training, supplies, and communication may enhance uptake and effectiveness.Ī pressure injury (PrI) is any localized damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical or other device resulting from prolonged exposure to pressure with or without shear, which may cause capillary occlusion, tissue necrosis, and eventually death. Study findings support the usability of the patient monitoring system to facilitate repositioning. Focus groups expressed satisfaction with the monitoring system and recommended improvements to support adaptation and use of technology. The nursing culture normative ranking percentage increased from 30.9% to 58.2% this difference was not statistically significant. ![]() 0003) improved compliance with every 2-hour repositioning standards. Descriptive statistics were used for all quantitative variables, and inferential statistics were applied to categorical variables (χ 2 test or Fisher exact test) and continuous variables (analyses of variance or equivalent nonparametric tests), respectively, where a 2-sided P value of <.05 was considered statistically significant. Benefits and challenges of implementation were assessed by 2 focus groups composed of 8 and 5 female members of the nursing staff (RN, LPN, CNA), respectively, and led by the three authors. The validated Nursing Culture Assessment Tool was used to determine changes in nursing culture. METHODS:ĭigital data on frequency and position of residents were transmitted wirelessly from sensors worn on each resident's anterior chest to estimate nursing staff compliance with repositioning standard of care before and after visual monitors were activated to cue staff. Resident (n = 44) and staff (n = 38) participants were recruited from a 120-bed nursing home in the Southeast United States. We examined the usability, user perceptions, and nursing occupational subculture associated with introduction of a patient monitoring system to facilitate nursing staff implementation of standard care for pressure ulcer/injury prevention in the nursing home setting. The work cannot be changed in any way or used commercially without permission from the journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Bailey Jr, Duke University School of Nursing). Yap, PhD, RN, WCC, CNE, FGSA, FAAN, Duke University School of Nursing, 307 Trent Dr, Durham, NC 27710 ( ).ĭrs Yap and Kennerly are Clinical Advisory Board Members for Leaf Healthcare, LLC.Support for this study was provided by National Institute of Nursing Research grant NIH P30NR014139 (principal investigators: S. ![]() Kao Ly, MSN, RN, DNP, Novant Health Spine Specialists-Winston-Salem, Winston-Salem, North Carolina.Ĭorrespondence: Tracey L. Kennerly, PhD, RN, WCC, CNE, FAAN, East Carolina University College of Nursing, Greenville, North Carolina. Yap, PhD, RN, WCC, CNE, FGSA, FAAN, Duke University School of Nursing, Durham, North Carolina.
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