ArticleAdvances in skin & wound care2016
Contextual Facilitators of and Barriers to Nursing Home Pressure Ulcer Prevention.
Article in Advances in skin & wound care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The trial behind it
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Who cites it
7 citing papers in PubMed, 25 citations in OpenAlex.
- Exploring nurses' experiences in pressure sore care in long-term care facilities.International journal of qualitative studies on health and well-being · 2024Article
- Nurses' barriers to the pressure ulcer risk assessment scales implementation: A phenomenological study.Nursing open · 2024Article
- [Effect of nanofat combined with platelet-rich plasma for treatment of pressure injury wounds in rats].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023Article
- Nursing home leaders' perceptions of a research partnership.Aging clinical and experimental research · 2021Article
- Effects of Attitude, Barriers/Facilitators, and Visual Differentiation on Oral Mucosa Pressure Ulcer Prevention Performance Intention.Healthcare (Basel, Switzerland) · 2021Article
- Explaining variation of implementation outcomes of centralized waiting lists for unattached patients.Journal of health organization and management · 2019Article
- Preventing pressure injury in nursing homes: developing a care bundle using the Behaviour Change Wheel.BMJ open · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo present findings of a study of institutional factors related to pressure ulcer (PrU) prevention in Veterans Health Administration nursing homes. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.
objectivesAfter participating in this educational activity, the participant should be better able to:1. Identify the study's design, process, and purpose.2. List the factors pertaining to sites with improving performance.
objectivesImportant gaps exist in the knowledge of how to achieve successful, sustained prevention of pressure ulcers (PrUs) in nursing homes. This study aimed to address those gaps by comparing nursing leadership and indirect care staff members' impressions about the context of PrU prevention in facilities with improving and declining PrU rates.
settingThe study was conducted in a sample of 6 Veterans Health Administration nursing homes (known as community living centers) purposively selected to represent a range of PrU care performance. DESIGN AND
participantsOne-time 30-minute semistructured interviews with 23 community living center staff were conducted. Qualitative interview data were analyzed using an analytic framework containing (a) a priori analytic constructs based on the study's conceptual framework and (b) sections for emerging constructs. MAIN
resultsAnalysis revealed 6 key concepts differentiating sites with improving and declining PrU care performance. These concepts were (1) structures through which the change effort is initiated; (2) organizational prioritization, alignment, and support; (3) improvement culture; (4) clarity of roles and responsibilities; (5) communication strategies; and (6) staffing and clinical practices. Results also pointed to potential contextual facilitators of and barriers to successful PrU prevention.
conclusionsLeadership's visible prioritization of and support for PrU prevention and the initiation of PrU prevention activities through formal structures were the most striking components represented at sites with improving performance, but not at ones where performance declined. Sites with improving performance were more likely to align frontline staff and leadership goals for PrU prevention.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.