Analysis of qualitative interviews about the impact of information technology on pressure ulcer prevention programs: implications for the wound, ostomy and continence nurse.
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| Abstract | PURPOSE: The purpose of this study was to compare pressure ulcer prevention programs in 2 long-term care (LTC) facilities with diverse Information Technology Sophistication (ITS), one with high sophistication and one with low sophistication, and to identify implications for the WOC nurse. DESIGN: Secondary analysis of narrative data obtained from a mixed-methods study. SUBJECTS AND SETTING: The study setting was 2 LTC facilities in the Midwestern United States. The sample comprised 39 staff from 2 facilities, including 26 from a high-ITS facility and 13 from the low-ITS facility. Respondents included certified nurse assistants, certified medical technicians, restorative medical technicians, social workers, RNs, licensed practical nurses, information technology staff, administrators, and directors. METHODS: This study is a secondary analysis of interviews regarding communication and education strategies in 2 LTC agencies. This analysis focused on focus group interviews, which included both direct and nondirect care providers. RESULTS: Eight themes (codes) were identified in the analysis. Three themes are presented individually with exemplars of communication and education strategies. The analysis revealed specific differences between the high-ITS and low-ITS facilities in regard to education and communication involving pressure ulcer prevention. These differences have direct implications for WOC nurses consulting in the LTC setting. CONCLUSIONS: Findings from this study suggest that effective strategies for staff education and communication regarding PU prevention differ based on the level of ITS within a given facility. Specific strategies for education and communication are suggested for agencies with high ITS and agencies with low ITS.
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| Authors | Marilyn Murphy Shepherd, Deidre D Wipke-Tevis, Gregory L Alexander |
| Journal | Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society (J Wound Ostomy Continence Nurs) 2015 May-Jun Vol. 42 Issue 3 Pg. 235-41 ISSN: 1528-3976 [Electronic] United States |
| PMID | 25945822 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.) |
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