Movement Patterns of Transient and Prolonged Positioning Events in Nursing Home Residents: Results from the TEAM-UP Trial.
Kais Gadhoumi, Sharon Eve Sonenblum, Susan M Kennerly and 4 others
PMID 36179323WHAT IT FOUND
Nursing home residents made many brief position changes that repositioning schedules may miss.
Movement was highest during the afternoon and evening shift and lowest overnight, but this study did not show these movements prevent pressure injuries.
Key findings
01Residents averaged 2.89 prolonged position changes per hour and 7.99 transient movements per hour.
02Movement rates were higher during the 3 pm to 11 pm shift than during the other two shifts.
03Of prolonged events lasting 1 to 300 minutes, 75.0% lasted less than 15 minutes.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a secondary analysis of trial data, not a test of a movement intervention or a pressure injury outcome. The analysis included only residents with at least 8 hours of uninterrupted sensor data, and prolonged events longer than 8 hours were excluded, so very long or very brief patterns may be missed. The sensors could not tell whether a movement was started by the resident or by staff. Upright positions did not show whether residents were sitting or standing, and lying positions did not show whether they were in bed or a recliner. Residents at severe pressure injury risk, defined as total Braden Scale scores below 10, were not studied. Findings apply only to nursing home residents, not to other care settings.
The easy way to misread this
Do not read the frequent short movements as proof that repositioning intervals can be lengthened or that pressure injuries are prevented. This study described sensor movement patterns and did not test whether those movements reduce pressure injury risk.