Pressure Injury Prevention: Outcomes and Challenges to Use of Resident Monitoring Technology in a Nursing Home.
Tracey L Yap, Susan M Kennerly, Kao Ly
PMID 31083063WHAT IT FOUND
In a nursing home, mean on-time repositioning compliance was 61.4% before and 81.5% during 18 days of wireless cues.
No new pressure injuries occurred, and overall nursing culture scores were similar before and after.
Key findings
01Mean on-time repositioning compliance was 61.4% during the 3-day baseline and 81.5% during the 18-day intervention, with a statistically significant improvement.
02No new pressure injury developed during the baseline or intervention periods.
03Total nursing culture scores were 56.6 before and 60.1 after, not statistically significantly different, although the communication subscale improved significantly.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 44 residents were monitored, and 18 of 44 were still wearing sensors on day 21. The study was done in a single facility, so its results may not apply to other nursing homes. The intervention period was short, 18 days, so longer-term compliance and acceptability are unknown. The sample did not allow meaningful subgroup analyses by risk profile, demographics, or diagnoses. The research team was learning the sensor technology alongside staff, which may have added challenges. No new pressure injuries occurred, but the study was not designed to show that the system prevents pressure injuries. The suggested implementation strategies were not tested in this paper.
The easy way to misread this
Do not conclude that the monitoring system prevents pressure injuries or improves nursing culture overall. No new pressure injuries occurred in a small 18-day feasibility study, and total nursing culture scores were not statistically significantly different.