Music and Mobility: The Key to a Multi-Disciplinary Approach to Pressure Ulcer Prevention in Long-Term Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/304097
Category:
Abstract
Type:
Presentation
Title:
Music and Mobility: The Key to a Multi-Disciplinary Approach to Pressure Ulcer Prevention in Long-Term Care
Author(s):
Yap, Tracey L.; Kennerly, Susan M.
Lead Author STTI Affiliation:
Beta Iota
Author Details:
Tracey L. Yap, PhD, RN, WCC, CNE, tracey.yap@duke.edu; Susan M. Kennerly, PhD, RN;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: Mobility is important for preventing pressure ulcers (PU); however, residents in long-term care (LTC) facilities often require assistance. Although several well-designed prevention protocols are available and used in LTC facilities, the prevalence and incidence of PU development remains unacceptable.  We will present a cost-effective, nurse-led, innovative PU prevention approach that was developed and tested by an interdisciplinary team of researchers and clinicians to help every LTC resident move/reposition to reduce PUs.

Methods: A 12-month paired-facility randomized clinical trial was conducted in 10 LTC facilities from one nursing home chain in Midwestern U.S.A. Four facilities received intervention throughout trial; four comparison facilities received intervention during months 7-12 only; two facilities received no intervention. During the intervention, every 2 hours during each 12 daytime hours, musical selections (with/without lyrics) tailored to each facility’s preferences were used via the intercom/public address system to cue all LTC staff (nursing, dietary, maintenance, administration, housekeeping) to assist all residents (n=1,928) in moving. Primary outcome measure was institutional rate of facility-acquired PUs, defined as the number of resident facility-acquired PUs divided by the total number of facility resident Minimum Data Set (MDS) assessments conducted during the study period. The facilities changed from MDS 2.0 to 3.0 during the study period and thus results for both are presented.

 Results: Protective effect of the intervention approached significance (p=.08) for MDS 2.0 assessments, and was significant (p<.05) for MDS 3.0. Based on an average of odds ratio (OR) means, intervention facility residents were 45% less likely to develop a new PU. Implementation varied across facilities.

Conclusion: Using tailored musical prompts to cue multidisciplinary staff teams to encourage or enable movement of all residents (not just those at high risk for PU development) holds promise for reducing facility-acquired PUs in LTC settings. The occupational subculture of nursing may affect implementation.

Keywords:
pressure ulcer prevention; pressure ulcers; mobility
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleMusic and Mobility: The Key to a Multi-Disciplinary Approach to Pressure Ulcer Prevention in Long-Term Careen_GB
dc.contributor.authorYap, Tracey L.en_GB
dc.contributor.authorKennerly, Susan M.en_GB
dc.contributor.departmentBeta Iotaen_GB
dc.author.detailsTracey L. Yap, PhD, RN, WCC, CNE, tracey.yap@duke.edu; Susan M. Kennerly, PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304097-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b>Mobility is important for preventing pressure ulcers (PU); however, residents in long-term care (LTC) facilities often require assistance. Although several well-designed prevention protocols are available and used in LTC facilities, the prevalence and incidence of PU development remains unacceptable.  We will present a cost-effective, nurse-led, innovative PU prevention approach that was developed and tested by an interdisciplinary team of researchers and clinicians to help every LTC resident move/reposition to reduce PUs. <p><b>Methods: </b>A 12-month paired-facility randomized clinical trial was conducted in 10 LTC facilities from one nursing home chain in Midwestern U.S.A. Four facilities received intervention throughout trial; four comparison facilities received intervention during months 7-12 only; two facilities received no intervention. During the intervention, every 2 hours during each 12 daytime hours, musical selections (with/without lyrics) tailored to each facility’s preferences were used via the intercom/public address system to cue all LTC staff (nursing, dietary, maintenance, administration, housekeeping) to assist all residents (n=1,928) in moving. Primary outcome measure was institutional rate of facility-acquired PUs, defined as the number of resident facility-acquired PUs divided by the total number of facility resident Minimum Data Set (MDS) assessments conducted during the study period. The facilities changed from MDS 2.0 to 3.0 during the study period and thus results for both are presented. <p> <b>Results: </b>Protective effect of the intervention approached significance (p=.08) for MDS 2.0 assessments, and was significant (p<.05) for MDS 3.0. Based on an average of odds ratio (OR) means, intervention facility residents were 45% less likely to develop a new PU. Implementation varied across facilities. <p><b>Conclusion: </b>Using tailored musical prompts to cue multidisciplinary staff teams to encourage or enable movement of all residents (not just those at high risk for PU development) holds promise for reducing facility-acquired PUs in LTC settings. The occupational subculture of nursing may affect implementation.en_GB
dc.subjectpressure ulcer preventionen_GB
dc.subjectpressure ulcersen_GB
dc.subjectmobilityen_GB
dc.date.available2013-10-22T20:29:04Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:04Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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