Staff's perceptions of a pressure mapping system to prevent pressure injuries in a hospital ward: A qualitative study

Gunningberg, Lena; Bååth, Carina; Sving, Eva

doi:10.1111/jonm.12526

Cited by 8 publications

(8 citation statements)

References 29 publications

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“…There were also some disadvantages noted. Similar to Gunninberg et al [ 11 ], there were issues with the device around the fitting and creasing of the mattress cover. Some healthcare providers disliked how the patient or family member became fixated on the device when high areas of pressure appeared.…”

Section: Discussionmentioning

confidence: 77%

“…Many of the nursing staff used the visual feedback from the monitor to target areas of the body that needed pressure relief. Use of the visual feedback was also a response indicated by staff interviewed in a qualitative study by Gunninberg et al [ 11 ]. Responses from our survey also indicated nursing staff liked the reminder to turn the patient, how it increased awareness of potential pressure injuries and felt it helped them to coordinate their tasks with other staff.…”

Section: Discussionmentioning

confidence: 99%

“…These barriers can include reservations about the utility of the technology and doubts about their perceived value in patient care [7][8][9][10]. We were only able to identify one study on the perceptions of healthcare providers about CPI technology [11] and none that captured patient or family perspectives. For these reasons, we felt there was a need to further examine user perceptions about CPI and its utility.…”

Section: Introductionmentioning

confidence: 99%

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Healthcare provider and patient/family perceptions of continuous pressure imaging technology for prevention of pressure injuries: A secondary analysis of patients enrolled in a randomized control trial

Ocampo

Sola²,

Baylis³

et al. 2022

PLoS ONE

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Introduction Despite the availability of various pressure injury (PI) prevention strategies (e.g., risk identification, use of pressure re-distribution surfaces, frequent repositioning), they persist as a significant issue for healthcare systems worldwide. Continuous pressure imaging (CPI) is a novel technology that could be integrated within a comprehensive approach to the prevention of PIs. We studied the perceptions of healthcare providers and patients/families to identify facilitators and barriers to the use of this technology. Methods Hospitalized patients/family members from a randomized controlled trial assessing the efficacy of CPI in preventing PIs completed a survey after 72 hours (or upon discharge from hospital) of CPI monitoring. They were asked questions about prior and current experience with CPI technology. For healthcare providers, perceptions on the use of the device and its impact on care were explored through a survey distributed by email or hard copies. Results A total of 125 healthcare providers and 525 patients/family members completed the surveys. Of the healthcare providers, 95% either agreed/strongly agreed that the CPI technology was easy to use and 65% stated that the device improved how they provided pressure relief for patients. Identified issues with the device were cost, the fitting of the mattress cover, and the fixation of the patients/families on the device. Over a quarter of the patient/family respondents agreed/strongly agreed that the device influenced how pressure relief was provided. This response was statistically associated with whether the monitor was turned on (intervention arm; 52.7%) or off (control arm; 4.2%). Discussion and conclusion CPI technology was positively perceived by healthcare providers. Most patients/families felt it influenced care when the CPI monitor was turned on. Concerns raised around cost and the ease of use of these devices by healthcare providers may affect the decisions of healthcare system administrators to adopt and implement this technology.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Healthcare provider and patient/family perceptions of continuous pressure imaging technology for prevention of pressure injuries: A secondary analysis of patients enrolled in a randomized control trial

Ocampo

Sola²,

Baylis³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

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“…These new techniques and technologies included care bundles, a pressure mapping system, and a decision support system, which healthcare staff felt improved recognition and communication of PIs. 24,27,39…”

Section: Risk Assessmentmentioning

confidence: 99%

“…In addition to risk assessment and prevention, healthcare staff felt that new techniques and technologies increased PI prevention in their practice. These new techniques and technologies included care bundles, a pressure mapping system, and a decision support system, which healthcare staff felt improved recognition and communication of PIs 24,27,39 …”

Section: Risk Assessmentmentioning

confidence: 99%

Formal Caregiver Experiences of Caring for Individuals at Risk for or with a Pressure Injury: A Metasynthesis

Heerschap¹,

Woo²

2022

Adv Skin Wound Care

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OBJECTIVE:To explore formal caregiver experiences caring for patients with a pressure injury (PI) or who are at risk of developing a PI. DATA SOURCES:In November 2019, the researchers searched CINAHL (Cumulative Index to Nursing and Allied Health Literature) and MEDLINE databases for articles related to caregivers and their experiences with PI prevention and care.STUDY SELECTION: Twenty-eight qualitative studies were included in this review. DATA EXTRACTION: Literature was graded and critiqued with regard to design and research quality and then synthesized utilizing a narrative approach.DATA SYNTHESIS: Four themes were found within the literature: knowledge and education, environment and resources, collaboration and role clarity, and risk assessment.CONCLUSIONS: Across healthcare settings, formal caregivers noted the importance of effective PI knowledge and education. Recognizing both barriers and facilitators to PI prevention and management within the healthcare environment can help decision-makers make informed choices to improve PI management within their settings. In addition, developing interprofessional team skills and relationships, rather than practicing in silos, may have an impact on PI management. Although there are many interventions that reduce PI risk and assist in the management of PIs, not every intervention is appropriate for every healthcare setting. Clinician education on PIs, along with new interventions, could significantly impact the effectiveness of patient care.

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Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study

Sving

Gunningberg

Bååth

et al. 2023

Health Science Reports

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Background and Aim Patients undergoing surgery are at high risk of developing pressure ulcers. However, pressure ulcer prevention in the operating room department is demanding and restricted. New techniques, such as continuous pressure mapping that visualizes interface pressure, are now available. The aim of the study was to determine whether pressure mapping information of interface pressure intraoperatively leads to (1) more frequent intraoperative micro repositioning and a reduced amount of pressure on the sacrum area and (2) a lower frequency of pressure ulcer development. Methods A quasi‐experimental ABA design was used. A total of 116 patients undergoing surgery were included. During the B phase, the need to consider repositioning the patient according to interface pressure readings was initiated. Results The result showed that there was significantly higher interface pressure in the A2 phase than in the B phase. Micro repositioning of the patient during surgery was performed in the B phase, but not in the A phase. The regression model showed that a higher BMI was associated with higher interface pressure. None of the patients developed hospital‐acquired pressure ulcers up to Day 1 postoperatively. Conclusion Pressure mapping involves moving away from expert opinion and tradition towards objective assessment and flexibility and we see the benefits of using pressure‐mapping equipment in operating room contexts. However, more research is needed in this area.

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Staff's perceptions of a pressure mapping system to prevent pressure injuries in a hospital ward: A qualitative study

Cited by 8 publications

References 29 publications

Healthcare provider and patient/family perceptions of continuous pressure imaging technology for prevention of pressure injuries: A secondary analysis of patients enrolled in a randomized control trial

Healthcare provider and patient/family perceptions of continuous pressure imaging technology for prevention of pressure injuries: A secondary analysis of patients enrolled in a randomized control trial

Formal Caregiver Experiences of Caring for Individuals at Risk for or with a Pressure Injury: A Metasynthesis

Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study

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