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Updated: Apr 10, 2026

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An Evidence-Based Cue-Selection Guide and Logic Model to Improve Pressure Ulcer Prevention in Long-term Care
Tracey L Yap1, Susan M Kennerly, Nancy Bergstrom
1Duke University School of Nursing, Durham, North Carolina (Dr Yap); University of North Carolina-Charlotte School of Nursing (Dr Kennerly); Center on Aging and Center for Nursing Research, The University of Texas Health Science Center at Houston (Dr Bergstrom); SLH Clinical Consulting, East Grand Rapids, Michigan (Ms Hudak); and Institute for Clinical Outcomes Research & International Severity Information Systems, Inc, Salt Lake City, Utah (Dr Horn).
Abstract:
Pressure ulcers have consistently resisted prevention efforts in long-term care facilities nationwide. Recent research has described cueing innovations that-when selected according to the assumptions and resources of particular facilities-support best practices of pressure ulcer prevention. This article synthesizes that research into a unified, dynamic logic model to facilitate effective staff implementation of a pressure ulcer prevention program.
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