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Nursing Home Nursing Staff Perspective About Using Subepidermal Moisture Technology for Pressure Injury Prevention.

Tracey L Yap1, Jenny Alderden2, Susan M Kennerly3

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Subepidermal moisture (SEM) technology shows promise for early pressure injury detection but faces adoption barriers in nursing homes. Staff reported poor workflow compatibility and implementation complexity, hindering its use.

Keywords:
Nursing homefocus grouppressure injury

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Area of Science:

  • Nursing Informatics
  • Healthcare Innovation Adoption
  • Geriatric Care Technology

Background:

  • Pressure injuries (PrIs) are a significant issue in nursing homes, with high facility-acquired rates.
  • Subepidermal moisture (SEM) technology offers potential for early pressure injury detection across diverse skin tones.
  • Underadoption of SEM technology persists in nursing home settings despite its promise.

Purpose of the Study:

  • To explore nursing home staff perceptions of Subepidermal Moisture (SEM) technology implementation.
  • To understand the adoption process using Rogers's Diffusion of Innovation theory.
  • To identify barriers and facilitators influencing SEM technology integration in long-term care.

Main Methods:

  • Qualitative study involving 7 focus groups with 50 nursing home staff across 5 facilities.
  • Intervention period of 8 months with SEM equipment usage.
  • Directed qualitative content analysis using Diffusion of Innovation theory codes (observability, trialability, compatibility, relative advantage, complexity).

Main Results:

  • A majority of coded instances (68%) revealed negative perceptions of SEM technology.
  • Key barriers included poor workflow compatibility (35%), implementation complexity (31%), and unclear benefits (32%).
  • Technology inflexibility and resource constraints impeded adoption, with declining enthusiasm over time.

Conclusions:

  • Significant implementation barriers, including workflow integration and resource limitations, hinder SEM technology adoption in nursing homes.
  • Addressing staff burden and organizational context is crucial for successful healthcare innovation implementation.
  • Future strategies require minimizing workflow disruption and providing robust support systems for technology effectiveness.