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To Turn or Not to Turn: Exploring Nurses' Decision-Making Processes Concerning Regular Turning of Nursing Home Residents.

Publication ,  Journal Article
Yap, TL; Alderden, J; Kennerly, SM; Horn, SD; Rowe, M; Sabol, VK
Published in: Gerontology & geriatric medicine
January 2021

Background: Nursing home (NH) residents are at high-risk for pressure injuries (PrIs), and those living with Alzheimer's Disease and Related Dementias (ADRD) are at even greater risk. Understanding how nursing staff approach repositioning remains critical. Methods: As part of an ongoing clinical trial, this mixed-method prospective, exploratory, descriptive study examined repositioning efforts for PrI prevention. An investigator-developed checklist guided researcher observations, and focus groups revealed staff perspective on resident behaviors and corresponding repositioning approaches. Focus group transcripts were analyzed using the constant comparative coding method. Results: Repositioning observations were conducted for 88 residents. Resident behaviors and nursing approaches were similar between the ADRD (n = 62, 70%) and non-ADRD (n = 26, 30%) groups. Thirty-six staff participated in one of six focus group sessions. A conceptual model was developed to depict the repositioning process. Staff revealed care is guided by clinical frameworks and guidelines, along with resident preferences and behaviors. Conclusions: Protocol-driven, standardized PrI prevention care may limit the capacity to honor repositioning preferences. Insights from the focus groups highlight the importance of being cognizant of competing factors that may interfere with successful repositioning. Approaches by staff may be protocol-driven or an integrated method of care.

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Published In

Gerontology & geriatric medicine

DOI

EISSN

2333-7214

ISSN

2333-7214

Publication Date

January 2021

Volume

7

Start / End Page

23337214211046088

Related Subject Headings

  • 5201 Applied and developmental psychology
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Yap, T. L., Alderden, J., Kennerly, S. M., Horn, S. D., Rowe, M., & Sabol, V. K. (2021). To Turn or Not to Turn: Exploring Nurses' Decision-Making Processes Concerning Regular Turning of Nursing Home Residents. Gerontology & Geriatric Medicine, 7, 23337214211046090. https://doi.org/10.1177/23337214211046088
Yap, Tracey L., Jenny Alderden, Susan M. Kennerly, Susan D. Horn, Meredeth Rowe, and Valerie K. Sabol. “To Turn or Not to Turn: Exploring Nurses' Decision-Making Processes Concerning Regular Turning of Nursing Home Residents.Gerontology & Geriatric Medicine 7 (January 2021): 23337214211046090. https://doi.org/10.1177/23337214211046088.
Yap TL, Alderden J, Kennerly SM, Horn SD, Rowe M, Sabol VK. To Turn or Not to Turn: Exploring Nurses' Decision-Making Processes Concerning Regular Turning of Nursing Home Residents. Gerontology & geriatric medicine. 2021 Jan;7:23337214211046090.
Yap, Tracey L., et al. “To Turn or Not to Turn: Exploring Nurses' Decision-Making Processes Concerning Regular Turning of Nursing Home Residents.Gerontology & Geriatric Medicine, vol. 7, Jan. 2021, p. 23337214211046090. Epmc, doi:10.1177/23337214211046088.
Yap TL, Alderden J, Kennerly SM, Horn SD, Rowe M, Sabol VK. To Turn or Not to Turn: Exploring Nurses' Decision-Making Processes Concerning Regular Turning of Nursing Home Residents. Gerontology & geriatric medicine. 2021 Jan;7:23337214211046090.
Journal cover image

Published In

Gerontology & geriatric medicine

DOI

EISSN

2333-7214

ISSN

2333-7214

Publication Date

January 2021

Volume

7

Start / End Page

23337214211046088

Related Subject Headings

  • 5201 Applied and developmental psychology
  • 3202 Clinical sciences