Designing devices to communicate effectively with intensive care nurses to prevent pressure injuries: A qualitative study |
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| Institution: | 1. Project Management Program, University of Houston, Houston, 4730 Martin Luther King Blvd., Room 300, Houston, TX 77204, USA;2. Department of Engineering Technology, University of Houston, Houston, 4730 Martin Luther King Blvd., Room 300, Houston, TX 77204, USA;3. Department of Electrical and Computer Engineering, University of Houston, Houston, 4730 Martin Luther King Blvd., Room 300, Houston, TX 77204, USA;4. Department of Biomedical Engineering, University of Houston, Houston, 4730 Martin Luther King Blvd., Room 300, Houston, TX 77204, USA;1. Nursing Sciences, Program in Clinical Health Sciences, University of Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508GA Utrecht, The Netherlands;2. Zuyderland Medical Center, Department of Surgery, 6419PC Heerlen, The Netherlands;3. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, STR 6.131, P.O. Box 85500, 3508GA Utrecht, The Netherlands;4. University Medical Center Utrecht, Division Heart and Lungs. P.O. Box 85500, 3508GA Utrecht, The Netherlands;5. School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, UK;1. Barnes Jewish Hospital, MS# 90-29-902, 4590 Children’s Place, St. Louis, MO 63110, United States;2. Barnes Jewish Hospital, Department of Research, Patient Care Services, MS# 90-29-902, 4590 Children’s Place, St. Louis, MO 63110, United States;1. Sahlgrenska University Hospital, Gothenburg, Blå stråket 3, 413 46 Göteborg, Sweden;2. Menzies Health Institute Queensland and the School of Nursing and Midwifery, Griffith University, Queensland 4222, Australia;3. Institute of Health and Caring Sciences, The Sahlgrenska Academy, University of Gothenburg, Box 457, SE-405 30 Göteborg, Sweden |
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| Abstract: | ObjectivesThe aim of this research was to identify “what” key design elements of a device for detecting hospital acquired pressure injuries should do and “how” these elements should function. The goal of the resulting design was to prompt intensive care unit nurses to intervene appropriately to reduce the incidence/severity of pressure injuries, while minimizing workflow disruptions.MethodsA mixed method study was performed in an intensive care unit, which included shadowing, interviewing, surveying and conducting focus groups with individuals knowledgeable about pressure injuries and related patient care. This study focused on identifying and prioritizing the needs/wants of nurses regarding devices aimed at detecting hospital acquired pressure injuries. These needs were then used as the foundation for designing key elements of such a device.FindingsIntensive care nurses indicated that a device for the early detection of pressure injuries should communicate information as real-time summaries about the severity of a skin issue in an easy-to-understand manner and provide reminders for them to take action when needed without unnecessarily interrupting their workflow.ConclusionThe findings regarding nurses’ needs will be useful for the future development of technologies/devices that help reduce the incidence/severity of hospital acquired pressure injuries. In turn, nurses may be more likely to use such a device to enhance patient care. |
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| Keywords: | Hospital Intensive care unit Pressure injury Pressure ulcer Quality Skin |
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