title: Evaluation of Cueing Innovation for Pressure Ulcer Prevention Using Staff Focus Groups.
abstract: The purpose of the manuscript is to describe long-term care (LTC) staff perceptions of a music cueing intervention designed to improve staff integration of pressure ulcer (PrU) prevention guidelines regarding consistent and regular movement of LTC residents a minimum of every two hours. The Diffusion of Innovation (DOI) model guided staff interviews about their perceptions of the intervention's characteristics, outcomes, and sustainability.
  
  
  METHODS
  This was a qualitative, observational study of staff perceptions of the PrU prevention intervention conducted in Midwestern U.S. LTC facilities (N = 45 staff members). One focus group was held in each of eight intervention facilities using a semi-structured interview protocol. Transcripts were analyzed using thematic content analysis, and summaries for each category were compared across groups.
  
  
  RESULTS
  The a priori codes (observability, trialability, compatibility, relative advantage and complexity) described the innovation characteristics, and the sixth code, sustainability, was identified in the data. Within each code, two themes emerged as a positive or negative response regarding characteristics of the innovation. Moreover, within the sustainability code, a third theme emerged that was labeled "brainstormed ideas", focusing on strategies for improving the innovation.
  
  
  CONCLUSIONS
  Cueing LTC staff using music offers a sustainable potential to improve PrU prevention practices, to increase resident movement, which can subsequently lead to a reduction in PrUs.
authors.affiliation: School of Nursing, Duke University, Durham, NC 27710, USA. tracey.yap@duke.edu.|Center for the Study of Aging and Human Development, Duke University, Durham, NC 27710, USA. tracey.yap@duke.edu.
authors.forename: Tracey L
authors.initials: TL
authors.lastname: Yap
authors.affiliation: School of Nursing, University of North Carolina at Charlotte, Charlotte, NC 28223, USA. skenner2@uncc.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Kennerly
authors.affiliation: School of Nursing, Duke University, Durham, NC 27710, USA. kirsten.corazzini@duke.edu.|Center for the Study of Aging and Human Development, Duke University, Durham, NC 27710, USA. kirsten.corazzini@duke.edu.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Corazzini
authors.affiliation: RTI International, Research Triangle Park, NC 27709, USA. porter@rti.org.
authors.forename: Kristie
authors.initials: K
authors.lastname: Porter
authors.affiliation: School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. mtoles@email.unc.edu.
authors.forename: Mark
authors.initials: M
authors.lastname: Toles
authors.affiliation: School of Nursing, Duke University, Durham, NC 27710, USA. ruth.anderson@duke.edu.|Center for the Study of Aging and Human Development, Duke University, Durham, NC 27710, USA. ruth.anderson@duke.edu.
authors.forename: Ruth A
authors.initials: RA
authors.lastname: Anderson
keywords: diffusion of innovation; implementation; long-term care; multidisciplinary healthcare teams; nursing interventions; pressure ulcer prevention