A preliminary qualitative exploration of perceived barriers and facilitators prior to implementation of a pressure injury prevention program in home care: perspectives of care managers in Japan.
4 affiliations
- 1Faculty of Nursing, School of Health Sciences, Fujita Health University, Toyoake, Aichi, Japan.
- 2School of Health Science, Department of Nursing, Toyohashi Sozo University, Toyohashi, Aichi, Japan.
- 3Research Center for Implementation Nursing Science Initiative, Fujita Health University, Toyoake, Aichi, Japan.
- 4Sapporo Keijinkai Rehabilitation Hospital, Sapporo, Hokkaido, Japan.
Abstract
Objectives
This study aimed to explore care managers' (CMs) perceptions of potential barriers and facilitators to implementing a pressure injury (PI) prevention program within Japan's home care system.Methods
A pilot qualitative study was conducted using the Consolidated Framework for Implementation Research (CFIR) to guide data collection and analysis. Semi-structured interviews were conducted with five CMs employed at a home-based long-term care support facility (October 2022-March 2023). Two researchers independently coded the transcripts, reached consensus through discussion, and conducted member checking to enhance rigor.Results
A total of 32 facilitators and 32 barriers were identified across five CFIR domains. Key facilitators included the program's perceived ease of use and its potential to enhance multidisciplinary communication. Frequently perceived barriers included uncertainty regarding the program's effectiveness, insufficient knowledge and low perceived urgency regarding PI prevention among CMs and chief CMs, excessive workload, and limited resources. As participants had no prior experience implementing the program, these findings reflect anticipated perceptions rather than actual implementation experiences.Conclusions
This study provides preliminary observations regarding potential facilitators and barriers to implementing a PI prevention program in home care settings. Future research is required to further examine these perceptions and explore whether similar barriers and facilitators are observed in other settings and populations.
Related
- General practitioners’ perspectives on barriers and facilitators of the implementation of the ANTIBIORESIST antibiotic stewardship audit and feedback intervention: a qualitative interview study among high prescribers
- Sedentary shields: a qualitative exploration of facilitators and barriers of physical activity among policemen in Kerala, India
- A decade of implementing comprehensive child development services in Northwest Iran: a qualitative study of provider perspectives on barriers and facilitators
- Pre-implementation barriers and facilitators to implementing a physical activity guideline for community-dwelling older adults with mild cognitive impairment: a qualitative stakeholder study
- Facilitators and barriers influencing the implementation of type 2 diabetes remission programmes: a qualitative meta-synthesis from a multi-stakeholder perspective
BibTeX
@article{iwase2026preliminary,
title = {{A preliminary qualitative exploration of perceived barriers and facilitators prior to implementation of a pressure injury prevention program in home care: perspectives of care managers in Japan.}},
author = {Keisuke Iwase and Hironori Tsuzuki and Masushi Kohta and Koji Harima and Junko Sugama},
journal = {Fujita medical journal},
year = {2026},
month = sep,
doi = {10.20407/fmj.2026-001},
url = {https://europepmc.org/article/MED/42969001},
note = {CC BY},
}
RIS
TY - JOUR
TI - A preliminary qualitative exploration of perceived barriers and facilitators prior to implementation of a pressure injury prevention program in home care: perspectives of care managers in Japan.
AU - Keisuke Iwase
AU - Hironori Tsuzuki
AU - Masushi Kohta
AU - Koji Harima
AU - Junko Sugama
PY - 2026
DA - 2026/09/25
JO - Fujita medical journal
DO - 10.20407/fmj.2026-001
UR - https://europepmc.org/article/MED/42969001
AB - Objectives This study aimed to explore care managers' (CMs) perceptions of potential barriers and facilitators to implementing a pressure injury (PI) prevention program within Japan's home care system.Methods A pilot qualitative study was conducted using the Consolidated Framework for Implementation Research (CFIR) to guide data collection and analysis. Semi-structured interviews were conducted with five CMs employed at a home-based long-term care support facility (October 2022-March 2023). Two researchers independently coded the transcripts, reached consensus through discussion, and conducted member checking to enhance rigor.Results A total of 32 facilitators and 32 barriers were identified across five CFIR domains. Key facilitators included the program's perceived ease of use and its potential to enhance multidisciplinary communication. Frequently perceived barriers included uncertainty regarding the program's effectiveness, insufficient knowledge and low perceived urgency regarding PI prevention among CMs and chief CMs, excessive workload, and limited resources. As participants had no prior experience implementing the program, these findings reflect anticipated perceptions rather than actual implementation experiences.Conclusions This study provides preliminary observations regarding potential facilitators and barriers to implementing a PI prevention program in home care settings. Future research is required to further examine these perceptions and explore whether similar barriers and facilitators are observed in other settings and populations.
SN - 2189-7247
SN - 2189-7255
ER -