Article: PDF OnlyPosition Changes for Residents in Long-term CareHelme, Thomas A. Author Information Thomas A. Helme, BSN, RN, is a clinical nurse consultant in long-term care. Advances in Wound Care 7(5):p 57-61, September 1994. Buy Abstract The purpose of this study in long-term care facilities was to determine the factors associated with the common pressure ulcer prevention practice of turning and positioning of residents. The study showed there was a deficit in performance of two-hour turning, but not in knowledge that turning should be done. The chief reason for the aides' performance deficit was a lack of specific assignment to the task as well as a lack of time and staff. Head nurses and directors of nursing acknowledged these problems and also cited copious paperwork that prevented them from spending the necessary time to monitor compliance to facility policies on turning and positioning. © Williams & Wilkins 1994. All Rights Reserved.