Abstract
This study investigated the diffusion of pressure ulcer care, an innovative strategy in nursing practice, in Japan by reviewing relevant literature and supporting evidence as well as through interviews. The study also analyzed the results on the basis of the theory proposed by Everett M. Rogers on diffusion of innovations to reveal the factors affecting the diffusion of pressure ulcer care. The first factor promoting the diffusion of pressure ulcer care was the presence of more than one change agents who were deeply interested in the relevant phenomenon and actively involved in practical care. Other factors related to diffusion were many local opinion leaders with the necessary skills carrying out practical care on-site along with change agents and the effective use of various communication channels such as mass media and scientific meetings. In addition, it was shown that both basic researches and clinical studies should accumulate scientific evidence in regard to this innovation of pressure ulcer care. Specific factors relating to pressure ulcer care were a longstanding feeling of inadequacy and tangible effects.
