Developing a decision support tool to prevent community-acquired pressure injuries in spinal cord injury in ambulatory care: A nurse-led protocol for mix methods research

Nurs Outlook. 2021 Mar-Apr;69(2):127-135. doi: 10.1016/j.outlook.2021.01.003. Epub 2021 Feb 12.

Abstract

Background: There is a lack of formal guidelines and decision support tools to prevent community-acquired pressure injuries (CAPrIs) in Veterans with spinal cord injury (SCI).

Purpose: In this article we present our research protocol that describes our plans to create and test a decision support tool to prevent CAPrIs in SCI.

Methods: In Aim 1, we identified mental-models of CAPrI prevention from the perspectives of Veterans (using photovoice, guided tours), and Veterans Health Administration SCI providers (using interviews), and triangulation to compare the two mental-models. This led to a decision support tool developed and validated using Delphi approaches in Aim 2 and will be followed by tool automation and system redesign for pilot implementation in Aim 3.

Findings: The nurse-led research protocol provides a map to systematically explore, address and translate research into evidence-based practice.

Discussion: Refinement of the protocol will guide future research and implementation.

Keywords: Prevention, Primary care, Nursing; Spinal cord injury, Mixed methods research, Veteran.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Ambulatory Care / methods*
  • Ambulatory Care / trends
  • Clinical Protocols*
  • Decision Support Techniques*
  • Delphi Technique
  • Humans
  • Pressure Ulcer / prevention & control*
  • Program Development / methods
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Spinal Cord Injuries / complications*