Triangulation of veteran and provider models of preventing community-acquired pressure injuries in spinal cord injury to reveal convergence and divergence of perspectives

Burkhart, Lisa; Skemp, Lisa; Siddiqui, Sameer

doi:10.1080/10790268.2022.2135714

Cited by 4 publications

(12 citation statements)

References 31 publications

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“…Current PrI prevention and treatment strategies exist but focus primarily on acute care and long-term care (European Pressure Ulcer Advisory Panel et al, 2019; Paralyzed Veterans of America, 2014). Qualitative research indicated that community-dwelling veterans with SCI and SCI healthcare provider perspectives differ in terms of CAPrI risks, resources needed, and preventive activities (Burkhart et al, 2021, 2022; Siddiqui et al, 2022). This research indicated a need to integrate both provider and veteran perspectives of CAPrI prevention in didactic, simulation, and case studies.…”

Section: Results Per Stepmentioning

confidence: 99%

“…These were blended into module layout and design to enhance the learning environment and accommodate preferences for learning. Case studies used in the modules to meet learning objectives used varied interactive elements and were informed by stories revealed in qualitative research (Burkhart et al, 2021, 2022; Siddiqui et al, 2022).…”

Section: Results Per Stepmentioning

confidence: 99%

“…The focused assessment and case study application moved beyond physiology and assessment of complications to discuss the challenges and resources needed at home (e.g., equipment failure, lack of caregiver support). Module 3 presented relationship theories and strategies to bridge the gap between veteran and provider diverse perspectives, which were applied in interactive case analysis (Burkhart et al, 2022). Module 4 was related to resources.…”

Section: Results Per Stepmentioning

confidence: 99%

“…Many providers assume that changing patient behavior can be influenced by patient education and coaching and that lack of compliance or adherence to preventive activities is a motivation issue (Burkhart et al, 2022). However, interventions to improve patients’ motivation have not significantly affected CAPrI incidence (Cogan et al, 2017; Hug et al, 2018; Kim & Cho, 2017; Lusilla-Palacios & Castellano-Tejedor, 2015; Sprigle et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Veterans recognize the “lack of motivation” provider attitude that can lead to a lack of trust. This can affect the provider–patient relationship (Burkhart et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

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Preventing Community-Acquired Pressure Injuries in Spinal Cord Injury

Burkhart,

Zurek,

Desmond

et al. 2023

Rehabilitation Nursing

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Purpose The aim of this study was to develop and pilot an educational curriculum for healthcare providers to better understand community-acquired pressure injury (CAPrI) prevention in veterans living with spinal cord injury (SCI). Methods The Thomas six-step process model guided curricular development and evaluation. Curriculum development followed six steps: (1) problem identification and general needs assessment from a literature review and qualitative research triangulating provider and veteran perspectives of CAPrI prevention in SCI, (2) target needs assessment using a focus group with 14 experienced practicing interprofessional SCI providers, (3) creation of module goals and objectives with content review from experts (n = 8), (4) development of curriculum content and educational strategies, (5) implementation of a pilot (n = 4), and (6) evaluation of satisfaction and curriculum content via survey and focus group. Results A five-module online curriculum was evaluated positively and is available publicly. Modules include (1) CAPrI Prevention Clinical Guidelines for the Provider, (2) CAPrI Prevention from the Veteran Perspective, (3) Building Collaborative Relationships, (4) Accessing Resources, and (5) Team Approach. Pilot participants stated objectives were met; they were satisfied with the module. The participants did recommend some changes. Clinical Relevance Understanding CAPrI prevention can inform rehabilitation nursing care. Conclusions An asynchronous educational curriculum can support nurses in integrating preventive care in community-dwelling veterans living with SCI.

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Section: Results Per Stepmentioning

confidence: 99%

Section: Results Per Stepmentioning

confidence: 99%

Section: Results Per Stepmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Veterans recognize the “lack of motivation” provider attitude that can lead to a lack of trust. This can affect the provider–patient relationship (Burkhart et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

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