Preventing Community-Acquired Pressure Injuries in Spinal Cord Injury: Online Healthcare Provider Curriculum.

Elizabeth Burkhart, Stacey Zurek, Mary E Desmond, Keith Aguina, Ralph D Cabigon, Autumn Smith, Barbara Bates-Jensen
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Abstract

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.

预防脊髓损伤中的社区获得性压力损伤:在线医疗保健提供者课程。
目的:本研究的目的是为医疗保健提供者开发和试行教育课程,以更好地了解脊髓损伤退伍军人社区获得性压力损伤(CAPrI)的预防。方法:Thomas六步过程模型指导课程开发和评估。课程开发遵循六个步骤:(1)来自文献综述和定性研究三角研究提供者的问题识别和一般需求评估,以及SCI中CAPrI预防的资深视角;(2)使用由14名经验丰富的跨专业实践SCI提供者组成的焦点小组进行目标需求评估,(3)通过专家的内容审查创建模块目标和目的(n=8),(4)制定课程内容和教育策略,(5)实施试点(n=4),以及(6)通过调查和焦点小组评估满意度和课程内容。结果:五个模块的在线课程得到了积极评价,并可公开使用。模块包括(1)针对提供者的CAPrI预防临床指南,(2)从退伍军人角度预防CAPrI,(3)建立合作关系,(4)获取资源,以及(5)团队方法。试点参与者表示,目标已经实现;他们对模块很满意。与会者确实建议了一些改变。临床相关性:了解CAPrI的预防可以为康复护理提供信息。结论:异步教育课程可以支持护士整合社区退伍军人SCI的预防性护理。
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