开发决策支持工具以预防门诊脊髓损伤患者的社区获得性压疮：一种护士主导的混合方法研究方案。
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.
机构信息
Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. Hospital, Hines, IL; Marcella Niehoff School of Nursing, Loyola University Chicago, Chicago, IL.
Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. Hospital, Hines, IL; Marcella Niehoff School of Nursing and Parkinson School of Health Sciences and Public Health, Maywood, IL.
出版信息
Nurs Outlook. 2021 Mar-Apr;69(2):127-135. doi: 10.1016/j.outlook.2021.01.003. Epub 2021 Feb 12.
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.
背景
目前缺乏预防社区获得性压疮（CAPrIs）的正式指南和决策支持工具，尤其是在脊髓损伤（SCI）的退伍军人中。
目的
本文介绍了我们的研究方案，该方案描述了我们创建和测试预防 SCI 患者 CAPrIs 的决策支持工具的计划。
方法
在目标 1 中，我们从退伍军人（使用照片访谈、导览）和退伍军人健康管理局 SCI 提供者（使用访谈）的角度确定了 CAPrI 预防的心理模型，并进行三角测量以比较两种心理模型。这导致了在目标 2 中使用德尔菲方法开发和验证的决策支持工具，随后将进行工具自动化和系统重新设计，以在目标 3 中进行试点实施。
发现
护士主导的研究方案为系统地探索、解决和将研究转化为循证实践提供了路线图。
讨论
协议的细化将指导未来的研究和实施。
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