Desmond Mary E, Aguina Keith, Burkhart Elizabeth Lisa
Center of Innovation for Complex Chronic Healthcare, Department of Veterans Affairs, Edward Hines Jr. VA Hospital, Hines, IL, USA.
Rehabil Nurs. 2025 Feb 1;50(1):3-11. doi: 10.1097/RNJ.0000000000000484. Epub 2024 Dec 30.
The study purpose was to develop and assess a simulation for registered nurses to apply knowledge, skills, and attitudes in conducting a focused assessment in the clinic setting to prevent community-acquired pressure injuries (CAPrIs) in individuals living with spinal cord injury (SCI).
Development, psychometric assessment, and pilot of a simulation for a nurse-patient clinic appointment to prevent CAPrIs at home. Evaluations were conducted via focus group.
The simulation required one round with five experts in preventing CAPrIs in SCI to reach 80% agreement. The simulation with a standardized patient and companion checklist was piloted with ( n = 4) post-baccalaureate registered nurse residents. Evaluation results indicated participants grew in knowledge, skills, and attitudes in conducting a focused assessment on prevention of CAPrIs.
Evidence-based nursing education is needed for CAPrI prevention for individuals living with SCI in the community setting. The simulation is replicable.
The online educational program, simulation, and checklist for nurses promoted knowledge, skills, and attitudes in assessment of CAPrI prevention.
本研究旨在开发并评估一种模拟方法，供注册护士运用知识、技能和态度，在诊所环境中进行重点评估，以预防脊髓损伤（SCI）患者发生社区获得性压疮（CAPrIs）。
开发、进行心理测量评估以及对护士-患者诊所预约模拟进行试点，以预防在家中发生CAPrIs。通过焦点小组进行评估。
该模拟需要与五位预防SCI患者发生CAPrIs的专家进行一轮讨论，以达成80%的共识。使用标准化患者和同伴检查表的模拟对（n = 4）本科后注册护士住院医师进行了试点。评估结果表明，参与者在进行预防CAPrIs重点评估方面的知识、技能和态度有所提升。
在社区环境中，为预防SCI患者发生CAPrIs，需要开展循证护理教育。该模拟方法具有可复制性。
针对护士的在线教育项目、模拟方法和检查表促进了在预防CAPrIs评估方面的知识、技能和态度。
