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

Triangulation of veteran and provider models of preventing community-acquired pressure injuries in spinal cord injury to reveal convergence and divergence of perspectives.
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对预防脊髓损伤中社区获得性压力损伤的退伍军人和提供者模型进行三角测量,以揭示观点的趋同和分歧。

DOI:
10.1080/10790268.2022.2135714
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发表时间:
2022
期刊:
The journal of spinal cord medicine
影响因子:
--
通讯作者:
Siddiqui,Sameer
Siddiqui,Sameer
中科院分区:
--
文献类型:
--
作者:
Burkhart,Lisa;Skemp,Lisa;Siddiqui,Sameer

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社区获得性压力损伤(卡普里)是脊髓损伤(SCI)的常见且昂贵的并发症。大多数PrI发生在社区,但在卡普里预防方面几乎没有指导。本研究介绍了如何供应商和老兵的角度卡普里预防收敛和diverce.DesignThe农民三角测量方法被用来比较两个模型从以前的定性研究描述供应商和老兵的角度CAPrI预防的基础上的框架,CAPrI风险,资源和预防活动。先前的定性研究揭示了卡普里预防的提供者模型,使用半结构化访谈与退伍军人健康管理局(VA)的跨专业SCI提供者(n= 30)。定性描述性设计使用photovoice(n= 30),有或没有引导图尔斯(n= 15)揭示了卡普里预防的退伍军人模型。设置先前的定性研究在美国三个地理位置不同的VA脊髓损伤/疾病中心进行(北、南、西)。30个跨专业SCI提供者;美国三个VA SCI中心的30名患有SCI的退伍军人。干预措施n/a。结果衡量提供者-退伍军人对卡普里预防的看法,表现出一致、部分一致、分歧,和silence.ResultsProviders和退伍军人同意什么是基本的护理,家庭,照顾者和健康提供者/系统支持的重要性,但他们认为动机,退伍军人的作用,非正式的支持,并充分的supportsdifferent.ConclusionUnderstanding如何SCI供应商和退伍军人生活与SCI查看预防在社区通知如何促进预防性护理在退伍军人的生活背景。
Context/ObjectiveCommunity-acquired pressure injuries (CAPrI) are a common and costly complication of spinal cord injury (SCI). The majority of PrIs occur in the community, but there is little guidance in CAPrI prevention. This study describes how provider and veteran perspectives of CAPrI prevention converge and diverge.DesignThe Farmer triangulation method was used to compare two models from previous qualitative research describing provider and veteran perspectives of CAPrI prevention based on the framework of CAPrI risks, resources, and preventive activities. The previous qualitative research revealed the provider model of CAPrI prevention using semi-structured interviews with interprofessional SCI providers at the Veteran Health Administration (VA) (n= 30). A qualitative descriptive design using photovoice (n= 30) with or without guided tours (n= 15) revealed the Veteran model of CAPrI prevention.SettingThe previous qualitative research was conducted at three geographically different VA spinal cord injury/disorder centers in the United States (north, south, west).Participants30 interprofessional SCI providers; 30 Veterans living with SCI at three VA SCI Centers in the United States.Interventionsn/a.Outcome MeasuresProvider-Veteran perspectives of CAPrI prevention that demonstrated agreement, partial agreement, divergence, and silence.ResultsProviders and veterans agreed on what is basic care, and the importance of family, caregiver and health provider/system supports, but they viewed motivation, veteran role, informal supports, and adequacy of supports differently.ConclusionUnderstanding how SCI providers and veterans living with SCI view prevention in the community informs how to promote preventive care in the context of veterans’ lives.
DOI: 10.1038/s41393-018-0138-3
发表时间: 2018-09
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影响因子: 2.2
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