Development of a decision support tool to prevent community acquired pressure injuries for use in the spinal cord injury clinic using the delphi technique.
Development of a decision support tool to prevent community acquired pressure injuries for use in the spinal cord injury clinic using the delphi technique.
复制标题
使用德尔菲技术开发决策支持工具，以防止社区获得性压力损伤，用于脊髓损伤诊所。
DOI：
10.1038/s41393-023-00937-8
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发表时间：
2023
期刊：
影响因子：
2.2
通讯作者：
Bates-Jensen,Barbara
中科院分区：
文献类型：
--
作者：
Burkhart,Lisa;Siddiqui,Sameer;Smith,Autumn;Richardson,Michael;Zachow,Karin;Chua,Walter;Weaver,FrancesM;Skemp,Lisa;Kiefer,Amy;LaVela,SherriL;Bates-Jensen,Barbara
研究设计德尔菲法。目的描述一种决策支持工具的开发，用于预防脊髓损伤（SCI）患者的社区获得性压力损伤（CAPrIs），用于SCI诊所，称为社区获得性压力损伤预防-现场实施工具（CAPP-FIT）.设置退伍军人健康管理医院，芝加哥，伊利诺伊州，美国。方法目前的压力损伤（PrI）指南和定性研究描述的风险，行动，和防止与SCI相关的CAPrI所需的资源被用于开发40个退伍军人检查表项目（项目）沿着37个相关的提供者行动（行动）。德尔菲技术被用于与一组跨专业SCI提供者（n= 15）、SCI退伍军人（n= 4）和护理人员（n= 3）一起细化项目和行动，以确定每个项目和行动的4点Likert量表（非常同意-非常不同意）上的共识。一个75%的协议被设置为强烈同意或agree.ResultsPanelists的反应，60%的女性，62%白色，33%的退伍军人与SCI或照顾者，33%的伤口护理认证的平均年龄为59岁。需要两轮调查才能就41项和38项行动CAPP-FIT达成共识。两轮的回应率均为95%。德尔菲第1轮显示，除两个Action外，所有Action确认一致率均高于75%。小组成员的实质性意见需要修订5项和9项行动，以及一项与应对有关的额外项目/行动，满足第二轮的阈值百分比一致性。结论CAPP-FIT可以成为与SCI生活在一起的退伍军人，照顾者和SCI提供者的有用工具。
Study designDelphi Technique.ObjectivesDescribe the development of a decision support tool to prevent community-acquired pressure injuries (CAPrIs) in individuals with spinal cord injury (SCI) for use in SCI clinics, called the Community-Acquired Pressure Injury Prevention-Field Implementation Tool (CAPP-FIT).SettingVeteran Health Administration Hospital, Chicago, Illinois, USA.MethodsConcept mapping of current pressure injury (PrI) guidelines and qualitative research describing risks, actions, and resources needed to prevent CAPrIs associated with SCI were used to develop 40 veteran checklist items (Items) along with 37 associated provider actions (Actions) for the tool. The Delphi technique was used to refine Items and Actions with a panel of interprofessional SCI providers (n= 15), veterans with SCI (n= 4), and caregivers (n= 3) to determine consensus on a 4-point Likert scale (strongly agree–strongly disagree) for each Item and Action. A 75% agreement was set for responses rated as strongly agree or agree.ResultsPanelists were 60% female, 62% White, 33% veterans with SCI or caregivers, 33% wound care certified with a mean age of 59 years. Two survey rounds were required for consensus for 41 Item and 38 Action CAPP-FIT. Response rate was 95% for both rounds. Delphi round 1 showed all but two Actions affirming agreement above 75%. Substantive comments from panelists required revision to 5 Items and 9 Actions and one additional Item/Actions related to coping, meeting threshold percent agreement in Round 2.ConclusionsThe CAPP-FIT could become a useful tool for Veterans living with SCI, caregivers, and SCI providers.