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  4. Provider perspectives of community-acquired pressure injury prevention in veterans with spinal cord injury

Provider perspectives of community-acquired pressure injury prevention in veterans with spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2088505 · Published: January 1, 2024

Spinal Cord InjuryHealthcareDermatology

Simple Explanation

Community-acquired pressure injuries (CAPrI) are a common and costly complication of spinal cord injury (SCI). Most studies and interventions focus on the prevention of pressure injuries acquired in the hospital. This study aims to understand SCI provider perspectives of the risks, actions, and resources needed to prevent CAPrIs among veterans living in the community. The research involved qualitative interviews with 30 interprofessional SCI providers across three geographically diverse Veteran Health Administration centers to gather in-depth perspectives.

Study Duration
Not specified
Participants
30 interprofessional SCI providers
Evidence Level
Qualitative descriptive

Key Findings

  • 1
    Provider perspectives on CAPrI prevention encompass veteran risk characteristics, preventive activities, and available resources from providers, family, and the community.
  • 2
    Veteran risk characteristics include level/severity of injury, functional abilities, co-morbidities, history of pressure injury, aging, motivation, resources, and knowledge.
  • 3
    Provider resources involve care coordination, education/teaching, relationship building, and availability to meet veteran needs.

Research Summary

This study explores provider perspectives on community-acquired pressure injury (CAPrI) prevention among veterans with spinal cord injury (SCI), identifying key factors influencing risk and prevention strategies. The research highlights the importance of considering veteran risk characteristics, preventive activities, and available resources from providers, family, and the community in developing effective interventions. The findings emphasize the need for a holistic approach to CAPrI prevention that integrates preventive care throughout the year and engages veterans to decrease risk and integrate preventive activities into daily life.

Practical Implications

Enhanced Care Coordination

Incorporate CAPrI risk reassessment and preventive care at each visit to address changes in risk factors due to exacerbation of chronic conditions.

Improved Family Engagement

Intentionally inquire about the home situation to gain better insight into the veteran's environment and support system.

Holistic Preventive Approach

Foster a wellness-focused healthcare approach by addressing veteran personal strengths and incorporating non-VA community resources.

Study Limitations

  • 1
    The study was conducted at the VA, which offers a comprehensive system of care for veterans with SCI and may not reflect providers in civilian healthcare systems.
  • 2
    We interviewed providers at three VA SCI specialty hub sites, which specialize in SCI care, and did not explore perspectives in non-SCI specialty sites.
  • 3
    This study focused particularly on veterans living in the community, presenting a unique perspective that added to the literature.

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