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  4. Veteran model of preventing community-acquired pressure injuries associated with spinal cord injury: A qualitative descriptive study

Veteran model of preventing community-acquired pressure injuries associated with spinal cord injury: A qualitative descriptive study

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2021.1982177 · Published: January 1, 2024

Spinal Cord InjuryDermatology

Simple Explanation

Pressure injuries are a significant health issue for individuals with spinal cord injuries, particularly those living in the community. This study aimed to understand the factors that contribute to the prevention of these injuries from the perspective of veterans with SCI. The research involved interviews and photo documentation with veterans to identify risks, resources, and actions related to preventing pressure injuries in their daily lives. The findings resulted in a model that describes the veteran's perspective on preventing community-acquired pressure injuries, which can be used to improve care and support for veterans with SCI.

Study Duration
Not specified
Participants
30 Veterans living with SCI
Evidence Level
Qualitative descriptive design

Key Findings

  • 1
    The study identified three major themes: Factors that lead to risk for pressure injury, Factors that affect chosen actions, and Preventive activities within the context of life.
  • 2
    Challenges and barriers, such as physical and emotional challenges, access to resources, and stigma, influence a veteran's ability to engage in preventive activities.
  • 3
    Veteran motivators (fear, goals, faith, relationships), values (independence, camaraderie), satisfaction with provider relationships, and available resources significantly impact preventive actions.

Research Summary

This qualitative study explores the perspective of veterans with spinal cord injury (SCI) on preventing community-acquired pressure injuries (CAPrIs). The research identified key themes related to risks, actions, and resources associated with CAPrI prevention, highlighting the challenges and barriers veterans face in their daily lives. The study emphasizes the importance of incorporating the veteran's model of prevention into clinical care to improve collaboration and quality of life.

Practical Implications

Clinical Practice

Incorporate the veteran model of prevention into clinical care to improve provider-veteran collaboration and integrate successful prevention strategies.

Policy Implications

Address environmental challenges and barriers to promote safety and improve access to resources in the community.

Further Research

Conduct more research to understand veteran support systems and how to leverage them for CAPrI prevention.

Study Limitations

  • 1
    The sample was recruited from SCI hub sites, which may not reflect veterans receiving care at spoke sites or outside the VA system.
  • 2
    The study focuses on the veteran perspective and may not fully capture the perspectives of caregivers or providers.
  • 3
    Qualitative research findings may not be generalizable to all veterans with SCI.

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