Developing a decision support tool to prevent community-acquired pressure injuries in spinal cord injury in ambulatory care: A nurse-led protocol for mix methods research
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Updated: Nov 17, 2025

Mouse Model of Pressure Ulcers After Spinal Cord Injury
Published on: March 9, 2019
Lisa Burkhart1, Lisa Skemp2, Sameer Siddiqui3
1Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. Hospital, Hines, IL; Marcella Niehoff School of Nursing, Loyola University Chicago, Chicago, IL.
Background:
There is a lack of formal guidelines and decision support tools to prevent community-acquired pressure injuries (CAPrIs) in Veterans with spinal cord injury (SCI).
Purpose:
In this article we present our research protocol that describes our plans to create and test a decision support tool to prevent CAPrIs in SCI.
Methods:
In Aim 1, we identified mental-models of CAPrI prevention from the perspectives of Veterans (using photovoice, guided tours), and Veterans Health Administration SCI providers (using interviews), and triangulation to compare the two mental-models. This led to a decision support tool developed and validated using Delphi approaches in Aim 2 and will be followed by tool automation and system redesign for pilot implementation in Aim 3.
Findings:
The nurse-led research protocol provides a map to systematically explore, address and translate research into evidence-based practice.
Discussion:
Refinement of the protocol will guide future research and implementation.
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