Preventing Community-Acquired Pressure Injury in Spinal Cord Injury: Simulation for Registered Nurses.

PURPOSE: The study purpose was to develop and assess a simulation for registered nurses to apply knowledge, skills, and attitudes in conducting a focused assessment in the clinic setting to prevent community-acquired pressure injuries (CAPrIs) in individuals living with spinal cord injury (SCI).

METHODS

Development, psychometric assessment, and pilot of a simulation for a nurse-patient clinic appointment to prevent CAPrIs at home. Evaluations were conducted via focus group.

RESULTS

The simulation required one round with five experts in preventing CAPrIs in SCI to reach 80% agreement. The simulation with a standardized patient and companion checklist was piloted with ( n = 4) post-baccalaureate registered nurse residents. Evaluation results indicated participants grew in knowledge, skills, and attitudes in conducting a focused assessment on prevention of CAPrIs.

CLINICAL RELEVANCE: Evidence-based nursing education is needed for CAPrI prevention for individuals living with SCI in the community setting. The simulation is replicable.

CONCLUSIONS

The online educational program, simulation, and checklist for nurses promoted knowledge, skills, and attitudes in assessment of CAPrI prevention.