Perceptions of practice guidelines for people with spinal cord injury

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
Gail Powell-CopeSusan S Thomason

Abstract

The Consortium for Spinal Cord Medicine published clinical practice guidelines (CPG) related to upper limb (UL) preservation in people with spinal cord injury (SCI) in 2005. The purpose of this qualitative research was to identify stakeholder agreement with recommendations, performance gaps, and barriers and facilitators to CPG implementation. This 6-month study focused on the perspectives of healthcare providers, veterans, and key informants. The Promoting Action on Research Implementation in Health Services (PARiHS) was used to frame the interview questions, analyze data from focus groups and interviews, and develop conclusions and recommendations. SCI Centers at the Tampa, Seattle, and Hines Veterans' hospitals participated. The purposeful sample for the focus groups included 32 healthcare providers, 21 veterans with SCI, and 3 key informants. Analysis of qualitative data netted the percent of agreement with recommendations, performance gaps, and strategies for CPG implementation. Content analysis of focus group data revealed that healthcare providers agreed or partially agreed with 20 (57%) of the 35 CSCM CPG on UL preservation of function. Agreement ranged from 100% for assessment to 28% for equipment use. Barriers for imp...Continue Reading

References

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Feb 15, 2012·The Journal of Spinal Cord Medicine
Aug 14, 2012·Journal of Advanced Nursing·Marjorie A SchafferLee Diedrick
Feb 26, 2013·The Journal of Spinal Cord Medicine·UNKNOWN National Spinal Cord Injury Statistical Center

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Citations

Mar 15, 2015·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Elaine T Miller

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