Efficacy of a comprehensive strategy to reduce moisture-associated skin damage in an intensive care unit: A quasi-experimental study

Cotillo-Fuente, M. del; Valls-Matarín, J.; Sandalinas-Mulero, I.

doi:10.1016/j.iccn.2020.102964

Cited by 8 publications

(9 citation statements)

References 23 publications

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“…There exists a great deal of evidence that training programs for nurses improve their knowledge, attitudes, and practices. 23,28,36,37 The results of our study support this. Both clinical experience in ICUs and IAD training programs have improved nurses' IAD knowledge, attitudes, and practices.…”

Section: Discussionsupporting

confidence: 88%

“…21 There are several studies showing the effects of training programs, evidence-based practices, and protocols provided to nurses in reducing IAD. [25][26][27][28][29][30] As such, literature reveals the importance of nurses in preventing and managing IAD. There is no research in the literature evaluating the relationship between nurses' knowledge, attitudes, and practices of IAD, with the prevalence of IAD.…”

mentioning

confidence: 99%

“…Although nurses' knowledge and attitude toward evidence-based practices enable them to decide and apply the correct clinical practices related to IAD,23,24 nurses' knowledge gaps, negative attitudes, and inappropriate practices seriously affect the integration of evidence into practice 21. There are several studies showing the effects of training programs, evidence-based practices, and protocols provided to nurses in reducing IAD 25–30. As such, literature reveals the importance of nurses in preventing and managing IAD.…”

mentioning

confidence: 99%

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Incontinence-Associated Dermatitis

Kaçmaz

Kaplan

et al. 2023

Journal of Nursing Care Quality

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Background: Incontinence-associated dermatitis (IAD) is a major concern among hospitals, especially in intensive care units (ICUs). Purpose: To describe ICU nurses' knowledge, attitudes, and practices of IAD and to examine the relationships with IAD prevalence in the ICU setting. Methods: A descriptive correlational design was used including the Knowledge, Attitudes and Practices of Incontinence-Associated Dermatitis Questionnaire and 1-month IAD prevalence data. Results: The prevalence of IAD in ICUs was 6.89%. A positive correlation was found between IAD prevalence and nurses' IAD knowledge and attitudes. Nurses working in the ICU for more than 7 years, caring for patients at high risk for or having IAD, and thinking IAD-related nursing practices were sufficient had significantly higher IAD knowledge, attitudes, and practices. Conclusions: Findings indicate that ICU nurses learned about IAD through clinical experience and have inadequate training on IAD. A standardized evidence-based care protocol for IAD should be developed.

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Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Incontinence-Associated Dermatitis

Kaçmaz

Kaplan

et al. 2023

Journal of Nursing Care Quality

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“…Um estudo experimental que realizou treinamento on-line com uma abordagem sobre prevenção, detecção precoce e protocolo de cuidados com a pele com enfermeiros de unidade crítica apresentou nos seus resultados uma redução de 50% no aparecimento de MASD 10 . Entretanto constata-se que ainda são inúmeras as dificuldades no manejo da DAI, pois estudos revelam que os profissionais de saúde a confundem muito com a LP em seus primeiros estágios 4,6 , além de serem necessários mais estudos epidemiológicos sobre a temática e que originem recomendações mais fortes para sua prevenção 11 .…”

Section: Discussionunclassified

Dermatite Associada À Incontinência: Prevalência E Fatores Associados Em Unidade De Terapia Intensiva

Domingues

Souza

Wojastyk

et al. 2022

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo:Analisar a prevalência pontual de dermatite associada à incontinência (DAI) e os fatores associados em pacientes adultos internados em unidades de terapia intensiva (UTIs). Método: Estudo transversal, observacional, retrospectivo, realizado com 105 pacientes em UTI de três hospitais universitários localizados no estado de São Paulo. As variáveis demográficas, clínicas e de DAI foram coletadas do banco de dados do projeto de pesquisa “Prevalência de lesão por pressão em Unidade de Terapia Intensiva”, composto por informações extraídas dos prontuários e de exames físicos. Os dados foram analisados por meio de estatística descritiva e inferencial. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Instituição proponente. Resultados: Dos 105 pacientes, 58 (55,2%) eram do sexo masculino, com média de idade de 55,76 anos (desvio padrão = 16,4), 105 (91,3%) estavam com cateter urinário e 89,4% usavam fraldas. Dez pacientes apresentaram DAI, com prevalência pontual de 9,5%. O fator associado à DAI foi a admissão por trauma (p = 0,02). Conclusão: Estudos sobre DAI são fundamentais para uma assistência de enfermagem de qualidade, bem estruturada e fundamentada, sobretudo no cuidado aos pacientes críticos.

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“…An experimental study that conducted online training with an approach on prevention, early detection and skin care protocol with critical care nurses showed in its results a 50% reduction in the appearance of MASD 10 . However, there are still many difficulties in the management of AID, as studies show that health professionals confuse it with PU in its early stages 4,6 , besides the need for more epidemiological studies on the subject and that give rise to stronger recommendations for its prevention 11 .…”

Section: Introductionmentioning

confidence: 99%

Incontinence-Associated Dermatitis: Prevalence and Associated Factors in Intensive Care Unit

Domingues

Souza

Wojastyk

et al. 2022

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: To analyze the point prevalence of incontinence-associated dermatitis (IAD) and associated factors in adult patients admitted to Intensive Care Units (ICUs). Method: A cross-sectional, observational, retrospective study carried out with 105 patients in the ICU of three university hospitals located in the state of São Paulo. The demographic and clinical variables and IAD come from the database of the research project “Prevalence of pressure injuries in the Intensive Care Unit,” composed of information from medical records and physical examination. Data were analyzed using descriptive and inferential statistics. The study was approved by the Research Ethics Committee of the proposing institution. Results: Of the 105 patients, 58 (55.24%) were male, with a mean age of 55.76 years (SD = 16.39), 105 (91.3%) had a urinary catheter and 89.4% wore diapers. Ten patients had IAD, with a point prevalence of 9.52%. The factor associated with IAD was admission due to trauma (p = 0.02). Conclusion: Studies on IAD are essential for quality, well-structured and grounded nursing care, especially in the care of critically ill patients.

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Efficacy of a comprehensive strategy to reduce moisture-associated skin damage in an intensive care unit: A quasi-experimental study

Cited by 8 publications

References 23 publications

Incontinence-Associated Dermatitis

Incontinence-Associated Dermatitis

Dermatite Associada À Incontinência: Prevalência E Fatores Associados Em Unidade De Terapia Intensiva

Incontinence-Associated Dermatitis: Prevalence and Associated Factors in Intensive Care Unit

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