Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Adaptation of the Evidence-Based Nursing Practice Guideline: Prevention and Management of Moisture Associated Skin Damage

근거 기반 간호 실무지침 수용개작: 습기 관련 피부 손상의 예방과 관리

  • 백규원 (삼성서울병원 간호파트) ;
  • 박주희 (삼성서울병원 상처장루실금) ;
  • 김민경 (삼성서울병원 상처장루실금) ;
  • 김경선 (삼성서울병원 간호파트) ;
  • 전경옥 (삼성서울병원 간호파트) ;
  • 박수현 (삼성서울병원 간호파트) ;
  • 양원지 (삼성서울병원 간호파트) ;
  • 황지원 (삼성서울병원 간호팀)
  • Received : 2018.09.30
  • Accepted : 2018.10.18
  • Published : 2018.12.31
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Abstract

Purpose: This study was done to develop an evidence-based nursing clinical practice guideline for Moisture associated skin damage (MASD) prevention and management for patients in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by the Korean Hospital Nurses Association. It consists of three main phases and 9 modules including a total of 24 steps. Results: The adapted MASD clinical practice guideline consisted of 4 sections, 8 domains and 28 recommendations. The number of recommendations in each section was: 7 on MASD assessment, 14 on MASD prevention and management, 4 on education, and 3 on organizational policy. Of the recommendations, 3.6% were marked as A grade, 28.6% as B grade, and 67.8% as C grade. Conclusion: This MASD clinical practice guideline is the first to be developed in Korea. The developed guideline will contribute to standardized and consistent MASD prevention and management. The guideline can be recommended for dissemination and utilization by nurses nationwide to improve the quality of MASD prevention and management. Regular revision is recommended.

Keywords

Table 1. Guideline Assessment Using AGREE II Tool

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Table 2. Guideline Assessment Using TADD Tool

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Table 3. Recommendations for MASD Clinical Practice Guideline

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Table 4. Nursing Practice Guideline for Prevention and Management of Moisture Associated Skin Damage

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Table 4. Nursing Practice Guideline for Prevention and Management of Moisture Associated Skin Damage (Continued)

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Table 5. Differentiation of Incontinence-Associated Dermatitis versus Stage I and II Pressure Injury [21]

BGHSBR_2018_v24n3_263_t0006.png 이미지

References

  1. Zulkowski K. Diagnosing and treating moisture-associated skin damage. Advances in Skin & Wound care. 2012;25(5):231-236. https://doi.org/10.1097/01.ASW.0000414707.33267.92
  2. Gray M, Black JM, Baharestani MM, Bliss DZ, Colwell JC, Goldberg M, et al. Moisture-associated skin damage: Overview and pathophysiology. Journal of Wound Ostomy and Continence Nursing. 2011;38(3):233-241. https://doi.org/10.1097/WON.0b013e318215f798
  3. Colwell JC, Ratliff CR, Goldberg M, Baharestani MM, Bliss DZ, Gray M, et al. MASD part 3: Peristomal moisture-associated dermatitis and periwound moisture-associated dermatitis: A consensus. Journal of Wound Ostomy and Continence Nursing. 2011;38(5):541-553. https://doi.org/10.1097/won.0b013e31822acd95
  4. Bergstrom N, Horn SD, Smout RJ, Bender SA, Ferguson ML, Taler G, et al. The national pressure ulcer long-term care study: Outcomes of pressure ulcer treatments in long-term care. Journal of the American Geriatrics Society. 2005;53(10):1721-1729. https://doi.org/10.1111/j.1532-5415.2005.53506.x
  5. Bliss DZ, Savik K, Harms S, Fan Q, Wyman JF. Prevalence and correlates of perineal dermatitis in nursing home residents. Nursing Research. 2006;55(4):243-251. https://doi.org/10.1097/00006199-200607000-00004
  6. Park KH. Adaptation and verification of the incontinence care protocol [dissertation]. Seoul: Konkuk University; 2014. p. 1-126.
  7. Armstrong DG, Ayello EA, Capitulo KL, Fowler E, Krasner DL, Levine JM, et al. New opportunities to improve pressure ulcer prevention and treatment: Implications of the CMS inpatient hospital care present on admission indicators/hospitalacquired conditions policy: A consensus paper from the International Expert Wound Care Advisory Panel. Advances in Skin & Wound Care. 2008;21(10):469-478. https://doi.org/10.1097/01.asw.0000323562.52261.40
  8. Gu MO, Cho YA, Cho MS, Eun Y, Jeong JS, Jung IS, et al. Adaptation of intravenous infusion nursing practice guideline. Journal of Korean Clinical Nursing Research. 2013;19(1):128-142. https://doi.org/10.22650/JKCNR.2013.19.1.128
  9. Jeong IS, Kim S, Jeong JS, Hong EY, Lim EY, Seo HJ, et al. Development of pressure ulcer management guideline by adaptation process. Journal of Korean Clinical Nursing Research. 2014;20(1):40-52. https://doi.org/10.22650/JKCNR.2014.20.1.40
  10. National Pressure Ulcer Advisory Panel; European Pressure Ulcer Advisory Panel; Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcer: Clinical practice guideline. Perth: Cambridge Media; 2014.
  11. Wound, Ostomy and Continence Nurses Society. Guideline for prevention and management of pressure ulcers (Injuries). Mount Laurel, NJ: Wound, Ostomy and Continence Nurses Society; 2016.
  12. Kim SY, Kim NS, Shin SS, Ji SM, Lee SJ, Kim SH, et al. Manual for guideline adaptation (ver 2.0). Seoul: National Evidencebased Healthcare Collaborating Agency; 2011.
  13. The AGREE Next Steps Consortium. Appraisal of guidelines for research and evaluation II. The AGREE Research Trust; 2013.
  14. Kim NS, Kim SY, Park HA, Shin SS, Lee HY, Ji SM, et al. Tool for assessment of adapted guidelines (TADD). Basic research. Seoul: National Strategic Coordinating Center for Clinical Research; 2012. Report NO.: 2012-01.
  15. Institute for Clinical Systems Improvement. Health care protocol: Pressure ulcer prevention and treatment protocol. 3rd ed. Bloomington, MN: Institute for Clinical Systems Improvement; 2012.
  16. Association for the Advancement of Wound Care. Association for the Advancement of Wound Care (AAWC) Pressure ulcer guideline [Internet]. Malvern (PA): Association for the Advancement of Wound Care; 2010. [cited 2018 August 1]. Available from: http://www.aawconline.org.
  17. British Columbia Provincial Nursing Skin & Wound Committee. Guideline: Assessment, prevention and treatment of moisture-associated skin damage (MASD) in adults & children [Internet]. Vancouver: British Columbia Provincial Nursing Skin & Wound Care Committee; 2017 [cited 2017 february 1]. Available from: https://www.clwk.ca/buddydrive/file/guideline-masd-2017-february/.
  18. Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'Grady NP, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases. 2009;49(1):1-45. https://doi.org/10.1086/599376
  19. Fitch K, Bernstein SJ, Aguilar MD, Burnand B, LaCalle JR, Lazaro P, et al. The RAND/UCLA appropriateness method user's manual. Santa Monica, CA: RAND Corporation; 2001.
  20. Choi BR. RAM (RAND/UCLA Appropriateness Method) applied to decision making method. HIRA Policy Trends. 2010; 4(1):58-62.18.
  21. Black JM, Gray M, Bliss DZ, Kennedy-Evans KL, Logan S, Baharestani MM, et al. MASD part 2: Incontinence-associated dermatitis and intertriginous dermatitis: A consensus. Journal of Wound Ostomy and Continence Nursing. 2011:38(4):359-370. https://doi.org/10.1097/won.0b013e31822272d9
  22. Defloor T, Schoonhoven L, Katrien V, Weststrate J, Myny D. Reliability of the European pressure ulcer advisory panel classification system. Journal of Advanced Nursing. 2006;54(2):189-198. https://doi.org/10.1111/j.1365-2648.2006.03801.x