Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Clinical Nurses' Knowledge, Attitudes, and Performance on Incontinence Associated Dermatitis

임상간호사의 실금 관련피부염에 대한 지식, 태도 및 수행 정도

  • Kim, Jung Yoon (Division of Nursing, Seoul National University Bundang Hospital) ;
  • Dong, Cha Bun (Department of Nursing, Bobath Memorial Hospital) ;
  • Lee, Yun Jin (Division of Nursing, Severance Hospital) ;
  • Ju, Myoung Jean (Department of Nursing, Kosin University Gospel Hospital)
  • 김정윤 (분당서울대학교병원 간호본부) ;
  • 동차분 (보바스 기념병원 간호부) ;
  • 이윤진 (세브란스병원 간호국) ;
  • 주명진 (고신대학교병원 간호부)
  • Received : 2024.05.30
  • Accepted : 2024.06.19
  • Published : 2024.08.31
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Abstract

Purpose: Incontinence-associated dermatitis (IAD) is widespread and a common problem in healthcare settings, It is defined as irritation of the perineal skin due to contact with urine, feces, or both. It is one of the major risk factors for the development of pressure injuries are regarded as a quality indicator of nursing care. It is important to understand the knowledge and attitudes of nurses who are primarily responsible for providing appropriate nursing care that includes differentiation of IAD from other skin breakdowns, and appropriate management. Therefore, the purpose of this study was to determine the knowledge, attitudes, and performance of IAD among clinical nurses in Korea. Methods: Data about IAD knowledge, attitudes, and performance were collected from August to November 2022. 656 nurses from six hospitals participated in the study. Results: The mean scores of nurses' knowledge, attitudes, and performance were 17.98±2.91, 76.34±7.85, and 91.53±16.18, respectively. Nurses' knowledge showed a positive correlation in both attitudes (r=0.27, p<.001) and performance (r=0.09, p=.02), and attitudes and performance (r=0.34, p<.001) also showed a positive correlation. Conclusion: To improve the knowledge and performance of nurses, an educational program consisting only of incontinence-related dermatitis is needed, and case-based education and clinical skills education are needed to enhance the ability to differentiate from pressure injury.

Keywords

Acknowledgement

본 논문은 2022년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

References

  1. Beele H, Smet S, Van Damme N, Beeckman D. Incontinence-associated dermatitis: Pathogenesis, contributing factors, prevention and management options. Drugs Aging. 2018;35(1): 1-10. https://doi.org/10.1007/s40266-017-0507-1
  2. Gray M. Incontinence-related skin damage: Essential knowledge. Ostomy Wound Management. 2007;53(12):28-32. https://pubmed.ncbi.nlm.nih.gov/18184980/
  3. Gray M. Optimal management of incontinence-associated dermatitis in the elderly. American Journal of Clinical Dermatology. 2010;11(3):201-210. https://doi.org/10.2165/11311010-000000000-00000
  4. Borchert K, Bliss DZ, Savik K. Radosevich DM. The incontinence-associated dermatitis and its severity instrument: Development and validation. Journal of Wound, Ostomy, and Continence Nursing. 2010;37(5):527-535. https://doi.org/10.1097/won.0b013e3181edac3e
  5. European Pressure Ulcer Advisory Pane; National Pressure Injury Advisory Panel; Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers/injuries: Clinical practice guideline: The international guideline. 3rd ed. Prague (CZ): EPUAP/NPIAP/PPPIA; 2019. p. 10-292.
  6. Korea Association of Wound Ostomy Continence Nurses. Wound visual dictionary. Paju: Koonja; 2017.
  7. Gray M, Giuliano KK. Incontinence-associated dermatitis, characteristics and relationship to pressure injury: A multisite epidemiologic analysis. Journal of Wound, Ostomy and Continence Nursing. 2018;45(1):63-67. https://doi.org/10.1097/won.0000000000000390
  8. Shin CW, Kim SD, Cho WY. The prevalence and management of urinary incontinence in elderly patients at sanatorium in Busan area. Investigative and Clinical Urology. 2009;50(5): 450-456. https://doi.org/10.4111/kju.2009.50.5.450
  9. Beeckman D, Schoonhoven L, Verhaeghe S, Heyneman A, Defloor T. Prevention and treatment of incontinence-associated dermatitis: Literature review. Journal of Advanced Nursing. 2009;65(6):1141-1154. https://doi.org/10.1111/j.1365-2648.2009.04986.x
  10. Lee YJ, Park SM, Kim JY, Kim CG, Cha SK. Clinical nurses' knowledge and visual differentiation ability in pressure ulcer classification system and incontinence-associated dermatitis. Journal of Korean Academy of Nursing. 2013:43(4):526-535. https://doi.org/10.4040/jkan.2013.43.4.526
  11. Tay C, Yuh AS, Sheau Lan EL, Ong CE, Aloweni F, Lopez V. Development and validation of the incontinence associated dermatitis knowledge, attitude and practice questionnaire. Journal of Tissue Viability. 2020;29(4):244-251. https://doi.org/10.1016/j.jtv.2020.06.004
  12. Van Damme N, Van Hecke A, Himpens A, Verhaeghe S, Beeckman D. Design and psychometric testing of the attitude towards the prevention of incontinence-associated dermatitis instrument (APrIAD). International Wound Journal. 2019;16 (2):492-502. https://doi.org/10.1111/iwj.13062
  13. Kayser SA, Koloms K, Murray A, Khawar W, Gray M. Incontinence and incontinence-associated dermatitis in acute care: A retrospective analysis of total cost of care and patient outcomes from the premier healthcare database. Journal of Wound, Ostomy and Continence Nursing. 2021;48(6):545-552. https://doi.org/10.1097/won.0000000000000818
  14. Kim MK. Factors influencing nursing performance of incontinence-associated dermatitis [master's thesis]. Seoul: Hanyang University; 2020. p. 1-60.
  15. Duarte GM, Medeiros AM, Vasconcelos CD, Silva GR, Andrade EM. Nursing knowledge about incontinence-associated dermatitis in a teaching hospital. Revista Gaucha de Enfermagem. 2022;43:e20210326. https://doi.org/10.1590/1983-1447.2022.20210326.en
  16. Sahin F, Karadag A, Avsar P. A. survey of Turkish nurses' knowledge of incontinence-associated dermatitis. Journal of Wound, Ostomy and Continence Nursing. 2019;46(5):434-440. https://doi.org/10.1097/won.0000000000000567
  17. Barakat-Johnson M, Stephenson J, Basjarahil S, Campbell J, Cunich M, Disher G, et al. Clinician knowledge of incontinence-associated dermatitis: A multisite survey of healthcare professionals in acute and subacute settings. Journal of Wound, Ostomy and Continence Nursing. 2022;49(2):159-167. https://doi.org/10.1097/won.0000000000000846
  18. Nguyen KH, Chaboyer W, Whitty JA. Pressure injury in Australian public hospitals: A cost-of-illness study. Australian Health Review. 2015;39(3):329-336. https://doi.org/10.1071/ah14088
  19. Lee HN, Song RY. Factors influencing the occurrence of diarrhea in patients admitted to intensive care units. Journal of Korean Academy of Fundamentals of Nursing. 2019;26(4): 221-230. https://doi.org/10.7739/jkafn.2019.26.4.221
  20. Kim SO, Kim SM. The effects of pressure injury nursing knowledge and pressure injury nursing attitude on pressure injury nursing practices of nurses in geriatric hospitals. Journal of Korean Biological Nursing Science. 2022;24(3): 190-199. https://doi.org/10.7586/jkbns.2022.24.3.190
  21. Park JH, Jang YS. Nurses' attitude, subjective norm, perceived behavioral control, and behavior regarding pressure ulcer prevention behavior based on theory of planned behavior. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(12):212-223. https://doi.org/10.5762/KAIS.2019.20.12.212
  22. Kim JK, Yoo SH, Nho JH, Ju JK. Performance and influencing factors of evidence-based pressure ulcer care among acute hospital nurses. Worldviews on Evidence-Based Nursing. 2019;16(1):29-35. https://doi.org/10.1111/wvn.12348
  23. Wound, Ostomy and Continence Nurses Society-Wound Guidelines Task Force. WOCN 2016 guideline for prevention and management of pessure injuries(Ulcers): An executive summary. Journal of Wound, Ostomy and Continence Nursing. 2017;44(3):241-246. https://doi.org/10.1097/won.0000000000000321
  24. Lee EJ, Yang SO. Clinical knowledge and actual performance of pressure ulcer care by hospital nurses. Journal of Korean Clinical Nursing Research. 2011;17(2):251-261. https://doi.org/10.22650/JKCNR.2011.17.2.11
  25. Kang MJ, Kim MS. Correlations among attitude toward pressure ulcer prevention, knowledge and non-compliance risk for pressure ulcer prevention practice and degree of nursing performance. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(9):408-419. https://doi.org/10.5762/KAIS.2018.19.9.408
  26. Yang NY, Moon SY. Perceived importance, educational needs, knowledge and performance concerning pressure ulcer care by clinical nurses. Korean Journal of Adult Nursing. 2009;21(1):95-104.
  27. Lee SJ, Park OK, Park MY. A structural equation model of pressure ulcer prevention action in clinical nurses. Journal of Korean Academy of Nursing. 2016;46(4):572-582. https://doi.org/10.4040/jkan.2016.46.4.572
  28. Park JH, Jang YS. Nurses' attitude, subjective norm, perceived behavioral control, and behavior regarding pressure ulcer prevention behavior based on theory of planned behavior. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(12):212-223. https://doi.org/10.5762/KAIS.2019.20.12.212
  29. Park SM, Yang NY, Choi JS. Factors affecting attitudes and preventive practice of pressure ulcer among nurses. Journal of Muscle and Joint Health. 2013;20(1):43-51. https://doi.org/10.5953/JMJH.2013.20.1.43
  30. Zhang YB, He L, Gou L, Pei JH, Nan RL, Chen HX, el al. Knowledge, attitude, and practice of nurses in intensive care unit on preventing medical device-related pressure injury: A cross-sectional study in western China. International Wound Journal. 2021;18(6):777-786. https://doi.org/10.1111/iwj.13581