Document Type : Research articles
Authors
1
B.Sc. Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University
2
Professor, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University
3
Assistant Professor, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University
Abstract
Medical devices-related pressure injuries (MDRPIs) that are also known
as medical devices-related ulcers (MDRPUs) recognized as the most
common iatrogenic and sorrorigenic wounds found in critical care
settings. While MDRPIs can lead to increased risk of serious infections,
as well as pain, discomfort, extended hospital stays, and increased
expenses, the necessity of these medical devices often persists in
enhancing physiological parameters, providing advanced organ support,
and maintaining the patient's life. Therefore, prevention of MDRPIs is
crucial to improve patient outcomes. Aim: This study aims to determine
the effect of a SKINCARE bundle implementation on the prevention of
medical devices-related pressure injuries (MDRPIs) in Critical Care
Units. Design: A quasi-experimental research design with a prospective
approach was employed in this study. Settings: This study was conducted
in six intensive care units (ICUs) at Alexandria Main University Hospital
(AMUH). Subjects: 110 patients were included in the current study, and
they were divided equally into control and interventional groups
55patients each. Tools: Three tools were used to collect the data for the
current study namely: Patients’ demographic and clinical data assessment
record; Pressure injury risk assessment (Braden Scale); and Pressure
ulcer staging system (Puss) checklist. Results: The findings revealed a
statistically significant decrease in the occurrence of MDRPIs in the
intervention group that utilized the SKINCARE bundle, in contrast to the
control group that received routine care with all medical devices
assessed, including facemasks, foley catheters, pulse oximeters,
endotracheal tubes, nasogastric tubes, and venous catheters. Conclusion:
implementing the SKINCARE bundle significantly impacts the reduction
of MDRPIs in critically ill patients. Recommendations: Based on the fact
that care bundles have proven to be effective in improving clinical
outcomes, the current study recommended that healthcare authorities
adopt the three most frequently used strategies that enhance the use and
implementation of SKINCARE bundles, these include education,
reminders, audit and feedback. Further research is needed to identify the
best strategy to implement the SKINCARE bundle by the ICU nurses to
achieve high levels of compliance.
Keywords
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