Knowledge of nursing staff before and after training on incontinence-associated dermatitis

Ximenes, Raelly Ramos Campos; Chaves, Edna Maria Camelo; Girão, Ana Lívia Araújo; Gonçalves, Maria Helane Rocha Batista; Ferreira, Saionara Leal; Carvalho, Rhanna Emanuela Fontenele Lima de

doi:10.1590/1980-220X-REEUSP-2023-0272en

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 58 • 2024 • https://doi.org/10.1590/1980-220X-REEUSP-2023-0272en copy

Knowledge of nursing staff before and after training on incontinence-associated dermatitis^* * Extracted from the thesis “Development of a prevention and treatment protocol for incontinence-associated dermatitis”, Universidade Estadual do Ceará, 2023.

Conocimientos del personal de enfermería antes y después de la formación sobre la dermatitis asociada a la incontinencia

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To verify the knowledge of nursing staff before and after training on incontinence-associated dermatitis.

Method:

A study before and after an educational intervention carried out with nursing staff from the medical and surgical clinics and intensive care unit of the university hospital in June 2023. The training took place over three meetings. Data was collected using a questionnaire administered immediately before and after the training. McNemar’s test for dependent samples was used to compare before and after training.

Results:

25 nurses and 14 nursing technicians took part. The items that showed statistical significance were related to the identification and correct differentiation of dermatitis associated with incontinence and pressure injury; and the correct way to sanitize the skin.

Conclusion:

The training of the nursing team made it possible to assess their knowledge of how to identify, prevent and treat incontinence-associated dermatitis.

DESCRIPTORS
Pressure Ulcer; Dermatitis; Fecal Incontinence; Urinary Incontinence; Enterostomal Therapy

Variable	n (%)
Professional category
Nurse	25 (64,1)
Nursing technician	14 (35,9)
Gender
Female	35 (89,74)
Male	4 (10,26)
Degree
Specialization	22 (56,41)
Technical specialization	13 (33,33)
Master’s degree	4 (10,26)
Length of training
>15 years	16 (41,03)
Between 10 – 15 years	15 (38,46)
Between 6 – 10 years	6 (15,38)
< 5 years	2 (5,13)
Work unit
Surgical ward	19 (48,72)
Medical ward	15 (38,46)
Intensive Care Unit	5 (12,82)

Questions about incontinence-associated dermatitis	Pre-test n(%)		Post-test n(%)
	yes	no	yes	no	p-value
1. Do you know how to identify incontinence-associated dermatitis?	31 (79,5)	8 (20,5)	39 (100)	–	0,008
2. Do you know the difference between pressure injuries and incontinence-associated dermatitis?	32 (82,1)	7 (17,9)	39 (100)	–
	Rights	Wrongs	Rights	Wrongs	p-value
3. Incontinence-Associated Dermatitis (IAD) is a clinical manifestation characterized by erythema and edema of the skin surface, which may be accompanied by flictenas, erosion or secondary skin infection, common in patients with urinary and/or fecal incontinence. (R)	36 (92,3)	3 (7,7)	38 (97,4)	1 (2,6)	0,625
4. IAD results from pressure on a bony prominence or associated with the location of a medical device. (W)	37 (94,9)	2 (5,1)	38 (97,4)	1 (2,6)	1
5. It is not possible to confuse IAD with pressure injuries in the early stages. (W)	33 (84, 6)	6 (15,4)	33 (84, 6)	6 (15,4)	1
6. Non-blanchable erythema or non-reactive hyperemia is characteristic of IAD. (R)	27 (69,2)	12 (30,8)	28 (71,8)	11 (28,2)	1
7. The most common sites of IAD are: groin, intergluteal region, buttocks, labia majora in women, and testicles in men. (R)	39 (100)	–	39 (100)	–
8. When sanitizing the skin, liquid soap with an acidic pH should preferably be used. (R)	8 (20,5)	31 (79,5)	23 (59,0)	16 (41,0)	0,001
9. In the absence of suitable products for cleaning skin exposed to humidity, it is preferable to clean the skin with soap and water. (W)	4 (10,3)	35 (89,7)	23 (59,0)	16 (41,0)	0,001
10. IAD without the presence of infection is classified as 1A and 2A according to GLOBIAD. (R)	30 (76,9)	9 (23,1)	36 (92,3)	3 (7,7)	0,07
11. In IAD category 1A, skin protection (barrier cream or spray) should be applied frequently according to the manufacturer’s instructions to patients with urinary and/or fecal incontinence. (R)	36 (92,3)	3 (7,7)	38 (97,4)	1 (2,6)	0,625
12. Request an opinion from a dermatology or stomatherapy specialist nurse who is part of the work institution’s skin committee for an individualized assessment whenever there is loss of epidermis – category 2 of the RTI. (R)	35 (89,7)	4 (10,3)	38 (97,4)	1 (2,6)	0,25
13. Changes in the color of the skin around the lesion are not factors that help to differentiate between PI and IAD. (W)	29 (74,4)	10 (25,6)	32 (82,1)	7 (17,9)	0,581
14. Skin protectors can come in the form of creams, pastes, films or lotions. It is recommended to apply the skin protectant frequently according to the manufacturer’s instructions. (R)	37 (94,9)	2 (5,1)	38 (97,4)	1 (2,6)	1

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Raelly Ramos Campos Ximenes, Av. Dr. Silas Munguba, 1700, Itaperi, 60714-903 – Fortaleza, CE, Brazil, raellyramos@hotmail.com

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Knowledge of nursing staff before and after training on incontinence-associated dermatitis* * Extracted from the thesis “Development of a prevention and treatment protocol for incontinence-associated dermatitis”, Universidade Estadual do Ceará, 2023.

Conocimientos del personal de enfermería antes y después de la formación sobre la dermatitis asociada a la incontinencia

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Knowledge of nursing staff before and after training on incontinence-associated dermatitis^* * Extracted from the thesis “Development of a prevention and treatment protocol for incontinence-associated dermatitis”, Universidade Estadual do Ceará, 2023.