Authors (including presenting author) :
Lam WC, Lee KC, Ng YL, Tam PK, Lee MF, Choa L, & Ho WF
Affiliation :
Department of Nursing, Cheshire Home, Chung Hom Kok
Introduction :
Incontinence Associated Dermatitis (IAD) is often combined with skin damage caused by pressure and shears or related factors, sometimes leading to confusion among clinicians concerning its etiology and diagnosis. Therefore, staff‘s awareness and knowledge of IAD is an important factor to management the IAD. Increasing the ability to identify and differentiate pressure injury and IAD can improve IAD prevention and treatment.
Objectives :
To improve the nursing staff’s awareness on assessment prevention and management of IAD in order to reduce pressure injury related to complication of IAD in infirmary ward
Methodology :
Plan–Do–Check–Act Cycle model was adopted 1. First step: plan Reviewed and collected the number of the pressure injury case which was related to IAD in the past 12 month. Performed literature review on IAD assessment, prevention and management. 2. Second step: Do Conducted 3 identical educational workshops Performed pre and post knowledge assessment for each educational workshop Developed IAD assessment, prevention and management poster 3. Third step: Check Analyzed the pre and post questionnaire result Compared with KPI of Pressure injury before and after knowledge transferred and new skin care product applied. Carried out staff satisfactory survey for educational session and new skin product application. 4. Fourth step: Act Addressed the most misconception of IAD assessment and management and created improvement plan for the next educational workshop and current practice.
Result & Outcome :
Result 1. Knowledge assessment: The overall average pre-test result was 39.8% (Question 46.9% and Photo 34.2%) and the post-test was 69.2% (Question 65.6% and Photo 72.1%) 2. Satisfactory survey for educational workshop and new skin product: 70% staff agreed enhancement of their knowledge of assessment, prevention and management of IAD. 88.8% staff recognized that the new skin products were able to prevent and care IAD effectively. 83% staff showed increasing job satisfaction because patient got proper treatment. 3. There was NO pressure injury related to IAD identified since December 2017 in CCH after the educational workshop conducted and new skin care product applied Conclusion IAD is a very prevalent problem but not many healthcare professionals know how to identify and management of IAD properly. Enhancing staff’s awareness and knowledge can strengthen their ability to identify and differentiate pressure injury and IAD. Decreasing hospital-acquired IAD could potentially decrease hospital-acquired pressure injury and the costs associated with these could be remarkably minimized.
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