Nurses’ Competency in Caring for Patients with Incontinence-Associated Dermatitis

Authors

  • Jintana Suwan-on Faculty of Nursing, Thammasat University
  • Yaowarat Matchim Faculty of Nursing, Thammasat University
  • Borwarnluck Thongthawee Faculty of Nursing, Thammasat University

Keywords:

Nurses’ competency, Incontinence-associated dermatitis, Medical ward

Abstract

Incontinence-Associated Dermatitis (IAD) is a condition in which there is inflammation of the skin from contact with urine or stool. It is a common condition in elderly and chronically ill patients who cannot control their continence. This descriptive research aimed to examine the level of nurses’ competency in caring for patients with IAD. Study participants included 253 registered nurses working in medical wards in the 4th Public Health Region. The instruments used for collecting data included: 1) a demographic data form, and 2) the scale of competency in caring for patients with IAD (SC-IAD). The SC-IAD was tested for content validity by five experts and received a Content Validity Index (CVI) of 1.00. The reliability was tested among 30 registered nurses and yielded a Cronbach’s alpha of .98. The data were analyzed using descriptive statistics.

The results showed that nurses’ competency in caring for patients with IAD was at a moderate level (M = 179.63, SD = 38.16). When considering each dimension, it was found that only nursing practice competency was at a high level (M = 63.86, SD = 11.05), while competency in other dimensions was at a moderate level.

The results of this study can be used as basic information to improve nurses’ competency in caring for patients with IAD to enhance the quality of care.

References

Benner, P. (1982). From novice to expert. American Journal of Nursing, 82(3), 402-407. https://journals.lww.com/ajnonline/citation/1982/82030/from_novice_to_expert.4.aspx

Bliss, D. Z., Funk, T., Jacobson, M., & Savik, K. (2015). Incidence and characteristics of incontinence-associated dermatitis in community-dwelling persons with fecal incontinence. Journal of Wound, Ostomy, and Continence Nursing, 42(5), 525-530. https://doi.org/10.1097/WON.0000000000000159

Bliss, D. Z., Savik, K., Thorson, M. A. L., Ehman, S. J., Lebak, K., & Beilman, G. (2011). Incontinence-associated dermatitis in critically ill adults: Time to development, severity, and risk factors. Journal of Wound Ostomy & Continence Nursing, 38(4), 433-445.

Dongpho, P. (2019). Effectiveness of clinical practice guidelines implementation for pressure sore preventation. Thammasat Medical Journal, 19(2), 315-323. (inThai)

Gray, M., Beeckman, D., Bliss, D. Z., Fader, M., Logan, S., Junkin, J., Selekof, J., Doughty, D., & Kurz, P. (2012). Incontinence-associated dermatitis: A comprehensive review and update. Journal of Wound Ostomy & Continence Nursing, 39(1), 61-74. https://doi.org/10.1097/WON.0b013e31823fe246

Gray, M., & Giuliano, K. K. (2018). Incontinence-associated dermatitis, characteristics and relationship to pressure injury: A multisite epidemiologic analysis. Journal of Wound, Ostomy, and Continence Nursing, 45(1), 63-67. https://doi.org/10.1097/WON.000000000000039

Johansen, E., Bakken, L. N., Duvaland, E., Faulstich, J., Hoelstad, H. L., Moore, Z., Vestby, E. M., & Beeckman, D. (2018). Incontinence-Associated Dermatitis (IAD): Prevalence and associated factors in 4 hospitals in Southeast Norway. Journal of Wound Ostomy & Continence Nursing, 45(6), 527-531. https://doi.org/10.1097/won.0000000000000480

Lumbers, M. (2019). How to manage incontinence-associated dermatitis in older adults. British Journal of Community Nursing, 24(7), 332-337. https://doi.org/10.12968/bjcn.2019.24.7.332

Ministry of Public Health. (2020). Report on the performance of the 4th health distric for fiscal year 2020. https://rh4.moph.go.th/upload/c4cd180c52eec726c3d84c75a452f30d.pdf

Ngamkala, T., Malathum, P., & Krairit, O. (2018). Incidence and risk factors of acute confusional state in hospitalized older patients. Ramathibodi Nursing Journal, 24(2), 137-149. https://www.rama.mahidol.ac.th/ramanursej/rnj-v24-no2-may-aug-2018-03 (in Thai)

Phungsiri, P. (2016). The effect of utilizing work instruction for incontinence associated dermatitis in high risk patient. Region 11 Medical Journal, 30(1), 59-67. (in Thai)

Rajavithi Hospital. (2017). Statistical report 2017. http://www.rajavithi.go.th/rj/wp-content/uploads/2019/02/stat2560.pdf

Rizany, I., Hariyati, R. T. S., & Handayani, H. (2018). Factors that affect the development of nurses’ competencies: A systematic review. Enfermeria Clinica, 28, 154-157. https://doi.org/10.1016/S1130-8621(18)30057-3

Sulaiman, N., Sae-Sia, W., & Promnoi, C. (2020). Selected factors for predicting nurses’ competency towards the prevention of incontinence-associated dermatitis (IAD) in critically ill patients. Thai Journal of Cardio-Thoracic Nursing, 31(2), 174-186. (in Thai)

Uppanisakorn, S., Sommai, T., Vattanaprasan, P., & Boonyarat, J. (2015). Prevention and treatment of Incontinence-Associated Dermatitis (IAD) in critical patients treated in the intensive care unit of a medical ward. Thai Journal of Nursing Council, 30(2), 86-100. (in Thai)

Wound, Ostomy and Continence Nurses Society Task Force. (2018). Wound, ostomy, and continence nursing: Scope and standards of WOC practice, 2nd Edition: An executive summary. Journal of Wound, Ostomy, and Continence Nursing, 45(4), 369–387. https://doi.org/10.1097/WON.0000000000000438

Downloads

Published

2024-09-26

How to Cite

Suwan-on, J., Matchim, Y., & Thongthawee, B. (2024). Nurses’ Competency in Caring for Patients with Incontinence-Associated Dermatitis. Nursing Journal CMU, 51(3), 84–95. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268903

Issue

Section

Research Article