Selected factors for predicting nurses’ competency towards the prevention of incontinence-associated dermatitis (IAD) in critically ill patients
Keywords:incontinence-associated dermatitis, work experiences, healthy work environment, supporting system, nurses’ competency
This predictive research design aimed to examine predictive power of working experience, training on the prevention of incontinence-associated dermatitis (IAD), healthy workplace environmental factors, and supporting system factors on nurses’ competency towards the prevention of critically ill patients. The sample composed of 100 registered nurses working in intensive care unit. Data were collected by questionnaires including nurses’ competency towards the prevention of IAD, healthy workplace environment, and supporting system. The predictors of variables were identified using multiple regression analysis.
The results revealed that the nurses’ competency towards the prevention of IAD in critically ill patients was at a moderate level. Only healthy workplace environment and supporting system factors, showed a statistically significant predictor of nurses’ competency towards the prevention of IAD (Adj. R2 = .395, p < .001).
The finding of this study can be used as basic information to guide the programs to enhance nursing competency towards the prevention of IAD in critically ill patients.
Beeckman D. A decade of research on incontinence-associated dermatitis (IAD): evidence, knowledge gaps and next steps. J Tissue Viability. 2017; 26: 47-56.
Uppanisakorn S, Sommai T, Vattanaprasan P. 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. 2015; 30(2): 86-100. (in Thai).
Jack L, Coyer F, Courtney M, Venkatesh, B. Diarrhoea risk factors in enterally tube fed critically ill patients: a retrospective audit. Intensive Crit Care Nurs. 2010; 26(6): 327-34.
Valls-Matarin J, Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M. Sandalinas-Mulero I. Incidence of moisture-associated skin damage in an intensive care unit. Enferm Intensiva. 2017; 28(1):13-20.
Demarre L, Verhaeghe S, Hecke AV, Clays E, Grypdonck M, Beeckman D. Factors predicting the development of pressure ulcers in an at-risk population who receive standardized preventive care: secondary analyses of a multicentre randomised controlled trial. J Adv Nurs. 2015; 71(2): 391-403.
Damme NV, Clays E, Verhaeghe S, Hecke, AV, Beeckman D. Independent risk factors for the development of incontinence-associated dermatitis (category 2) in critically ill patients with fecal incontinence: a cross-sectional observational study in 48 ICU units. Int J Nurs Stud. 2018; 81: 30-9.
Park KH, Choi H. Prospective study on incontinence-associated dermatitis and its severity instrument for verifying its ability to predict the development of pressure ulcers in patients with fecal incontinence. Int Wound J. 2016; 13(s1): 20-5.
Junkin J, Selekof JL. Prevalence of incontinence and associated skin injury in the acute care in patient. J Wound Ostomy Continence Nurs. 2007; 34(3): 260-69.
Pather P, Hines S, Kynoch K, Coyer F. Effectiveness of topical skin products in the treatment and prevention of incontinence-associated dermatitis: a systematic review. JBI Database of System Rev Implement Rep. 2017; 5(5): 1473–96.
Fukada M. Nursing competency: definition, structure and development. Yonago Acta Med. 2018; 61(1): 1-7.
Wound, ostomy and continence nurses society task force. Wound, ostomy, and continence nursing: scope and standards of WOC practice, 2nd edition an executive summary. J Wound Ostomy Continence Nurs. 2018; 45(4): 369-87.
Chunbang S, Wongvatunyu S, Aree-Ue S. Selected factors related to nursing practice for preventing increased intracranial pressure in patients with brain surgery. Ramathibodi Nursing Journal. 2013; 19(2): 264-76. (in Thai).
Rizany I, Hariyati RTS, Handayani H. Factors that affect the development of nurses’ competencies: a systematic review. Enferm Clin. 2018; 28: 154-7.
American Association of Critical-Care Nurses. AACN standards for establishing and sustaining healthy work environments: a journey to excellence. Am J Crit Care. 2018; 4(3): 187-97.
Wongtawan T, Prachusilpa G. A study of the roles of enterostomal therapy nurse. Thai Red Cross Nursing Journal. 2017; 10(2): 121-39. (in Thai).
Gray M. Incontinence-related skin damage: essential knowledge. OWM 2007;53(12):28–32.
Uangnakhon M, Abhicharttibutra K, Chontawan R. Development of a competency framework for registered nurses, surgical intensive care unit, Chiang Rai Prachanukroh hospital. Nursing Journal. 2016; 43: 129-39. (in Thai).
Hirunpinyopas A, Prachusilpa G. Predicting factors of competency of professional nurses in coronary care unit. Thai Journal of Cardio-Thoracic Nursing. 2016; 27(2): 71-84. (in Thai).
Srisatidnarakul B. The methodology in nursing research. 5 th ed. Bangkok: U&I inter media; 2010. (in Thai).
Benner P. Form novice to expert: excellence and power in clinical nursing practice. Menlo Park, California: Addison-Wesley; 1984.
Phungsiri P. The effect of utilizing work instruction for incontinence associated dermatitis in high risk patient. Region 11 Medical Journal. 2016; 30(1): 59-67. (in Thai).
Liou S. R., Cheng C. Y. Organizational climate, organizational commitment and intention to leave amongst hospital nurses in Taiwan. J Clin Nurs. 2010; 19: 1635-44.
Sinwisarn N. Wisesrith W. Relationships between working experiences, educational training, emotional intelligence, working environment, and nurse competency in cardiothoracic surgical ward, the tertiary hospital. Thai Journal of Cardio-Thoracic Nursing. 2019; 30(1): 46-59. (in Thai).
Salonen AH, Kaunonen M, Meretoja R, Tarkka MT. Competence profiles of recently registered nurses working in intensive and emergency settings. J. Nurs. Manag. 2007; 15(8): 792-800.
Wanthanatas R. Factors affecting professional nurses’ performance based on the nursing process at Nakhonpathom hospital, Nakhonpathom province. Nursing Journal of the Ministry of Public Health. 2016; 26(2): 103-15. (in Thai).
Wattradul D, Jamsomboon K, Sanprasan P, Suthipong N, Taechaveerakorn N, Prousoontron M. Factors influencing to knowledge management of cardiovascular nursing in registered nurses. Thai Journal of Cardio-Thoracic Nursing. 2016; 27(2): 85-99. (in Thai).
Srepatarapinyo J. Knowledge, skill and indicators for specific nursing care in the 5 southern border provinces. Nonthaburi: Nursing Division, Ministry of Public Health. 2008; 55-66. (in Thai).
บทความนี้ยังไม่เคยตีพิมพ์หรืออยู่ในระหว่างส่งไปตีพิมพ์ในวารสารอื่นๆ มาก่อน และกองบรรณาธิการขอสงวนสิทธิ์ในการตรวจทาน และแก้ไขต้นฉบับตามเกณฑ์ของวารสาร ในกรณีที่เรื่องของท่านได้ได้รับการตีพิมพ์ในวารสารฉบับนี้ถือว่าเป็น ลิขสิทธิ์ของวารสารพยาบาลโรคหัวใจและทรวงอก