Main Article Content
The descriptive research study aimed to 1) identify the level of nurses’ competency towards the prevention of Incontinence-Associated Dermatitis (IAD) in critically ill patients and 2) to examine the relationship between work experiences factors, received training on prevention and care of IAD, healthy
work environment, supporting system, and nurse competency towards the prevention of IAD in critically ill patients. The sample composed of 30 professional nurses with at least 1 year of work experience in the critical care unit. Data were collected by Nurse Competency for Prevention IAD Questionnaire, Healthy Work Environment Questionnaire, and Supporting System Questionnaire. The questionnaires were validated by three experts and yielded Cronbach’s alpha coefficient reliability of .95, .93, and .85, respectively. Data were analyzed using percentage, mean, standard deviation, Pearson’s product moment correlation coefficient, and Spearman’s rank correlation coefficient.
The result revealed that the nurses’ competency towards the prevention of IAD in critically ill patients was at a moderate level. For healthy work environment, and supporting system had a positive correlation with nurses’ competency towards the prevention of IAD (r = .46, p < .05; r = .64, p < .001, respectively). However, work experiences, and received training on prevention and care of IAD were not significantly correlated to nurses’ competency towards the prevention of IAD.
The finding of this study could be used as information to promote nurse’ competency towards the prevention of IAD specifically in critically ill patients and should report this study in a larger sample size.
2. Jack L, Coyer F, Courtney M, et al. Diarrhea risk factors in enterally tube fed critically ill patients: A retrospective audit. Intensive Crit Care Nurs. 2010; 26(6): 327-34. doi: 10.1016/j.iccn.2010.08.001.
3. Uppanisakorn S, Sommai T, Vattanaprasan P, et al. Prevention and treatment of incontinence-associated dermatitis (IAD) in critical patients treated in the intensive care unit of a medical ward. JTNMC. 2015; 30(2): 86-100. Thai.
4. Valls-Matarin J, Cotillo-Fuente M, Ribal- Prior R, et al. Incidence of moisture-associated skin damage in an intensive care unit. Enferm Intensiva. 2017; 28(1): 13-20. doi: 10.1016/j.enfi.2016.11.001.
5. Demarre L, Verhaeghe S, Hecke AV, et al. 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. 2014; 71(2): 391-403. doi: 10.1111/jan.12497.
6. Damme NV, Clays E, Verhaeghe S, et al. 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. doi: 10.1016/j.ijnurstu.2018.01.014.
7. Beeckman D. A decade of research on incontinence-associated dermatitis (IAD): Evidence, knowledge gaps and next steps. J Tissue Viability. 2017; 26(1): 47-56. doi: 10.1016/j.jtv.2016.02.004.
8. 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. doi: 10.1097/01.WON.0000270820.91694.1f
9. Pather P, Hines S, Kynoch K, et al. 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. doi: 10.11124/JBISRIR-2016-003015.
10. Wound, ostomy and continence nurses society task force. Wound, ostomy, and continence nursing: scope and standards of WOC practice, 2 nd edition an executive summary. J Wound Ostomy Continence Nurs. 2018; 45(4): 369-87. doi: 10.1097/WON.0000000000000438.
11. Fukada M. Nursing competency: Definition, structure and development. Yonago Acta Med. 2018; 61(1): 1-7. doi: 10.33160/yam.2018.03.001
12. 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(Suppl): 129-39. Thai.
13. 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. Thai.
14. Chunbang S, Wongvatunyu S, Aree-Ue S. Selected factors related to nursing practice for preventing increased intracranial pressure in patients with brain surgery. RNJ 2013; 19(2): 264-76. Thai.
15. Rizany I, Hariyati RTS, Handayani H. Factors that affect the development of nurses’ competencies: a systematic review. Enferm Clin 2018; 28(Suppl): 154-57. doi: 10.1016/S1130-8621(18)30057-3.
16. American Association of Critical-Care Nurses. AACN standards for establishing and sustaining healthy work environments: a journey to excellence. Am J Crit Care 2018; 14(3): 187-97.
17. Wongtawan T. A study of the enterostomal therapy nurse roles [master’s minor thesis]. [Bangkok]: Chulalongkorn University; 2016. 191 p.
18. Gray M. Incontinence-related skin damage: essential knowledge. Ostomy Wound Manage. 2007; 53(12): 28-32.
19. Srisatidnarakul B. The methodology in nursing research. 5 th ed. Bangkok: U&I inter media; 2010. Thai.
20. Nupinit W, Nilmanat K, Mutchim Y. Selective factors related to intensive care units’ registered nurses’ competency in caring for Terminally Ill patients. JTNC. 2017; 32(4): 94-106. Thai.
21. Phutharangsi S, Seephom S. Study of the relationship between selected factors and perioperative nurses’ competencies in Thailand. Journal of the Royal Thai Army Nurses. 2017; 18(1): 94-103. Thai.
22. Phungsiri P. The effect of utilizing work instruction for incontinence associated dermatitis in high risk patient. Med J. 2016; 30(1): 59-67. Thai.
23. Khamphut P. The nurse competency in the intermediate ward at the tertiary hospital in Suphanburi [master’s minor thesis]. [Songkla]: Prince of Songkla University; 2012. 142 p.