Evaluating Intensive Care Nurses' Knowledge of Incontinence-Associated Dermatitis: A Multicenter Cross-sectional Study

Adv Skin Wound Care. 2024 Sep 1;37(9):1-7. doi: 10.1097/ASW.0000000000000199.

Abstract

Objective: To determine the knowledge levels of nurses working in the ICU about incontinence-associated dermatitis (IAD).

Methods: A descriptive cross-sectional study was conducted in adult ICUs at two private and three public hospitals in a province in Turkey. The study included 296 nurses who agreed to participate in the research. Researchers used the "Nurse Identification Form" and the "IAD Knowledge Test" to collect data on nurses' IAD knowledge. Data analysis included the use of percentage distribution and the Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests.

Results: The mean age of the nurses was 26.55 ± 3.89 years (range, 20-47 years), and the duration of working in the ICU was 2.71 ± 2.55 years (range, 1-22 years). Of the nurses, 183 (61.8%) worked in general ICUs. Of those, 69 (23.3%) received IAD training. Nurses achieved a 49.8% correct response rate on the IAD knowledge test. Nurses working in tertiary and general ICUs demonstrated higher IAD knowledge levels (Ps = .003 and .047, respectively). There were no relationships between age, career length, institution, ICU type, and IAD knowledge level.

Conclusions: Nurses' knowledge level of IAD was low in intensive care. To remedy this, IAD should be added to intensive care nursing certificate programs as content, and the use of IAD risk assessment and diagnosis scales in ICUs should be expanded.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Clinical Competence* / statistics & numerical data
  • Critical Care Nursing / methods
  • Critical Care Nursing / standards
  • Cross-Sectional Studies
  • Dermatitis / etiology
  • Dermatitis / nursing
  • Fecal Incontinence / complications
  • Fecal Incontinence / nursing
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Intensive Care Units* / statistics & numerical data
  • Male
  • Middle Aged
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / statistics & numerical data
  • Surveys and Questionnaires
  • Turkey
  • Urinary Incontinence* / complications
  • Urinary Incontinence* / nursing
  • Young Adult