Effect of a SKINCARE Bundle Implementation on the Prevention of Medical-Devices-Related Pressure Injuries in Critical Care Units. | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 27, Issue 2, June 2025, Pages 240-255 PDF (315.58 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2025.429978 | ||
| Authors | ||
| Lamia Reda Ahmed Elgazzar* 1; Nagwa Ahmed Reda2; Amina Hemida Salem Ghattas3 | ||
| 1B.Sc. Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| 2Professor, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| 3Assistant Professor, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| Medical devices-related pressure injuries (MDRPIs) that are also known as medical devices-related ulcers (MDRPUs) recognized as the most common iatrogenic and sorrorigenic wounds found in critical care settings. While MDRPIs can lead to increased risk of serious infections, as well as pain, discomfort, extended hospital stays, and increased expenses, the necessity of these medical devices often persists in enhancing physiological parameters, providing advanced organ support, and maintaining the patient's life. Therefore, prevention of MDRPIs is crucial to improve patient outcomes. Aim: This study aims to determine the effect of a SKINCARE bundle implementation on the prevention of medical devices-related pressure injuries (MDRPIs) in Critical Care Units. Design: A quasi-experimental research design with a prospective approach was employed in this study. Settings: This study was conducted in six intensive care units (ICUs) at Alexandria Main University Hospital (AMUH). Subjects: 110 patients were included in the current study, and they were divided equally into control and interventional groups 55patients each. Tools: Three tools were used to collect the data for the current study namely: Patients’ demographic and clinical data assessment record; Pressure injury risk assessment (Braden Scale); and Pressure ulcer staging system (Puss) checklist. Results: The findings revealed a statistically significant decrease in the occurrence of MDRPIs in the intervention group that utilized the SKINCARE bundle, in contrast to the control group that received routine care with all medical devices assessed, including facemasks, foley catheters, pulse oximeters, endotracheal tubes, nasogastric tubes, and venous catheters. Conclusion: implementing the SKINCARE bundle significantly impacts the reduction of MDRPIs in critically ill patients. Recommendations: Based on the fact that care bundles have proven to be effective in improving clinical outcomes, the current study recommended that healthcare authorities adopt the three most frequently used strategies that enhance the use and implementation of SKINCARE bundles, these include education, reminders, audit and feedback. Further research is needed to identify the best strategy to implement the SKINCARE bundle by the ICU nurses to achieve high levels of compliance. | ||
| Keywords | ||
| SKINCARE bundle; MDRPIs; Critical Care Units | ||
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