A case of primary anetoderma in an infant

Aim and objective: To explore and establish the language, clinical opinions and workplace culture around neonatal skin injury nomenclature. Specifically, what nomenclature is used to describe, define, identity and communicate neonatal skin injuries including (a) terms, (b) locations, (c) associated risks and (d) mechanical forces. Background: Skin injuries are affirmed or denied based on visual assessment with findings reported by language rather than measurements. However, if language or nomenclature is ambiguous, assessments could be misinterpreted effecting healthcare delivery. Design: Qualitative enquiry including applied discourse analysis and betweenmethod triangulation, within a larger exploratory mixed-methods study. Methods: Data were collected over two years from four sources: literature, documents, interviews/focus groups and free text injury assessments. Data analysis included content analysis, selective coding and thematic analysis. The collective data were further explored using discourse analysis and triangulation to achieve collective conclusions about opinions, emotions, feelings, perceptions and workplace cultures. The COREQ checklist provided structure for the reporting of study methods, analysis and findings. Results: A total of 427 data points were collected from literature, documentation and two clinical data sources. Data convergence revealed that neonatal skin injuries are described by numerous terms with preferences for "injury," "trauma" or "redness." Injuries occur in over 20 anatomical locations and risks for injuries included hospitalisation, specific treatments and prematurity. Essential medical devices, clinical condition, lack of clinician experience and overactive neonates were uniquely associated risks. There was incongruency between sources. The literature and documents empathise pressure as the primary force related to skin injury, while varied forces were identified within interviews, focus groups and free text injury assessments. | 3987 AUGUST eT Al.

show abstract

“… y Colditz, Dunster, Joy, & Robertson, 1999; Goujon et al., 2010; Prizant, Lucky, Frieden, Burton, & Suarez, 1996; Yu, Shin, Kang, & Kim, 2007. …”

Section: Resultsmentioning

confidence: 99%

Neonatal skin assessments and injuries: Nomenclature, workplace culture and clinical opinions—Method triangulation a qualitative study

August

Ray

Kandasamy

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Primary anetoderma develops on clinically normal skin without any preceding dermatoses. Secondary anetoderma develops on exactly the same area as a previous specific pathology1.…”

mentioning

confidence: 87%

“…It has also occasionally been described/reported in premature infants, which may be related to the use of cutaneous monitoring leads or adhesives1.…”

mentioning

confidence: 99%

“…Anetoderma is a rare cutaneous disorder characterized by localized depressions or the outpouchings of the skin caused by laxity and the weakening of the dermal connective tissue as a result of the focal loss of elastic fibers1. Anetoderma has two forms: primary and secondary.…”

mentioning

confidence: 99%

“…Anetoderma occurs mainly in women aged 20 to 40 years, but is occasionally reported in younger and older patients of both sexes1. It has also occasionally been described/reported in premature infants, which may be related to the use of cutaneous monitoring leads or adhesives1.…”

mentioning

confidence: 99%

See 2 more Smart Citations